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<br />PROTE24OP ID: BG <br />DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />10/02/2024 <br />THISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THIS <br />CERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIES <br />BELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S),AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT:IfthecertificateholderisanADDITIONALINSURED,thepolicy(ies)musthaveADDITIONALINSUREDprovisionsorbeendorsed. <br />IfSUBROGATIONISWAIVED,subjecttothetermsandconditionsofthepolicy,certainpoliciesmayrequireanendorsement.Astatementon <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />CONTACT <br />877-242-9600Central Insurance Agency, Inc <br />PRODUCER <br />NAME: <br />Central Insurance Agency, Inc. <br />PHONEFAX <br />877-242-9600877-243-8995 <br />(A/C, No, Ext):(A/C, No): <br />PO Box 1047 <br />E-MAIL <br />Smithtown, NY 11787 <br />certificates@ciainsures.com <br />ADDRESS: <br />Christopher Daume <br />INSURER(S) AFFORDING COVERAGENAIC # <br />Ejhjubmmz!tjhofe!cz!Bohjf!Bdfwfep! <br />23396 <br />Amerisure Mutual Insurance Co <br />INSURER A : <br />Bohjf!Bdfwfep <br />Ebuf;!3135/21/28!22;55;52!.18(11( <br />StarStone Specialty Insurance44776 <br />INSURED <br />INSURER B : <br />Protection America Inc. <br />Sentinel Insurance Company11000 <br />PPO#120313 <br />INSURER C : <br />21350 Nordhoff St # 104C <br />United Financial Casualty11770 <br />INSURER D : <br />Chatsworth, CA 91311 <br />INSURER E : <br />INSURER F : <br />COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: <br />THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD <br />INDICATED.NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS <br />CERTIFICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRADDLSUBRPOLICY EFFPOLICY EXP <br />TYPE OF INSURANCEPOLICY NUMBERLIMITS <br />LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) <br />1,000,000 <br />B <br />COMMERCIAL GENERAL LIABILITY <br />X <br />EACH OCCURRENCE$ <br />DAMAGE TO RENTED <br />100,000 <br />CLAIMS-MADEOCCUR <br />X <br />WSGL002225 <br />09/19/202409/19/2025 <br />$ <br />PREMISES (Ea occurrence) <br />XX <br />Errors & Omission5,000 <br />X <br />MED EXP (Any one person)$ <br />Assault & Battery1,000,000 <br />X <br />PERSONAL & ADV INJURY$ <br />2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ <br />PRO- <br />2,000,000 <br />X <br />POLICYLOC <br />PRODUCTS - COMP/OP AGG$ <br />JECT <br />OTHER:$ <br />COMBINED SINGLE LIMIT <br />1,000,000 <br />D <br />AUTOMOBILE LIABILITY <br />$ <br />(Ea accident) <br />X <br />ANY AUTO 04169862 <br />10/08/202404/08/2025 <br />BODILY INJURY (Per person)$ <br />OWNEDSCHEDULED <br />AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ <br />PROPERTY DAMAGE <br />HIREDNON-OWNED <br />XX <br />(Per accident)$ <br />AUTOS ONLYAUTOS ONLY <br />$ <br />UMBRELLA LIABOCCUR <br />EACH OCCURRENCE$ <br />EXCESS LIABCLAIMS-MADE <br />AGGREGATE$ <br />DEDRETENTION$ <br />$ <br />PEROTH- <br />WORKERS COMPENSATION <br />A <br />X <br />STATUTEER <br />AND EMPLOYERS' LIABILITY <br />Y / N <br />WC 21219520202 <br />11/06/202411/06/20251,000,000 <br />X <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT$ <br />N / A <br />Y <br />OFFICER/MEMBER EXCLUDED? <br />1,000,000 <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE$ <br />If yes, describe under <br />1,000,000 <br />DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ <br />Property91SBAVL2993 <br />04/26/202404/26/2025Contents11,000 <br />C <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Project: N-2023-264 - Contractor Agreement between Protection America, Inc. <br />and City of Santa Ana to provide Security Services. <br />See page 2 for additional information <br />CERTIFICATE HOLDERCANCELLATION <br />CTYSTAN <br />SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORE <br />THEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVEREDIN <br />City of Santa Ana <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 /> <br />