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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDIYYYY) <br />8/5/2024 <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 />Scott Insurance <br />3900 Westerre Parkway Ite 200 <br />Richmond VA 23233 N IL nA /w" ■ <br />INSURED <br />Cherry Bekaert Advisory, LLC v <br />Cherry Bekaert, LLP; Cherry Bekaert International, <br />Attn: Pam White <br />200 S. 1 Oth St., Suite 90y� <br />Richmond VA 23219 ft <br />COVERAGES <br />I NATJ Li rel 1111 `J Ty-x <br />THIS IS TO CERTIFY T T TH RAI LI L SUE T FIE O E ABQV H P IC ]PERIOD <br />INDICATED. NOTWITHSTANDING AN EQUI MENT, TERM O 019" OF AN CONT C G E WIT EC CH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFF1 HDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN' IAv .1AVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE AINSD DDLSUBR-W2 POLICYNUMBER MMIDD� POLICY <br />LTR LIMITS <br />A <br />V <br />Y <br />Y-630-2X55382A-COF-23 <br />10/1/2023 <br />10/1/2024 <br />EACH OCCURRENCE <br />$1,000.000 <br />TCOMMERCIALGENER,ki-LIABILITY <br />CLAIMS-MADEr—xl OCCUR <br />TO <br />PREMI ES(RENTED <br />PREMISES Ea occurrence) <br />$1,000,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PE0. rxi LOC <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS-COMP/OP AGG <br />$2,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILELIABILITY <br />BA-2X557319-2343-G <br />10/1/2023 <br />10/1/2024 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$7,000,000 <br />BODILY INJ DRY (Per person) <br />$ <br />AUTO <br />IxANY <br />OWNED SCHEDULED <br />AUTOS ONLYNAUTOS <br />BODILY INJURY (Per account)$ <br />HIRED NON -OWNED <br />AUTOS ONLYAUTOS ONLY <br />PROPERTY DAMAGE$ <br />Per accident <br />C <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />CUP-2X557516-23-43 <br />10/1/2023 <br />10/1/2024 <br />EACH OCCURRENCE <br />810,000,000 <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO X RETENTION$10000 <br />$ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />UB-2X557842-23-43-G <br />10/1/2023 <br />10/1/2024 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />ANYPROPRIETORIPARTNERIEXECUTIVE M <br />OFFICERIMEMBEREXCLUDED9 <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 be. <br />EL.DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana - Human Resources Department is additional insured with waiver of subrogation as respects general liability for work performed by the <br />Named Insured if required by written contract. <br />CERTIFICATE HOLDER <br />City of Santa Ana - Human Resources Department <br />20 Civic Center Plaza <br />Santa Ana, CA <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 PRC <br />k ka& <br />ACORD <br />: <br />RIekM�agetnentDtuiNan <br />REVIEWED & APPROVEDBY: <br />°>ilif.IllSd? <br />®'. <br />rf{+.�+z f�cw4Lo '. <br />- <br />Risk Management Specialist I' <br />oe <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />