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<br />DATE (MM/DD/YYYY)
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />4/25/2025
<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 />CONTACT
<br /> Certificate Team
<br />PRODUCER
<br />NAME:
<br />
<br />
<br />FAX
<br />PHONE
<br />Inszone Insurance Services, LLC
<br />916-400-2625
<br />877-308-9663
<br />(A/C, No, Ext): (A/C,No):
<br />2721 Citrus Road, Suite A
<br />AIL
<br />E-M
<br />certs@inszoneins.com
<br />ADDRESS:
<br />Rancho Cordova CA 95742
<br />INSURER(S)AFFORDING COVERAGENAIC #
<br />Travelers Property Casualty Company of America
<br />INSURERA:25674
<br />License#:0F82764
<br />PEGASTU-01
<br />INSURED Travelers Casualty Insurance Co. of America
<br />INSURER B : 19046
<br />Pegasus Studios
<br />Coalition Insurance Solutions, Inc.
<br />INSURER C : 29530
<br />5760 Lindero Canyon Road, # 1151
<br />Travelers Property Casualty Company of America
<br />INSURER D : 25674
<br />Westlake Village, CA 91362
<br />
<br />INSURER E :
<br />
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 1745151075 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 ANDCONDITIONS OF SUCHPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />ADDL SUBR POLICY EFF POLICY EXP
<br />TYPE OF INSURANCE LIMITS
<br />POLICY NUMBER
<br />INSD WVD (MM/DD/YYYY) (MM/DD/YYYY)
<br />LTR
<br />A Y Y
<br />COMMERCIAL GENERAL LIABILITY
<br />X
<br />680-4X180440-25-42 4/29/2025 4/29/2026
<br />EACH OCCURRENCE$ 2,000,000
<br />DAMAGE TO RENTED
<br />
<br />X
<br />CLAIMS-MADE OCCUR
<br />$ 300,000
<br />PREMISES (Ea occurrence)
<br />
<br />MED EXP (Any one person) $ 5,000
<br />
<br />
<br />PERSONAL & ADV INJURY $ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br />PRO-
<br />X
<br />PRODUCTS - COMP/OP AGG $ 4,000,000
<br />POLICY LOC
<br />JECT
<br />
<br />$ Included
<br />OTHER: Hired & Non-Owned
<br />COMBINED SINGLE LIMIT
<br />B AUTOMOBILE LIABILITY Y Y
<br />$ 1,000,000
<br />BA-4X180280-24-42-G 8/12/2024 8/11/2025
<br />(Ea accident)
<br />ANY AUTO
<br />BODILY INJURY (Per person) $
<br />X
<br />OWNEDSCHEDULED
<br />
<br />BODILY INJURY (Per accident) $
<br />AUTOS ONLY AUTOS
<br />PROPERTY DAMAGE
<br />HIRED
<br />NON-OWNED
<br />
<br />$
<br />(Per accident)
<br />AUTOS ONLY
<br />AUTOS ONLY
<br />
<br />$
<br />
<br />D UMBRELLA LIAB Y Y
<br />X
<br />CUP-4X18065A-25-42 4/29/2025 4/29/2026
<br />EACH OCCURRENCE$ 1,000,000
<br />OCCUR
<br />EXCESS LIAB
<br />X
<br />CLAIMS-MADE AGGREGATE $ 1,000,000
<br />
<br />$
<br />DED RETENTION $
<br />PER OTH-
<br />WORKERS COMPENSATION
<br />
<br />A Y
<br />X
<br />UB-4X180519-24-42-G
<br />STATUTE ER
<br />4/29/2026
<br />4/29/2025
<br />AND EMPLOYERS' LIABILITY
<br />Y / N
<br />
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000
<br />N / A
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />E.L. DISEASE - EAEMPLOYEE$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTIONOFOPERATIONSbelow
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />
<br />$2,000,000
<br />C Cyber LiabilityAggregate/Per Event
<br />C-4LZ8-209917-CYBER-2024 10/14/2024 10/14/2025
<br />DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule,maybe attached if more space is required)
<br />Additional Insured on the General Liability and Auto Liability. Primary and Non-Contributory on the General Liability. Waiver of Subrogation on the General
<br />Liability, Auto Liability and Workers Compensation. Excess follows form, subject to the terms and conditions of the policy.
<br />The aforementioned coverage is provided to the extent in the attached forms for: City Of Santa Ana
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<br />CERTIFICATE HOLDER CANCELLATION
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City Of Santa Ana
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03)
<br />The ACORD name and logo are registered marks of ACORD
<br />
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