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TORTGAL-01 RJONES
<br /> ACORO CERTIFICATE OF LIABILITY INSURANCE FDAT7/2/2 2YYYY)
<br /> 7/2/2024
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Ames&Gough oNE • 7_ FAX 703 827-2279
<br /> 8300 Greensboro Drive ( (A/c,No):( )
<br /> Suite 980 Anqie
<br /> D
<br /> McLean,VA 22102
<br /> INSURERS FFORDING COVER E NAIC#
<br /> D1VE&flQJQsAI1G_(1'C9D XV A+ 11000
<br /> INSURED INSURER B:Hart ord Insurance Company of the Southeast 38261
<br /> Torti Gallas arja Partners,Inc. . save a y u ty o. f America A++,XV 31194
<br /> 1923 Vermon enue NW �J
<br /> Grimkeg ch I, ndtre v e O SIRE — I I
<br /> Washin t0 O 1 N RER
<br /> _ NS Rr• •
<br /> COVERAGES CERTIFICATE NUIV3E'.: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANC c LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE � OCCUR 42SBWBI7030 5/1/2024 5/1/2025 PREMISES ""c ED 1,000,000
<br /> PREMISES Ea occurrence $
<br /> MED EXP(Anyoneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY� JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2,000,000
<br /> Ea accident $
<br /> ANY AUTO 42SBWBI7030 5/1/2024 5/1/2025 BODILY INJURY Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE 42SBWBI7030 5/1/2024 5/1/2025 AGGREGATE $ 5,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> ANDEMPLOYERS'LIABILITY STATUTE ER
<br /> YIN 42WEGAX2W5U 5/1/2024 5/1/2025 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C Professional Liab. 107866673 7/1/2024 7/1/2025 Per Claim/Aggregate 4,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 1D1,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Santa Ana,its officers,officials,employees,and volunteers are included as additional insured with respect to General Liability,Automobile
<br /> Liability and Umbrella Liability when required by written contract.General Liability includes Additional Insured coverage for On-Going&Completed
<br /> Operations as required by written contract.General Liability,Automobile Liability,and Umbrella Liability are primary and non-contributory over any existing
<br /> insurance and limited to liability arising out of the operations of the named insured and when required by written contract.General Liability,Automobile
<br /> Liability,Workers Compensation and Umbrella Liability policies include a waiver of subrogation in favor of the additional insureds where permissible by state
<br /> law and when required by written contract.Umbrella Liability coverage sits excess over General Liability,Automobile Liability and Employers Liability
<br /> coverage.30-day Notice of Cancellation will be issued for the General Liability,Automobile,Workers Compensation,Umbrella,and Professional Liability
<br /> coverage in accordance with policy terms and conditions. Umbrella Liability coverage follows form.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF TEXPIRATIONHE ABODATEVE DESCRIBED POUCIFR BE CANCEL I Fn BEFORE
<br /> THETHEREO
<br /> City of Santa Ana ACCORDANCE W TH THE PO ICY PRC
<br /> Risk Management Division "°�" R[eieMa&APPentDms Y.
<br /> 20 Civic Center Plaza o=' REVIEWED&P>PPROVm BY:
<br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE Aal/44
<br /> �1 ® Risk Management Specialist
<br /> V.
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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