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TORTGAL-01 CGIBBONI
<br /> '4coRo CERTIFICATE OF LIABILITY INSURANCE DAT/16/2D/YYYY)
<br /> 616/2025
<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 PHONE 703 827-2277 FAX 703 827-2279
<br /> 8300 Greensboro Drive (A/C,No,Ext):( ) (A/C,No):( )
<br /> Suite 980 ADDRESS:admin@amesgough.com
<br /> McLean,VA 22102
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Sentinel Insurance Company, LTD XV A+ 11000
<br /> INSURED INSURER B:Hartford Insurance Company of the Southeast 38261
<br /> Torti Gallas and Partners,Inc. INSURER C:Travelers Casualty&Surety Co.of America A++,XV 31194
<br /> 1923 Vermont Avenue,NW
<br /> Grimke School,2nd Floor INSURER D:
<br /> Washington,DC 20001 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 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 X71 OCCUR 42SBWBI7030 5/1/2025 5/1/2026 DAME TORENTED 1 0000��
<br /> X X 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� JECT1:1 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 X X 42SBWBI7030 5/1/2025 5/1/2026 BODILY INJURY Perperson) $
<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 X X 42SBWBI7030 5/1/2025 5/1/2026 AGGREGATE $ 5,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN 42WEGAX2W5U 5/1/2025 5/1/2026 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ X E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N/A
<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 101,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.
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran Nguyen at 7:32 am,JuE17, 25
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Planning and Building Agency Dgta11y,,g-d
<br /> 20 Civic Center Plaza Tu Tran Ng�ye
<br /> Santa Ana,CA 92702 Nguyen Date:202506.17 AUTHORIZED REPRESENTATIVE
<br /> 071125-07'00'
<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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