AcoRO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
<br /> `----- 9/16/2024 _
<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
<br /> NAME: Sherry Young
<br /> Risk Strategies Company PHONE FAX
<br /> 2040 Main Street, Suite 450 INC.No.Extt:E-MAIL 949-242-9237 IA/C,No):
<br /> Irvine, CA 92614 ADDRESS: syoung anrisk-strateqies.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> www.risk-strategies.com CA DOI License No.OF06675 INSURER A: Citizens Insurance Co.of America 31534
<br /> INSURED INSURER B: Allmerica Financial Benefit Insurance Co 41840 _
<br /> Planning, Inc.
<br /> El Camino Real, Suite 100 INSURERC: The Hanover American Insurance Company 36064
<br /> 3200
<br /> Irvine CA 92602 INSURER D: Travelers Casualty and Surety Co of America 31194
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 81908645 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER (MMIDD/YYYYLIMM/DD/YYYY) LIMITS
<br /> A v/ COMMERCIAL GENERAL LIABILITY ✓ OB3A546792 2/1/2024 2/1/2025 EACH OCCURRENCE $2,000,000
<br /> DAMAGE TO RENTED
<br /> -
<br /> CLAIMS-MADE / OCCUR PREMISES(Ea occurrence) $1,000,000
<br /> 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 ✓ JECT LOC PRODUCTS-COMP/OPAGG $4,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY AW3A212497 2/1/2024 2/1/2025 COMBINED SINGLE LIMIT $
<br /> ,./ AW3A212497 accident) 1,000,000
<br /> `/ ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED $
<br /> ✓ AUTOS ONLY ✓ PROPERTY DAMAGE AUTOS ONLY (Per accident)
<br /> $
<br /> A ,/ UMBRELLALIAB / OCCUR OB3A546792 2/1/2024 2/1/2025 EACH OCCURRENCE $5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED ✓ RETENTION$O $
<br /> C WORKERS AND EMPLOYERS'LIA ILCOMPESATIOITY Y/N N / WZ3H171505 2/1/2024 2/1/2025 ISTATUTE OTH-
<br /> ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under 1.000.000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> D Professional Liability 107704939 9/20/2024 9/20/2025 Per Claim:$2,000,000
<br /> Aggregate:$4,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Projects as on file with the insured including but not limited to On-Call Environmental and Planning Services Related to CEQA and NEPA.
<br /> The City of Santa Ana,its officers,officials,employees and volunteers are named as additional insured on the general and auto
<br /> liability policies,as required by written contract.Insurance is primary and non-contributory.Waiver of subrogation applies to the
<br /> work comp policy.Umbrella Liability follows form to the general,auto and employer's liability policies.
<br /> The above policies contain a 30-day notice provision for non-renewal and cancellation, 10-day notice for non-payment of premium.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center Plaza
<br /> Santa Ana CA 92702
<br /> AUTHORIZED REPRESENTATIVE
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<br /> 1
<br /> ACORD 25(2016/03) The ACORD name and logo are registere APPROVED
<br /> 51908645 1 24-25 GL-AL-UL-WC-PL 1 Sherry Young 1 9/16/2024 8:36:13 AN: (PDT) 1 Page 1 of 6 By Cynthia Mora at 9:04 am. Nov 13. 2024
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