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® DATE AC� AC� CERTIFICATE OF LIABILITY INSURANCE 8/6/2024 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 California Insurance of Authority(CIPA) • Polue � •H 366 San Miguel Driv uit o.Ext_ g a y signed by Newport Beach,C it le E-MAILE-M NADDRESS: rtr A .G - eyed© NAIL# INSURER A• of mi f A N/A INSURED _INSURERr. 1/�` (]'�� CaliforniadM InsuranceeAc Pool Authority(CIPA) r ! ate• I ` O V 2 6 And Member Agency of: INSURE C: City of Irvine • • • P.O.Box 19575 ceve O INS'RUP_RE: Irvine,CA 92623-957 Jl'„SURER F: 1 4.7 6:49 ().7'00( COVERAGES CERTIFICATE NUMBER: 112145C 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. Limits shown are as requested INSR TYPEOFINSURANCE W ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD VD POLICY NUMBER ,MM!DDIYYYY) (MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY CIPA-023 7/1/2024 7/1/2025 EACH OCCURRENCE $ 2,000,000 DAMAD CLAIMS-MADE E OCCUR PREMISESO(Ea occurrence)REr $ MED EXP(Any one person) $ SIR applies per policy terms PERSONAL&ADV INJURY $ and conditions. 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY II PRO- I�LOC PRODUCTS-COMP/OP AGO $ JECT I I OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIF $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLALIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION CIPA-023 7/1/2024 7/1/2025 SPER TATUTE X 04H AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/NEMBER EXCLUDED? I I N/A (Mandatory In NH) SIR applies per policy terms E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below and conditions. E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana is included as Additional Insured in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER CANCELLATION 24-25 CIPA Casualty* 1121450 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Risk Management Divison THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza,4th Floor ACCORDANCE WITH THE POLICYPROVIS\ / Santa Ana,CA 92702 USA Risk ManagernentDtviston o0��Ycb AUTHORIZED REPRESENTATIVE �\- REVIEWED&APPROVED BY: 'I'' 13 Ace Auto ecticputal ; -' I 'v� Risk Management Specialist ©1988.2015 ACORD CO/ ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD