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CERTIFICATE OF LIABILITY INSURANCE I VPItOS14=DUZT4TTY)
<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 INSURERS), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poltcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />Northeast, Inc. •
<br />NAIC #
<br />INSURF - b NO r r n
<br />Incorporated LLC Ixsur ne. AC Ilea can Insur a Company 2 67
<br />Reston Metro Plaza
<br />on VA 20190 USA INS' ,ERC, Continental casualty Compan 20443
<br />IN JRERO: d e• ERF • • •
<br />Iu RF:
<br />ERAGE CERTIFI BET: 01 '47 N sm oiiii essi AkVIS18N AMMBERift seem I w w
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<br />THIS IS TO RTIFY A O
<br />OF I RAN TE HANNEEN ISSU D T E R OVG O T P 1 P IOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR 7.1ND'. ION OF ANY CO NT A p GC ITH T T HIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURAN:F '.-FORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />VIVO
<br />POLICY NUMBER
<br />or,
<br />MLVODIYYYY
<br />MM/DD
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$1,000,000
<br />JXCCMMERCIAL
<br />CLAIMS-MADE❑XOCCUR
<br />Package - Domestic
<br />PREMISES Ea ocourr¢n�dlComp
<br />$1,000,000
<br />MED UP (Any one person)
<br />$10, 000
<br />Ops Incl.
<br />PERSONAL a ADV INJURY
<br />$1,000,000
<br />GEN'LAGGREGATE LIMRAPPLIES PER:
<br />GENERALAGGREGATE
<br />$2,000,000
<br />m
<br />POLICY E PEA �X LOG
<br />PRODUCTS -COMPIOP AGO
<br />a
<br />OTHER:
<br />p
<br />n
<br />A
<br />AUTOMOBILE LIABILITY
<br />7352-29-55
<br />07/01/202407/01/2025
<br />COMBINED SINGLE LIMB
<br />Ea accident
<br />$1,000,000
<br />'^
<br />AUCOmOblle - All states
<br />BODILY INJURY ( Par p¢mon)
<br />X ANYAUTO
<br />Z
<br />BODILY INJURY (Per .1d.nt)
<br />OWNED SCHEDULED
<br />m
<br />AUTOS ONLYNAUTOS
<br />X HIRED AUTOS NON -OWNED
<br />U
<br />PROPERTYP¢I DAMAGE
<br />aCCM¢ef
<br />ONLY AUTOS ONLY
<br />-
<br />If
<br />V
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS UPS
<br />CLAIMSMADEAGGREGATE
<br />DED
<br />RETENTION
<br />B
<br />WORXERSCOMPENSATIONAND
<br />2571754337
<br />07 01/2024
<br />07/01/202 5
<br />X PER STATUTE I I OTH-
<br />ER
<br />EMPLOYERS' LIABILITY YIN
<br />Workers Compensation
<br />E.L EACH ACCIDENT
<br />$1,000,000
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />OFFICERINEMBER EXCLUOEM
<br />❑
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />(Mandelory in NH)
<br />It yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000—_
<br />D
<br />E&O - Miscellaneous
<br />652011911
<br />07/01/2024
<br />07/01/2025
<br />Each claim
<br />$2,000,000
<br />Professional -Primary
<br />E&O Includes Cyber
<br />Overall policy aggrl
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES
<br />(ACORD 101, AEdlUonal Remarks Schedule, may be aaached It more space Is required)
<br />Professional Liability is a claims
<br />Made policy. There is no Additional Insured status on the Professional Liability coverage.
<br />Retroactive Date: 6/25/1999
<br />The City of Santa Ana, its officers,
<br />officials, employees, and volunteers are included as Additional Insured, as their
<br />interests may appear as respects to
<br />General Liability, and Automobile Liability.
<br />Where additional Insured status is
<br />granted and subject to the standard terms and conditions of the individual policies,
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />-r
<br />POLICY PROVISIONS.
<br />City of Santa Ana
<br />AUTHORIZED REPRESENTATIVE -
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />RiskMmmgammidDhiielcn
<br />Attn: Theo Yu
<br />�VGGLYitCd
<br />RMD@santa-ana.org
<br />1XL072 c/ Rm&' EHEW/WPRavEDft
<br />Santa Ana, CA 92701 USA
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<br />S�IMN_I_rA/:: A-+, A -
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<br />® Risk Management Speddint
<br />(cl19RR4015 ACf1R❑ Cf
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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