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4`o�i2o® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMI024YY)
<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 />hisyc�ert111 does not confer rights to the :e f e s
<br />D'1Hi esyrance Brokers
<br />18 Gat y Drive, #330 Acevedo
<br />San Mateo CA 94404
<br />Date: 2024.0
<br />FA%
<br />PHONE t, 650-842-5200 ac No:650-842-5201
<br />E-MAIL
<br />RS AFFORDING COVERAGE
<br />NAICM
<br />AcevedoINSURED
<br />INSURER A: Philadelphia IndemnityInsurance Company
<br />18058
<br />_ I nse :0564249
<br />— KLINKEH-01
<br />Klinton Kehoe dba Patrol Solutions
<br />INSURERS: Service American Indemni Company
<br />39152
<br />1624 Santa Clara Dr, Suite 240
<br />INSURER C:
<br />INSURER D:
<br />Roseville CA 95661
<br />INSURER E :
<br />INSURERF:
<br />COVERAGES CERTIFICATE NUMBER: 382535167 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 />IN
<br />LTR
<br />TYPE OF INSURANCE
<br />AOOLSUBR
<br />POLICY NUMBER
<br />MMID YEFF
<br />MMIDDYfYEYXYPY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERALLIABILITY
<br />CLAIMS -MADE a OCCUR
<br />Y
<br />Y
<br />PHPK2628013
<br />11/23/2023
<br />11/23/2024
<br />EACHOCCURRENCE
<br />$1,000,000
<br />R NTED
<br />PREMISES Ea eccunenca
<br />8100,000
<br />X
<br />MED UP (Any one person)t
<br />$ 5,000
<br />5,000
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />AGGREGATE LIMIT APPLIES PER,
<br />IRG-
<br />POLICY ❑ PRO- C LOC
<br />GENERAL AGGREGATE
<br />$3,000,000
<br />GEN'L
<br />X
<br />PRODUCTS-COMP/OP AGG
<br />$3,000,000
<br />_
<br />_
<br />$
<br />OTHER
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />PHPK2628013
<br />11/23/2023
<br />11/232024
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />IX
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)$
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY -DAMAGE
<br />Per accident
<br />$
<br />A
<br />UMBRELLALIAS
<br />X
<br />OCCUR
<br />PHUBB90716
<br />11/23/2023
<br />11/23/2024
<br />EACH OCCURRENCE
<br />$5,000,000
<br />X
<br />EI[CESS LIAS
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$5,000,000
<br />DED I X I RETENTION$
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPOFFICEWMEMBEREXCLUDEDI ROPRIETOWPARTNERIEXECUTIVE YIN
<br />NIA
<br />SATIS0525401
<br />11/23/2023
<br />11/232024
<br />X STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$1,000.000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />A
<br />A
<br />Sexual Physical Abuse
<br />Professional Liability
<br />PHPK2628013
<br />PHPK2628013
<br />11/23/2023
<br />11/23/2023
<br />11/23/2024
<br />11/23/2024
<br />Each OcGAggregate
<br />Each 0.SIM/Agg
<br />1,000,000
<br />3.000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace le required)
<br />Re: As Per Contract or Agreement on File with Insured. City of Santa Ana, its officers, officials, employees and volunteers are included as an additional insured
<br />(primary and non-contributory) on General Liability policy per the attached endorsements, if required. The completed operations endorsement has been
<br />requested on General Liability policy from the insurance company and if approved will be forwarded when received. The Excess Liability policy follows form the
<br />General Liability and Professional Liability policies. Waiver of Subrogation is included on General Liability policy per the attached endorsement, if required.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PRC
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />©1988-2015 ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />n
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