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ACORO® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDD/YYYY)
<br />03/26/2024
<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 />lj@UBROGATION IS WAIVED, subject to the terms and Coe diti n pp FF �rr� r r rPgnt. A statement on
<br />Avigi
<br />ti c a n nfer rights to the certificate hole er iWetlj rseh� 3)! � c
<br />p E -
<br />AceV
<br />NO TACT Ashley Tevis
<br />FAX
<br />GAD Insurance,
<br />(614 221-1580
<br />Ezt INo: ) (614)221-1500
<br />: AC,
<br />1349 W Lane Avenue
<br />MAe
<br />s
<br />Date.
<br />AG A
<br />NAICNSt
<br />suaERA: Valley Forgelnsumnce Company
<br />20508
<br />OH 43221
<br />IN SUR —
<br />NSURER a; Continental Casualty Company
<br />20443
<br />Meeder Investment Management, Inc.; Ale -der Public Funds, Inc
<br />INSURER C; Allmerica Financial Benefit
<br />41840
<br />6125 Memorial Drive
<br />INSURER D;
<br />NN URER E
<br />Dublin OH 43017
<br />1 INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: CL2432629125 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 />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIODIYYYY
<br />POLICY EXP
<br />MMIODNM
<br />LIMITS
<br />COMMERCIAL
<br />MERCIAL GENERAL LIABILITY
<br />CLAIMSMADE F OCCUR
<br />T
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />A A T a cu
<br />REFT occurrence)
<br />$ 1,000,000
<br />MED EXP(Anyone Person)
<br />$ 10,000
<br />PERSONAL& ADV INJURY
<br />$ 2,000,000
<br />A
<br />6025571227
<br />04/01/2024
<br />04/01/2025
<br />GEN-AGGREGATE LIMITAPPLIES PER:
<br />POLICY JECT PRO- FX LOC
<br />GENERALAGGREGATE
<br />g 4,000,000
<br />PRODUCTS-COMP/OPAGG
<br />$ 4,000,000
<br />Hired Auto Physical
<br />$ 75,000
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea axidaot
<br />is 1,0010,0000
<br />BODILY INJURY (Par person)
<br />$
<br />ANYAUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />6025571227
<br />04/01/2024
<br />04/01/2025
<br />BODILY INJURY(Peraccidumt)
<br />$
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Peraocident
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />B
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />6074647009
<br />04/01/2024
<br />04/01/2025
<br />DEC
<br />RETENTION $ 10,000
<br />$
<br />C
<br />WORKERS COMPENSATION YIN
<br />AND EMPLOYERVLIABILITY
<br />ANY PROPRIETOMPARTNERIEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />W2W-J682426-00
<br />04/01I2024
<br />04/01/2025
<br />V PER OTH-
<br />/� STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, drecnbe antler
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />Blanket Property, Special Form,
<br />Replacement Cost
<br />6025571227
<br />04/01/2024
<br />04I01/2025
<br />Building Limit
<br />Contents Limit
<br />$6,457,829
<br />$2,025,858
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />This document neither affrmafively nor negatively amends, extends, or alters the terms of or the coverage afforded by policy referenced herein.
<br />WC States: AZICA/CO/CT/FL/GA/IA/IL/IN/KY/MI/MO/NC/NJ/NV/PA/SC/TX/UT
<br />CERTIFICATE
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana
<br />CA 92701
<br />AUTHORIZED REPRESENTATIVE
<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 PROI
<br />Wek MRrugnnmt IXviefan
<br />d REVIEWED is APPROVED BY.
<br />� Ace A44
<br />�1 Risk Management Specialist
<br />©1988.2015 ACOF
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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