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TORTGAL-01 CGIBRONI
<br />ACORD
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />6/96/2025
<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
<br />CONTACT
<br />NAME:
<br />PHONE 703 827-2277 FAX 703 827-2279
<br />(A/C, No, Ext): ( ) (A/C, No):( )
<br />Ames & Gough
<br />8300 Greensboro Drive
<br />Suite 980
<br />E-MAIL admin@amesgough.com
<br />McLean, VA 22102
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Sentinel Insurance Company,LTD XV A+
<br />11000
<br />INSURED
<br />INSURER B : Hartford Insurance Company of the Southeast
<br />38261
<br />Torti Gallas and Partners, Inc.
<br />INSURER C : Travelers Casualty & Surety Co. of America A++, XV
<br />31194
<br />1923 Vermont Avenue, NW
<br />Grimke School, 2nd Floor
<br />INSURER D :
<br />INSURER E :
<br />Washington, DC 20001
<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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X71 OCCUR
<br />X
<br />X
<br />42SBWBI7030
<br />5/1/2025
<br />5/1/2026
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DAME TORENTED
<br />PREMISES Ea occurrence
<br />1 0000��
<br />$
<br />MED EXP (Anyoneperson)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY � JECT1:1 LOC
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />PRODUCTS - COMP/OP AGG
<br />$ 4,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />2,000,000
<br />$
<br />BODILY INJURY Perperson)
<br />$
<br />ANY AUTO
<br />X
<br />X
<br />42SBWBI7030
<br />5/1/2025
<br />5/1/2026
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident
<br />$
<br />PROPERTY DAMAGE
<br />(per. c.,d.nt
<br />$
<br />X HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />X
<br />X
<br />42SBWBI7030
<br />5/1/2025
<br />5/1/2026
<br />AGGREGATE
<br />$ 5,000,000
<br />DED X RETENTION $ 10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N / A
<br />X
<br />42WEGAX2W5U
<br />5/1/2025
<br />5/1/2026
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE- EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />C
<br />Professional Liab.
<br />107866673
<br />7/1/2024
<br />7/1/2025
<br />Per Claim/Aggregate
<br />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 Trdn 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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