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DATE(MM/DD/YYYY)
<br /> ACCOR" CERTIFICATE OF LIABILITY INSURANCE 8/14/2025
<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 /> Alliant Insurance Services, Inc. PHONE Tyler Takahashi FAX
<br /> 32 Old Slip 29th FI A/c No EXt: A/C,No):
<br /> E-MNew York NY 10005 ADDRESS: Tyler.Takahashi@alliant.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: National Fire Insurance Compan 20478
<br /> INSURED INSIPAR-02 INSURER B: Continental Insurance Company 35289
<br /> CivicPlus, LLC and its direct and indirect subsidiaries INSURERC: Endurance American Specialty I 41718
<br /> (Refer to Named Insured Schedule)
<br /> 302 S. 4th Street Suite 500 INSURER D7
<br /> Manhattan KS66502 INSURER E7
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:571957311 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 LIMITS
<br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 7092029663 5/17/2025 5/17/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $1,000,000
<br /> MED EXP(Any one person) $15,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY� ECT � LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 7092022602 5/17/2025 5/17/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> B X UMBRELLA LIAB X OCCUR 7092030120 5/17/2025 5/17/2026 EACH OCCURRENCE $5,000,000
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION$1 n nnn $
<br /> B WORKERS COMPENSATION Y 7092032580 5/17/2025 5/17/2026 X PER OTH-
<br /> A AND EMPLOYERS'LIABILITY Y/N 7092031056 5/17/2025 5/17/2026 STATUTE1 ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? FN] N/A
<br /> (Mandatory 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 /> C Cyber/Tech E&O Y Y CT030087537300 5/17/2025 5/17/2026 Each Claim Limit $5,000,000
<br /> Aggregate Limit $5,000,000
<br /> Retention $100,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The deductibles/Self Insured Retentions are$0 for those policies not specified above. D,9,ta„Ys,9ued �MOVED
<br /> Tu Tran by Tu Tran
<br /> WC-7092032580-CA Nguyen ByTab Iran Nguyen at 7 57 am,Aug 19,2025
<br /> WC-7092031056-AOS Nguyen Me-2025.08.19 --- ------------------------------ --
<br /> ms8:2a-07'00
<br /> City of Santa Ana, its City Council, its officers,officials,employees,agents,and volunteers is included as Additional Insured with regards to the General Liability
<br /> and Cyber/Tech E&O Liability as required by written contract subject to the policy terms and conditions.Coverage is Primary and Non-Contributory with regards
<br /> to the General Liability as required by written contract subject to the policy terms and conditions.Waiver of Subrogation applies with regards to the General
<br /> See Attached...
<br /> CERTIFICATE HOLDER CANCELLATION
<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 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention: Parks, Recreation and Community Servic
<br /> 20 Civic Center Plaza, M-23 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701 r .
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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