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DAVITAU-01 LBURRILL
<br /> ,4coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 8/29/2024
<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 Lisa Burrill
<br /> NAME:
<br /> A PHONE crisure Southwest Partners Insuran Services, LLC • ow
<br /> 4000 Westerly Place (A/C,No Ext) I n e
<br /> E-MAIL liburri acrisur .comIF
<br /> Suite 110 i
<br /> ADDRES'.
<br /> — -
<br /> Newport Beach,CA 92660
<br /> NAIC#
<br /> INSURr 4A.Sentin Insurance Com an Ltd 11000
<br /> INSURED David Taussig&AssoAcevedo
<br /> Inc. INSW ER B: I a I n man 38342
<br /> dba DTA �JRE!:,.:a a ►.._ - 14 a st C an 25496
<br /> 18201 Von Karman AvSURER D: O I 1nspVaM?7VMpany 29424
<br /> Suite 220 INSURER E: II dA�&W_Ue1nn_'1V1AsLW&4e Company 18058
<br /> Newport Beach,CA 92612
<br /> INSURER F:Hartford Fire Insurance Company 19682
<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 X OCCUR 72SBAAP5439 2/24/2024 2/24/2025 DAMAGE TO RENTED 1,000,000
<br /> X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 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 /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> X ANY AUTO BA040000030599 12/19/2023 12/19/2024 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE 85717R241ALI 2/24/2024 2/24/2025 AGGREGATE $ 5,000,000
<br /> DED RETENTION$ $
<br /> D WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN 72WECEU2873 9/1/2024 9/1/2025 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ 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 /> E Prof. Liab./Claims PHSD1835820 11/1/2023 11/1/2024 Limit 2,000,000
<br /> F Crime 72 BDD HP8140 6/14/2024 6/14/2025 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 1D1,Additional Remarks Schedule,may be attached if more space is required)
<br /> cityclerk@santa-ana.org;FVillareal@santa-ana.org
<br /> -Cyber Liability coverage with State National Insurance Company,Inc.-Policy#EHJ-ADN02027372 Eff:7/22/24-7122125.Limit$2,000,000
<br /> -Excess follows form over General Liability,Automobile Liability,and Employers Liability
<br /> **THIS IS A WC POLICY RENEWAL ONLY.ONLY WC ENDORSEMENTS WILL BE ATTACHED.
<br /> ALL PREVIOUSLY ISSUED GL,AUTO,AND PROF.LIAB.ENDORSEMENTS ARE STILL VALID AND WILL NOT BE ATTACHED.
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER CANCELLATION
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 CIVIC CENTER PLAZA
<br /> SANTA ANA,CA 92701
<br /> AUTHORIZED REPRESENTATIVE
<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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