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HOUS&HA-01
<br />TWANG
<br />CERTIFICATE OF LIABILITY INSURANCE 1
<br />DATE
<br />3/26/226/2024
<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 endorsements .
<br />sign
<br />PAD Li�e;se 3 Services,
<br />I e ll It s ServlLeSr Inc.
<br />8 a10th FI Angie Aceved
<br />Irvine, CA 2
<br />Date: 2024.03
<br />Melissa Kaiser
<br />PHONE FAX
<br />A/C, No, Ext: AIC. No):
<br />^
<br />tmc.��,N—L��'3e[issa.Kaiser@alliant.com
<br />Melissa.Kaiser@alliant.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />msuRERA:SCotlsdaleInsurance Company
<br />41297
<br />$ 12:09:21 -07t0
<br />Houston & Harris P C S inc
<br />21831 Barton Road
<br />Grand Terrace, CA 92313
<br />JSLIRERB: Nationwide Mutual Insurance Company
<br />23787
<br />INSURER C:Cypress 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 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
<br />TYPE OF INSURANCE
<br />ADDLSUBR INSD
<br />MD
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMBS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS4ADE ❑X OCCUR
<br />X
<br />X
<br />VRS0006742
<br />6/24/2023
<br />6124/2024
<br />EACH OCCURRENCE
<br />$ 1,UUD,DD6
<br />DAMAGERENTED
<br />PREMISES Fee
<br />$ 100,000
<br />MED EXP An one person)
<br />$ 5,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,00
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY � jECT LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS-COMP/OP AGG
<br />2,000,000
<br />EBL
<br />1,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />1 000 000
<br />X
<br />ANY AUTO
<br />X
<br />X
<br />ACP3096645740
<br />6/24/2023
<br />6/24/2024
<br />BODILY INJURY Perperson)
<br />$
<br />BODILY INJURY Per accident
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />X
<br />PROPERTY
<br />E
<br />AUTOS ONLY X AUTOS ONLY
<br />A
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />4,000,000
<br />X
<br />AGGREGATE
<br />$ 4,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />VES0004173
<br />6/24/2023
<br />6/24/2024
<br />DED I X I RETENTION$ 0
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' UNBILITY
<br />ANY PROPRIETORIPARTNER/EXECUTIVE YIN
<br />FE.L.FFICERIMEMBER EXCLUDED?
<br />Man dat Y.n NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N/A
<br />X
<br />HOWC423017
<br />9/1/2023
<br />9/1/2024
<br />X PER OTH-
<br />STATUTEER
<br />EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />1,000,000
<br />A
<br />Professional Liabili
<br />VRS0006742
<br />6/24/2023
<br />6/24/2024
<br />Claims Aggregate Lmt
<br />2,000,000
<br />A
<br />Pollution Liability
<br />VRS0006742
<br />6/24/2023
<br />6/24/2024
<br />Claims Aggregate Lint
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached Ifmore 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 />The City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />ACORD 25 (2016/03)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREO
<br />ACCORDANCE WITH THE POLICY PRC
<br />AUTHORIZED REPRESENTATIVE
<br />64�k SLA4,
<br />10slcMauement Divisio
<br />U 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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