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AC ROB CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) �� 7/17/24 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Tammy Lafata J.S.Tucker Insurance Services rnlc No.Exu. 619-339-4197 _Okic,No): 619-938-3416 5330 Carroll Can E-MAIL Yon Road#110 E-MAILADDRESS: tmmy@jstuckerins.com INSURER(S)AFFORDING COVERAGE NAIC B San Diego CA 92121 INSURER A: Sentinel Insurance Company 11000 INSURED INSURER B: Travelers Casualty Ins Co of America 38342 Interpreters Unlimited,Inc. INSURER C: Hartford Casualty Insurance Company 29424 c/o PO Box 27660 INSURER D: Mount Vernon Fire Insurance Company 26522 INSURER E: Stratford Insurance Company 40436 San Diego CA 92198 INSURER F: ACE American Insurance Company COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X 725BAAR7770 1/1/24 1/1/25 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X 'E° LOC PRODUCTS-COMP/OP AGG _$ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY X X BA-ON47027023 1/13/24 1/13/25 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HAUIREDTOS ONLY X NON-OWNENLDY PROPERTY DAMAGE (Per accident) $ _ AUTOS O , $ A X UMBRELLA LIAB X OCCUR 72SBAAR7770 1/1/24 1/1/25 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I RETENTION$ $ C WORKERS COMPENSATION X 72WEC108041 1/1/24 1/1/25 X STATUTE I0TH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? n N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Professional Liability/E&O PT2001159B Date-full prior 1/31/24 1/31/25 $3,000,000/agg $7,500 retention ' F Cyber/Privacy incl Crime/Fidelity D95194746 1/1/24 1/1/25 $1,000,000/agg E Cyber/Network/Privacy Liability PD09003192 9/18/23 9/18/24 $1.000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 30 day notice of cancellation except 10 day for nonpayment of premium Additional insured is(when required in written contract or agreement): City, its City Council, its officers, employees,agents and volunteers per attached general liability policy form SS0008 0405 including primary and non-contributory as well as waiver of subrogation favor of same. Additional insured also applies in favor of same per attached automobile liability policy form CAT420 0215 and CAT474 0216 including waiver of subrogation in favor of same. rimary and non-contributory in favor of same per attached automobile liability policy form CAT474 0216. Workers compensation waiver of subrogation applies in favor of same per attached policy form WC00 0313 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF. NOTICF WILL BE DPI IVERED IN ACCORDANCE WITH THE POLICY PRC\ / Risk Management Division Risk MimagementDivlslwt 120 Civic Center Plaza AUTHORIZED REPRESENTATIVE ;r��;n REVIEV/ED&APPROVED BY: Santa Ana CA 92701 r; `_ �' A Auv1 + - Risk Management Specialist ©1988-2015 ACORD / ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD