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HOUS&HA-01
<br />err,
<br />,4`�szo CERTIFICATE OF LIABILITY INSURANCE
<br />DATEIMIYYYY)
<br />3/2612O024
<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 ertifcate holder in lieu of such endorsement(s).
<br />p ❑u Li�e;s¢#lSer1 igi a y sign
<br />I D t l s BervlDeS, Inc.
<br />Irvine, CA 2 IlrMate 10th FI Angie Aceved
<br />Date:2024.03
<br />Melissa Kaiser
<br />pHC NNo, Ext): aC, No
<br />I
<br />o AIL . Melissa.Kaiser@alliant.com
<br />NSURERSAFFORDING COVERAGE
<br />NAIC9
<br />INsuRERA:SCottsdale Insurance Company
<br />41297
<br />$ 12:09:21 -07'01YSURERaMationwiceMutualInsuranceCom
<br />Houston & Harris P C S inc
<br />21831 Barton Road
<br />Grand Terrace, CA 92313
<br />an
<br />23787
<br />INSURERCICYPas Insurance Company
<br />10855
<br />INSURER D:
<br />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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />6/2412023
<br />POLICY EXPLTR
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />VRS0006742
<br />6/2412024
<br />EACHOCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES Eaoccurr e
<br />700 ggg
<br />MED EXP LAny one arson
<br />5,D00
<br />PERSONAL&ADV INJURY
<br />1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY [Xl ypeT [ILOC
<br />GENERAL AGGREGATE
<br />2,000,00O
<br />GEN'L
<br />PRODUCTS - COMPIOP AGG
<br />2,000,000
<br />OTHER:
<br />EBL
<br />1,000,000
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />EOMaBINED SINGLE LIMIT
<br />1000000
<br />X
<br />BODILY INJURY Per arson
<br />ANY AUTO
<br />X
<br />X
<br />ACP3096645740
<br />6124/2023
<br />6/2412024
<br />BODILY INJURY Per accident
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />PeOac CZt AMAGE
<br />X
<br />AUllffi ONLY X AUTOB ONED
<br />A
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />AGGREGATE
<br />$ 4,000,000
<br />X
<br />EXCESS LIAa
<br />CLAIMS -MADE
<br />VES0004173
<br />612412023
<br />6124/2024
<br />DEO I X I RETENTION$ O
<br />C
<br />WORKERSCOMPENSATION
<br />MPENIA TIOI N
<br />ANYPRDPRIETOMPARTNEWEXECDTIVE YIN
<br />QFFICER/MEMBER EXCLUDED?
<br />'IAandatory inNR
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />X
<br />HOWC423017
<br />91112023
<br />9/1/2024
<br />X SEATUIE OTH-
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />E.L. DISEASE - EA EMPLOYE
<br />S 1,000,000
<br />E.L. DISEASE - POLICY LIMB
<br />1,000,000
<br />A
<br />Professional Liabili
<br />VRS0006742
<br />6/2412023
<br />6/24/2024
<br />Claims Aggregate Lint
<br />2,000,000
<br />A
<br />Pollution Liability
<br />VRS0006742
<br />6/2412023
<br />6/24/2024
<br />Claims Aggregate Lint
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />City of Santa Ana is an additional insured, waiver of subrogation as respects to general liability per endorsements attached; additional insured, waiver of
<br />subrogation as respects to auto liability per endorsement attached; waiver of subrogation as respects to workers compensation per endorsement attached.
<br />Cancellation Notice, per attached endorsements.
<br />SHOULD ANY OF THE ABOVE DESCF
<br />The City of Santa Ana
<br />THE EXPIRATION DATE THEREI
<br />20 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PR
<br />Santa Ana, CA 92701
<br />AUTHORIZED
<br />CREPPRRESENTATIVE
<br />i//'" FJ` QL44'
<br />ACORD 25 (2016/03) ©1988-2015 ACORD
<br />The ACORD name and logo are registered marks of ACORD
<br />REVIEWED&APpifoui FM.
<br />A-4U AavA4'
<br />Risk Management Specialist
<br />
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