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WISECAC-Cl
<br />I RMIRP7
<br />A11%R
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATEDIYYYYJ
<br />5/28122812024
<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
<br />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 />PRODUCER TACT
<br />Lrr3
<br />IMA, Inc. - Pasadena e F
<br />3475 E. Foothill Boulevard o, ) 9'1- No):(626) 441-3233
<br />Suite 100
<br />Pasadena, CA 91107INBURER
<br />!4SU
<br />S AFFORDING COVERAGENAICN
<br />JOIA"InivalaltyInsurance CounpanY 23850
<br />INSURED _ su A e re IndemnityCompany 39152
<br />CA Corp. Wise Silva er dba: m •1 c: Philadelphia demni Insurance Company 18058
<br />1505 E. 17t
<br />E. 17th St. Ste.#214 INsL D
<br />Sant
<br />Santa Ana, CA 92705
<br />INSURE. �
<br />SU
<br />COVERAGES ER
<br />!/r)
<br />THIS IS TO CERTIFY THA THE O S NS N T L VE BEEN ISSUED TO THE i.NSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR :ONDITION OF NY O O U ER DQ�UTJyIT}� SPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSI:RAt :E AFFORDED Bi aPa I 9 (BED R B !CTTO ALL THE TERMS,
<br />`�
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS r riOV 1 MAY HAVE BEEN R S.
<br />I.To
<br />TYPE OF INSURANCE
<br />INSDADDL
<br />SUBR
<br />_ 'jLICY NUMBER
<br />1 POLICY EFF
<br />POLICYEXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIALGENERALUABIL6'Y
<br />EACH OCCURRENCE
<br />11000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />X
<br />PHPK2624672
<br />111/2024
<br />1/112025
<br />70000g
<br />MED EXP (My one rson
<br />5,000
<br />PERSONAL& ADV INJURY
<br />1,000,00D
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER
<br />GENERALAGGREGATE
<br />2,000,000
<br />PRODUCTS-COMP/OP AGG
<br />2,000,000
<br />POLICY❑JET 1:1 LOC
<br />SEXUAL PHYSICAL
<br />1,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMITEa
<br />1000ggg
<br />acold nil
<br />$
<br />BODILY INJURY Per arson
<br />$
<br />ANY AUTO
<br />PHPK2624672
<br />11112024
<br />11112025
<br />OWNED
<br />OWNED SCHEDULED
<br />BODILY INJURY Per accident
<br />AUTOS ONLY AICITg0p5WN
<br />X
<br />ALT030NLV X ZWU l7NLV
<br />Pa0P.ERant AMAGE
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />1,000,000
<br />AGGREGATE
<br />1,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />PHUSS90187
<br />1/112024
<br />11112025
<br />DED I X I RETENTION$ 10,000
<br />Persona15 lBAdV
<br />1,000,000
<br />B
<br />WORKERS COMPENSATION
<br />X PER OTH-
<br />ANDEMPLOYERS'LIABILITY
<br />ANY PROPRIETORIPARTNEWEXECUTIVE Y�
<br />SATIS0324603
<br />8/15/2023
<br />8115I2024
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />W.F.15ERIMEMBER EXCLUDED?
<br />(Mandatory In
<br />NIA
<br />E.L. DISEASE - EA EMPLOYE
<br />1,000,000
<br />describe ander
<br />(DESCRIPTION
<br />E.L. DISEASE -POLICYLIMB
<br />1,000,000
<br />OF OPERATIONS below
<br />A
<br />Professional Liab.
<br />PHPK2624672
<br />111/2024
<br />111/2025
<br />Occurrence
<br />1,000,000
<br />C
<br />Crime
<br />PHSD1792539
<br />619/2023
<br />619/2024
<br />500,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally Insured on this policy pursuant to written contract, agreement, or
<br />memorandum of understanding. Such insurance as Is afforded by this policy shall be primary, and any insurance carried by City shall be excess and
<br />noncontributory
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th floor
<br />Santa Ana, CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />—jam pry
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREO
<br />ACCORDANCE WITH THE POLICY PR( 8� 81akklme8anmtD'ntsion
<br />REvF iEO & APPROVm 8Y:
<br />.. A-juAcw44
<br />®1
<br />- Risk Management Specialist
<br />ACORD 25 (2016103)
<br />01988.2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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