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D EN OV-2 OP ID- DJ ,4Ca>�o CERTIFICATE OF LIABILITY INSURANCE DATE 04129/202YY] 04l2912024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. PORTANT: If the certificate holder is an ADDITIONAL INJU! t i%e IPrevisions or be endorsed. U N VED, subject to the terms and ;ahfhe paNcy eiin poficles m requi aorsement. A statement on rlrti to o onfer rights to the certificate ho, ler jkpi lieu of such dorsement(s). PRODUCER 916-961-6011,E Cummins Insurance Agency Cummins Insurance Agency, Inc. PHONE 916-961-6000 FAX 916-961-3046 License # OC42488 o t)A (AIC, No): 4JA Hazel Avenue, Suite 110 Date. E- I AS�lnevQao- 1 INSURER S AFFORDING COVERAGE NAIC A' _ — SURERA: Lloyds of London 085202 INSURED INSURERB: Hartford Casualty Ins Co 29424 De Novo Planning Group Steve McMurtry INSURERC: StarStone Specialty Ins. Co. 44776 1020 Suncast Lane, #106 INsuRERD:Arch Specialty Ins. Co. El Dorado Hills, CA 95762 INSURER E : Nationwide Mutual Insurance Co 23787 INSURER F : Ilriiill/drJ±TrIX 11111dei111id115111i±lt111 =1 "'IIIIA11_lde :J=LTJ :9ri7"'101kqlllIT, lelde 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Waiver X X PSM0039941132 04/29/2024 04/2912025 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 250,000 $ X MELD EXP (Any oneperson) $ 5,000 X PrimarylNon-Contr PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY1:1 JECT1:1 LOC OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS- COMPIOP AGO $ 2'000,000 Emp Ben. $ 2,000,000 AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY X X ACP3008668630 03/15/2024 03/15/2025 COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Per persoN $ 1,000,000 BODILY INJURY Per accident $ PP r P.. d. DAMAGE a $ $ C UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X CSX00090224P01 04/29/2024 04/29/2025 EACH OCCURRENCE $ 1,000,000 X AGGREGATE $ 1,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORfPARTNERfEXECUTIVE YIN OFFICERWEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA X 57WECZ03688 0412912024 04129/2025 X PER OTH- STATUTE ER EL EACH ACCIDENT 1,000,000 $ E.L. DISEASE- EA EMPLOYEE $ 1'000'000 E.L DISEASE- POLICY LIMIT 1,000,000 $ A A Professional Lia. Pollution PSM0039941132 PSM0039941132 04/29/2024 04/29/2024 04/29/2025 04/29/2025 E&O 2,000,000 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana as additional insured per attached. SANTAN1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF "'^rrc 1m1 1 cc no nicocn i"i ACCORDANCE WITH THE POLICY PRC City of Santa Ana RA Mougmunt DMs[crn Risk Management Division g REVIEWED & APPROVED BY: 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 4 A� Risk Management Specialist ACORD 25 (2016103) 4 1988-2015 ACORD I The ACORD name and logo are registered marks of ACORD