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ACORO0 /2® CERTIFICATE OF LIABILITY INSURANCE DATE2/23/23l20/24
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<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 /> CONTPRODUCER NAME ACT Bridgette Piazza
<br /> McGriff Insurance Services,LLC
<br /> 2000 International Park Drive II
<br /> f 04 2 m ��NjA/c,No):
<br /> Suite 600 Ie ' I
<br /> Birmingham,AL 35243
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> I A:(jJ(��\v e as t 25674
<br /> INSURED INSU B:1 he el n�nl�omp Am � 25666
<br /> ARC Document Solutions,Inc.
<br /> 345 Clinton Street IraVER c•Atlantic S I I ra e 27154
<br /> Costa Mesa,CA 92626 •
<br /> lua ���Y
<br /> INSURER ��• �����
<br /> M • • I;QR • * I AI
<br /> COVERAGES CE' FIC' E N r :FA: d —
<br /> V55X V • • . W'r IS I"!R MBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE _IST:D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TEr:f., 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 ADDL SUER POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD_ POLICY NUMBER (MMIDD/YYYYL(MMIDD/YYYY) LIMITS
<br /> C 711018408-0000 02/26/2024 02/26/2025 EACH OCCURRENCE $ _
<br /> X COMMERCIAL GENERAL LIABILITY 1,000,000
<br /> CLAIMS-MADE n OCCUR DAMAGE TO RENTED 1,000,000
<br /> PREMISES(Ea occurrence) $
<br /> MED EXP(Any one person) $ 15,000
<br /> X X PERSONAL&ADVINJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY Ei JPEROT II LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY 711018408-0000 02/26/2024 02/26/2025 COMBINED SINGLE LIMIT
<br /> MA Only Auto:390001705-0000 (Ea accident) $ 1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> —
<br /> — OWNED SCHEDULED BODILY Peraccident $
<br /> AUTOS ONLY _ AUTOS ( )
<br /> y HIRED x NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY _ AUTOS ONLY (Per accident) $ _
<br /> $
<br /> C X UMBRELLA LIAB X OCCUR 711018408-0000 02/26/2024 02/26/2025 EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DED X RETENTION$ $
<br /> A WORKERS COMPENSATION UB2L7502842351K(AOS) 02/26/2024 02/26/2025 X PER OTH-
<br /> B AND EMPLOYERS'LIABILITY Y/N UB2L6010822351R AZ,FL,GA,MA, STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE NE,OR,SC,WI) 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT S
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
<br /> S
<br /> $
<br /> $
<br /> $
<br /> $
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re:Reprographic Services.
<br /> City of Santa Ana,its officers,agents and employees are Additional Insured under General Liability which applies on a primary and non-contributory basis as required by
<br /> written contract.In the event of cancellation by the insurance companies,the policies have been endorsed to provide 30 days notice of cancellation(except for non
<br /> payment) to the certificate holder as required by written contract.General Liability coverage contains Separation of Insureds as provided by policy wording.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRI\ /
<br /> THE EXPIRATION DATE THEREOI „oa,_�p Risk MnnagementDivision
<br /> ACCORDANCE WITH THE POLICY PRO 3r,`o 0 REVIEWED&APPROVE)BY:
<br /> City of Santa Ana `! '' 114,gru AcW4ta
<br /> Risk Management Division AUTHORIZED REPRESENTATIVE ,'=REt
<br /> 20 Civic Center Plaza,4th floor ��� Risk Management Specialist
<br /> Santa Ana,CA 92701 S `.IT
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<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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