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DAVITAU-07
<br />LBURRILL
<br />DA829/z2aD024
<br />ls/
<br />CERTIFICATE OF LIABILITY INSURANCE
<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
<br />Acrisure Southwest Partners insuran Services, LLC •
<br />Suite 110
<br />Suit Westerly Place Angie
<br />Newport Beach, CA 92660
<br />C NMTA
<br />E:CT, Lisa Burrill
<br /><
<br />PHONE"
<br />(At C,N,.,II
<br />A)
<br />IV
<br />A{'gs::liburritl acrisur .com
<br />'..
<br />NAIC 0
<br />INSURT. ;Sentin Insurance Com any, Ltd
<br />11000
<br />INSURED David Taussig 8 Assocl s Inc.
<br />dba DTA
<br />d
<br />INSU'.ER B: I AL b l I n 1 m an r
<br />F JR -. F@ a s t C i an
<br />38342
<br />25496
<br />�;SURER D:
<br />I InS
<br />an
<br />29424
<br />Suite Von Korman A220 v'A c e v e
<br />Newport Beach, CA 92612
<br />'iNsuRER e: R1il
<br />d ni I s
<br />eCom an
<br />18058
<br />INSURER F: Hartford Fire Insurance Company
<br />19682
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER -
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICYPERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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 OFINSURANCE
<br />ADDINSp
<br />SUBp
<br />POLICY NUMBER
<br />POLIpV EFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />72SBAAP5439
<br />2/2412024
<br />2/24/2025
<br />EACH OCCURRENCE
<br />$ 2,000,006
<br />°REMISES RENTED
<br />$ 1,000,000
<br />MED EXP (Any one erson
<br />$ 10,000
<br />PERSONAL$ ADV INJURY
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY LAJ LOC
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />PRODUCTS - COMPIOP AGG
<br />4,000,000
<br />OTHER:
<br />B
<br />AVTOMOSILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />a accident
<br />1,000,000
<br />X
<br />BODILY INJURY Per erson
<br />Is
<br />ANY AUTO
<br />BA040000030599
<br />12/19/2023
<br />12/1912024
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident
<br />$
<br />PorOecclEent AMAGE
<br />$
<br />AUTOS ONLY AUUTOS ONLY
<br />C
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />85717R241AL1
<br />2124/2024
<br />212412025
<br />AGGREGATE
<br />51000,000
<br />DED RETENTION$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITV ❑YIN
<br />PROPRETOR/PARTNERIEXECUTIVE
<br />(MandMFNEREXCLUDEDP
<br />Nyes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />72WECEU2873
<br />9/112024
<br />9/112025
<br />I
<br />PER OTH-
<br />X E ER
<br />E.L. EACH ACCIDENT
<br />1,000,00ANY 0
<br />E.L. DISEASE - EA EMPLOYE
<br />1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />E
<br />Prof. Liab./Claims
<br />PH5D1835820
<br />111112023
<br />111112024
<br />Limit
<br />2,000,000
<br />F
<br />Crime
<br />72 BDD HP8140
<br />/11412024
<br />6114/2025
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached If more space Is required)
<br />cltyclerk@santa-ana.org; FVlllareal@santa-ana.org
<br />—Cyber Liability coverage with State National Insurance Company, Inc. - Policy #EHJ-ADN02027372 Eff: 7122124 - 7122/25. Limit $2,000,000
<br />—Excess follows form over General Liability, Automobile Liability, and Employers Liability
<br />"*THIS IS A WC POLICY RENEWAL ONLY. ONLY WC ENDORSEMENTS WILL BE ATTACHED.
<br />ALL PREVIOUSLY ISSUED GL, AUTO, AND PROF. LIAB. ENDORSEMENTS ARE STILL VALID AND WILL NOT BE ATTACHED.
<br />SEE ATTACHED ACORD 101
<br />CITY OF SANTA ANA
<br />20 CIVIC CENTER PLAZA
<br />SANTA ANA, CA 92701
<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 PROVISIONS.
<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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