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JENSHUG-01 TWAN
<br />CERTIFICATE OF LIABILITY INSURANCE °AS19017rD11A Y)
<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 endorsements .
<br />PRODUCER License #OC36861 CQNTACT
<br />E:
<br />Alllant Insurance Services, Inc. PHONE FAX
<br />560 Mission St 6th Fl D I7Ita I I EA/c,No, E:q: (41 ) 946.7500 (A/c, No):
<br />San Francisco, CA 94105
<br />INSURED - ✓ - INSURER $ :Travelers Property Casualty Company of America 25674
<br />Jensen H��Whes Inc. Aceved suRER c : Starr Surplus Lines Insurance Company 13604
<br />3610 Corrillillercee Q7� d O E
<br />Baltimo 12 V Date: 2
<br />ue
<br />_ INS
<br />COVERAGES CERT.FIr ATE NUMB REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLIC FS JF 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 />TYPE OF INBU RANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP YYYYI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />P-630-9W377045-COF-24
<br />6/112024
<br />611/2025
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />PREMISE E occurrence)
<br />1,000,00D
<br />MED EXP (My oneperson)
<br />10,000
<br />PERSONAL &ADV INJURY
<br />1,000,000
<br />GEN-L AGGREGATE LIMIT APPLIES PER:
<br />JECTPOLICY �X PRO- LOC
<br />GENERALAGGREGATE
<br />2,000,000
<br />PRODUCTS- COMP/OP AGG
<br />2,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />1,000,000
<br />X
<br />BODILY INJURY Perperson)
<br />ANY AUTO
<br />AA�gT�O�S ONLY AUTOSSWLED
<br />BA-9R228458-24-43-G
<br />6/1/2024
<br />6/112025
<br />BODILY INJURY Per accident
<br />$
<br />Parre Eent AMADE
<br />$
<br />AUTOS ONLY AUTOS ONL�
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />$ 1,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />CUP-9R228956-24-43
<br />61112024
<br />61112025
<br />DED RETENTION$
<br />B
<br />WORKERS
<br />NO EMPLOYERS'LIABILOITY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />p�FICER/MEMBEq, EXCLUDED? �
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />UB-2Y365586-24-43•G
<br />6/112024
<br />61112025
<br />1t PERDT OTH-
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />1,OOQ000
<br />C
<br />Professional Liab.
<br />1000600146241
<br />6/18/2024
<br />611812025
<br />Per Claim/Aggregate
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Expiring Professional Liability Policy
<br />Insurer: Starr Surplus Lines Insurance Company
<br />Policy Number: 1000600146231
<br />Policy Term: 3/15/2023-6/1812024
<br />Re: City of Santa Ana ADA Self -Evaluation and Transition Plan JH Project 91JKlOO100
<br />The City, its officers, officials, employees, and volunteers are included as additional Insured with respect to general liability on a primary and non-contributory
<br />basis when required by written contract per the attached endorsement, Including a waiver of subrogation.
<br />SHOULD ANY OF THE ABOVE DESCF
<br />City of Santa Ana
<br />THE EXPIRATION DATE THERB
<br />20 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PR
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) ©1988-2015 ACORD
<br />The ACORO name and logo are registered marks of ACORD
<br />VEvrEwED 6 APPROVED BY:
<br />A'ju "44
<br />Risk Management Speanki t
<br />
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