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AMG&ASS-01 MNAVARRO
<br /> coRO• CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 11/5/2024
<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 endorsement(s).
<br /> PRODUCER CONTACT Melissa Navarro
<br /> NAME:
<br /> IMA,Inc.-Pasadena PHONE 1 FAX
<br /> 751 E Daily Drive (A/c,No,Ext): (A/C,No):
<br /> Suite 230 ADDRESS:Melissa.Navarro@imacorp.com
<br /> Camarillo,CA 93010
<br /> INSURER(S)AFFORDING COVERAGE NAIC if
<br /> INSURER A:Travelers Property Casualty Company of America 25674
<br /> INSURED INSURER B:The Travelers Indemnity Company of Connecticut 25682
<br /> AMG&Associates,Inc. INSURER C:Pacific Insurance Company, Limited 10046
<br /> 26535 Summit Circle INSURER D:
<br /> Santa Clarita,CA 91350
<br /> INSURER E:
<br /> INSURER F:
<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 /> INSR 1 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD (MM/DDIYYyyJ (MM1DD/YYYYL
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR X X DT22-00-4C394594-TIL-24 1/1/2024 1/1/2025 RENTED
<br /> PREMSESAMAGE O(Ea occurrence) $ 300,000
<br /> X $5,000 PD Ded. MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X spaLOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> (Ea accident)
<br /> X ANY AUTO X X BA-0P246520-24-26-G 1/1/2024 1/1/2025 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident)_ $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY (Per accident) $
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000
<br /> EXCESS LIAB CLAIMS-MADE CUP-7R593755-24-26 1/1/2024 1/1/2025 AGGREGATE $ 9,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> A WORKERS COMPENSATION X
<br /> AND EMPLOYERS'LIABILITY STATUTE EERH
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N X UB-9J59861A-24-26-G 1/1/2024 1/1/2025 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? Y N/A E.L.EACH ACCIDENT $
<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 $
<br /> C 'Errors and Omissions 72CPICE2691 1/1/2024 1/1/2025 $15,000 retention 2,000,000
<br /> C Pollution Liability 72CPICE2691 1/1/2024 1/1/2025 $10,000 Retention 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Ten(10)days prior written notice for non-payment and Thirty(30)days prior written notice for policy cancellation shall be provided to City.
<br /> Re:Project No,:22-1415-Memorial Park Aquatics Center-2102 S.Flower St.,Santa Ana,CA 92707.
<br /> City of Santa Ana,its City Council,officers,officials,employees and agents are named as Additional Insured under the General Liability and Auto Liability per
<br /> the attached endorsements. The General Liability and Auto Liability policies are Primary and Non-Contributory per the attached endorsements. A Waiver of
<br /> Subrogation applies to the General Liability,Auto Liability and Workers'Compensation per the attached endorsements.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATII By Cynthia Mora at 1:34 pm, Nov 14, 2024
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn:Jonathan Martinez
<br /> 20 Civic Center Plaza
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
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