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® uigitany s)gnea ACORO CERTIFICATE OF L SUF' DATE(MMNONY") L.� ie 5/9/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONF9RS NO RIGHT 1'fI(J, =TIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, E END OR ALTER TI � JVE ED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTYNCC!elyeIKl'j.Of"1�f�e„iZ02fl f� pILgHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER//��ll\ �/ �� V IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must he ndorsed. I O D, subject to the terms and conditions of the policy, certain policies may require an endorsement. F. satement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER I 29VTACT Driscoll & Driscoll Insurance Agency, Inc. 41235 lath St West, Suite B Palmdale CA 93551 INSURED PHrONE ua. (661)266-9390 rFQ In v-a. 16611166-9391 com Chambers Group, Inc INSURER D: 3151 Airway Ave, Suite F208 INSURER E: Costa Mesa CA 92626 INSURER F: f!nVFRa OFC P1=01rucl `nTC MIm11GCo.ri.0l covocov eiw,w�u unur.�,�. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF ADDLSUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MIODNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED PREMISES Ea occune ca 8 100, 000 NED EXP(Any one Peremn $ 10,000 X Y ECP2026303-15 5/12/2023 5/12/2024 PERSONAL A ACV INJURY $ 11000,000 GEN'LAGGREGATE UMITAPPLIES PER X O- POLICY ❑ JECPRT F-1 LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 11000,000 X BODILY INJURY (Paz person) $ B ANY AUTO ALL OS SCHEDULED AUTOS AUTOS MP2037737-11 5/12/2023 5/12/2024 BODILY INJURY Paz accident ( 1 $ NON-OMED HIREDAlIT05 AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10, 000, 000 A EXCESS UAB CLAIMS -MADE PPX2026322-15 5/12/2023 5/12/2024 DEC RETENTION $ S C WORKERS COMPENSATOR AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory❑N (Mandatory In NH) It yes, describe under NIA wVE 5055233 03 5/12/2023 5/12/2024 PER OTH- X STATUTE ER EL EACH ACCIDENT S 11000,000 71, DISEASE-EAEMPLOYEE $ 11000,006 EL DISEASEPOLICYLIMIT 1 $ 1.000 000 DESCRIPTION OF OPERATIONS below A Conti Pollution Liability ECP2026303-15 5/12/2023 5/12/2024 Per OccIA00 1 M / 2 M A Professional Liability ECP2026303-15 5/12/2023 5/12/2024 Claims Made 11000,000 DESCRIPTON OF OPERATONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Blanket Waiver applies to the General Liability Policy per form # ECP 1260 el 21. Blanket Primary & Non -Contributory wording applies to the General Liability Policy per form # ECP 1246 el 21. Blanket Additional Insured applies to the General Liability Policy per form # ECP 1246 01 21 & ECP 1248 01 21; in favor of: City of Santa Ana, officers, agents, employees, and volunteers. 10 day Notice of Cancellation for Non-payment & 30 day for all other. C nVLUCR City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRO\ �, lil$kM�.4gLmtenlDilielAn AUTHORIZED REPRESENTATIVE v apr, REVIEWED�YI&IAPPRO/1VED� �S�r. Ross Driscoll, Sr/DM .�,, RMk Man gemen[ av4Xlcsol G34ORA_9n4A APA011 ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)