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ACCOR " CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />10/1/2024
<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
<br />Sequel Insurance Services, Inc.
<br />111 Scripps Drive
<br />Sacramento CA 95825
<br />CONTACT
<br />NAME: Candace AIICea
<br />PHONE FAX
<br />A/c No EXt : A/c, No):
<br />ADDRESS: certificates@sequelins.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Insurance Company of the West
<br />27847
<br />License#: 6010509
<br />INSURED ECORCON-01
<br />ECORP Consulting, Inc.
<br />2525 Warren Dr Angie Aceved
<br />Rocklin CA 95677-2167
<br />INSUREF B r s r
<br />10172
<br />l URErc c : A Ameri an I urance Co pan
<br />22667
<br />RD. -r y s y ITf
<br />25674
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER:2043373221 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 />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />I
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />B
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />G71832193 005
<br />10/1/2024
<br />10/1/2025
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 100,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 4,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />POLICY PRO-
<br />JECT1:1 LOC
<br />PRODUCTS - COMP/OPAGG
<br />$4,000,000
<br />Deductible
<br />$ 10,000
<br />OTHER:
<br />C
<br />AUTOMOBILE LIABILITY
<br />CAL H08475210 005
<br />10/1/2024
<br />10/1/2025
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />X HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />D
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />CUP-AO957690-24-NF
<br />10/1/2024
<br />10/1/2025
<br />EACH OCCURRENCE
<br />$5,000,000
<br />X
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION $ in nnn
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />WVE507214001
<br />7/1/2024
<br />7/1/2025
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />NIA
<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 />B
<br />Professional Liability
<br />G71832193 005
<br />10/1/2024
<br />10/1/2025
<br />Each Claim
<br />4,000,000
<br />B
<br />Contractors Pollution Liability
<br />Retro Date 10/1/2021
<br />G71832193 005
<br />10/1/2024
<br />10/1/2025
<br />Each Pollution Cond.
<br />Ded. For Each
<br />4,000,000
<br />10,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Third Party Crime - Pol #106602012 - Effective: 10/1/2024-10/1/2025 - Carrier: Travelers Casualty and Surety Company of America - Each Occurrence
<br />$1,000,000 - Retention $10,000
<br />RE: COSA New Agreement Request
<br />City of Santa Ana is General Liability Additional Insured per terms and conditions of the attached endorsement(s). Primary Wording for General Liability applies
<br />per terms and conditions of the attached endorsement. General Liability Waiver of Subrogation applies per terms and conditions of the attached endorsement.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF. NOTICE WILL FIF DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PRC
<br />Risk Management Division RAMarsganentDhblat
<br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE if REVIEWED &APPROVED BY:
<br />Santa Ana CA 92701i q si�� ,
<br />W ✓ ( _N Risk Management Specialist
<br />© 1988-2015 ACORD
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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