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OCEABLU-06 ADAVIS2
<br /> ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 6/28/2024
<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 suc,i an gment($)
<br /> PRODUCER License#07 776 'oNr T)Iift
<br /> �A'ME:
<br /> HUB International Ins cees i
<br /> "DN 825-2681 951 31-2572
<br /> 9855 Scranton Road %c,No,Ext):( ) (A/C,No):( )
<br /> Suite 100 a DRIE :alisha.davis@h international.co
<br /> San Diego,CA 921
<br /> _ S DI NAIC#
<br /> iNSL 'ERAMeg4hester Surplus Lines Insurance Co. 10172
<br /> INSURED I INSUR C r pert It In m n 20699
<br /> Ocean B nvir a ice I INsuR ^.a 11991
<br /> 925 We E e tree INSURER D: __
<br /> Long c 081
<br /> INSUR E
<br /> _ INSUREI F 0• I J•
<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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR G47475843 001 7/1/2024 7/1/2025 DAMAGE TO RENTED 100,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY JECT1:1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> X OTHER:DED: $5,000
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 000
<br /> Ea accident $
<br /> X ANY AUTO X X H08886301 001 7/1/2024 7/1/2025 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000
<br /> X EXCESS LIAB CLAIMS-MADE G47475855 001 7/1/2024 7/1/2025 AGGREGATE $ 9,000,000
<br /> DED RETENTION$ $
<br /> C WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN WCC340082A 7/1/2024 7/1/2025 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A X E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> A Pollution/Environm X G47475843 001 7/1/2024 7/1/2025 Each Occ/Aggregate 1,000,000
<br /> A Professional Liabili G47475843 001 7/1/2024 7/1/2025 Aggregate 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 1D1,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE: Biohazard crime scene clean up and jail decontamination services
<br /> City of Santa Ana,officers,agents,employees,and volunteers are Additional Insured's with regards to the General Liability policy when required by a written
<br /> contract,per the attached endorsement forms CG2010 04/13 and CG2037 04/13.Primary wording applies with regards to the General Liability policy when
<br /> required by a written contract,per the attached endorsement form ENV3252 12/18.Waiver of Subrogation applies with regards to the General Liability policy
<br /> when required by a written contract,per the attached endorsement form ENV3143 03/05.Additional Insured applies with regards to the Auto Liability policy
<br /> when required by a written contract,per the attached endorsement form BENVCA06 19/17.Waiver of Subrogation applies with regards to the Auto Liability
<br /> policy when required by a written contract,per the attached endorsement form DA13115A 06/14.Auto Pollution applies per the attached form CA9948 10/13.
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POILICIFR RE CANCFLLFD BEFORE
<br /> THE EXPIRATION DATE THEREO
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PR(
<br /> Risk Management Division " " R[eleManagprnentDms REVIEWED&P>PPROVm BY.
<br /> 20 Civic Center Plaza o='
<br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE Aecv44
<br /> ® Risk Management Specialist
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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