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Ac p® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYYI
<br /> 1211712024
<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: It 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(&).
<br /> PRODUCER CONTACT Mark Wright
<br /> NAME:
<br /> The Liberty Company Insurance Brokers PHONE (888)918-3960 FAX
<br /> JAX.No.Ext: (A/C,No):
<br /> Lic#OD79553 ADDRIL mark.wright@llbertycompany.com
<br /> 5955 De Soto Ave,Ste 250 1NSURERI5 AFFORDING COVERAGE NAIL#
<br /> Woodland Hills CA 01367 WSURERA: Beazley Insurance Company,Inc. 37540
<br /> INSURED INSURER B: State Compensation Insurance Fund 35076
<br /> Abajian Enterprise INSURERC: United Financial Casualty Cc 11770
<br /> dba SoCal Removal INSURER D: Colony Insurance Co. 39993
<br /> 1640 E Edinger Ave,Unit C INSURERE:
<br /> Santa Ana CA 92705 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 24-25 GL BA WC POL 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 ADUL NUM POLICY LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD✓YY Y MMlD�NYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000
<br /> CLAIMS-MADE � cu
<br /> OCCUR PREMISES Ea ocrrence $ 50,000
<br /> MED EXP(Any❑ne ersur) $ 5,000
<br /> A ENC00044B5-05 06/01/2024 05/01/2025 PERSONAL BADVINJURY $ 5,000,000
<br /> GEN'L AGGREGATE LIMITAPPLIESPER: GENERALAGGREGATE $ 5,000,000
<br /> X POLICY E PRO 5,000,D00
<br /> JECT LOO PRODUCTS-COMPIOPAGG $
<br /> OTHER $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> X ANYAUTO BODILY INJURY(Per person) $
<br /> C OWNED SCHEDULED 022643766 12/19/2024 06/19/2025 BODILY INJURY(Per accldent) $
<br /> AUTOS ONLY AUTOS
<br /> x HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY X AUTOS ONL $Y Per accident
<br /> UMBRELLA LIAB X1 OCCUR EACH OCCURRENCE $ 5,000,000
<br /> D X EXCESS LIAR CLAIMS-MADE XS177710 11/18/2024 11118/2025 AGGREGATE $ 5,000,000
<br /> DEC I I RETENTION$ $
<br /> WORKERS COMPENSATION v PER OTH-
<br /> AND EMPLOYERS'LIABILITY X STATUTE ER
<br /> B ANY PROPRIETORIPARTNEWEXECUTIVE YIN E.L.EACH ACC IDENT $ 1,ODO,D00
<br /> OFMCERIMEMBER EXCLUDED? ❑ NIA 913113524 0510i12024 05101/2025
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYFE $ 1,ODO,DOp
<br /> If yes,describe under 1,OOp,pOp
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Pollution
<br /> Each Occurrence 1,00D,p00
<br /> A Professlonal Liability ENCOOD4485-05 05/01/2024 05101/2025 General Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> Project#:25.9002
<br /> Sixth Floor Renovations
<br /> The City of Santa Ana,Its officers,officials,employees,and volunteers are included as an Additional Inureds under the commercial general liability on a
<br /> Primary/Non Contributory basis when required by written contract.
<br /> APPROVED =
<br /> yCynthia tVlora4t-a740 lkJan-4G.-202--
<br /> CERTIFICATE HOLDER
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS,
<br /> 20 Civic Center Plaza
<br /> AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 02702
<br /> @ 1988-22015ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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