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�....41 GILL&PA-01 MCCOWANA
<br /> ,d►COR0 CERTIFICATE OF LIABILITY INSURANCE DATE(M MID DIYYYY)
<br /> �� 8/15/2024
<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 endorser,ent(•un, •
<br /> PRODUCER License#0E67768 CONTACT Er ca ��re • •
<br /> i r;i 1 i7 1 ii i itii. ii
<br /> IOA Insurance Services AHO No,Ext):(1;8)754-01: 50233 A (619)574-6288
<br /> 3636 Nobel Drive ( (Arc,•o
<br /> E
<br /> Suite 410 ngie
<br /> E-MAILDRESS:Erit J.Wi on ioausa..ccom
<br /> AD I /\ ,y.QCOAceved aAICB
<br /> San Diego,CA 92122 .%L�f1L [��,���+V
<br /> INSURER A:r LI I.lsurance'e mpany 13056
<br /> INSURED NSURERB _iUdS S r c Co 2
<br /> Gillis&Panichapa chite nc or ed NSU- : :
<br /> 1101 Quail Street e • n.N
<br /> Newport Beach, 0
<br /> J IN'JRER F: • • 71 -�
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF 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 /> l ADDL
<br /> LTR TYPE OF INSURANCE NSD SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY JMMIDDIYYYYV lMMlDD/YYYYI-
<br /> EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE X OCCUR X PSB0001119 9/1/2024 9/1/2025 PREM SES IOEa occurnce) $ 1,000,000
<br /> X Cant liab/Sev Int MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY _$ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY X JE LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: Ded $ 0
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> (Ea accident) $
<br /> X ANY AUTO PSA0001116 9/1/2024 9/1/2025 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> HIRED ONLY NON-OWNEDUT PROPERTY DAMAGE
<br /> X Comp.:$1,000 x Coll.:$1,000 Y (Per accident) $
<br /> $
<br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> X EXCESS LIAB CLAIMS-MADE PSE0001038 9/1/2024 9/1/2025 AGGREGATE $ 3,000,000
<br /> DEO X RETENTION$ 0 $
<br /> A WORKERS BTIO X MUTE ERA EMPLOYERS' ATM YIN
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE PSW0001177 9/1/2024 9/1/2025 1,000,000
<br /> FFICERJMEMBER EXCLUDED? N/A
<br /> E.L.EACH ACCIDENT $
<br /> EMandatory in NH) E.L.DISEASE-EA EMPLOYEE$ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> B Prof Liab/Clms Made PRB0619117526 11/8/2023 11/8/2024 Per Claim 2,000,000
<br /> B Ded.:$5k Per Claim PRB0619117526 11/8/2023 11/8/2024 Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> Re:All Operations
<br /> The City of Santa Ana is Additional Insured with respect to General Liability per the attached endorsement as required by written contract.
<br /> 30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREO`
<br /> ACCORDANCE WITH THE POLICY PRC Risk llan•grnentDivision r,
<br /> Cityof Santa Ana 3� REl/IEWEDSrAPPRCr/E�BY:
<br /> AUTHORIZED REPRESENTATIVE .71' 'K
<br /> Risk Management Division "� �[ } n� ® �'
<br /> 20 Civic Center Plaza,4th Floor V . 4yEs"I��C.SI i�=1 Risk Management Specialist
<br /> (Santa Ana.CA 92702
<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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