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A� �® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(1 zDDD2nYYY)
<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
<br />Marsh &McLennan Agency LLC
<br />Marsh & McLennan Ins. Agency LLC
<br />PO Box 85638
<br />San Diego CA 92186
<br />CONTACT
<br />NAME: Jesse Garcia
<br />PHONE FAX
<br />858-750-4695 Arc No:658-452-7530
<br />ADOREss: Jesse.Garcia MarshMMA.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Philadelphia Indemnily Insurance Co.
<br />18058
<br />License#: OH18131
<br />INSURED SCANHEAL
<br />SCAN Group
<br />3800 Kilroy AirportWay, Ste 100
<br />INSURER B: Zurich U.S.
<br />99999
<br />INSURERC:
<br />INSURER D:
<br />Long Beach, CA 90806-2494
<br />INSURER E
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 679447032 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICYNUMBER
<br />POLICYEFF
<br />MM/ODIYYYY
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />A
<br />X
<br />LCOMMERCIAI.GENERUNL LIABILITY
<br />Y
<br />Y
<br />PHPK2674081019
<br />7/1/2024
<br />7/1/2025
<br />EACH OCCURRENCE
<br />$1.000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES En ocwrte ss
<br />$1,D00,000
<br />MED EXP (Any acre person)
<br />$ 20, GOO
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY 0 PRO,JET � LOG
<br />GENERALAGGREGATE
<br />$3,000,000
<br />PRODUCTS - COMP/OP AGG
<br />$3.000.000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />PHPK2574081019
<br />7/1/2024
<br />7/1/2025
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />BODILY INJURY (Par person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />1X
<br />accident) BODILY INJURY (Per accid
<br />$
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />A
<br />X
<br />UMBRELLA LIAR
<br />OCCUR
<br />PHUBB71598019
<br />7/1/2024
<br />7/1/2025
<br />EACH OCCURRENCE
<br />$5,000,000
<br />H
<br />AGGREGATE
<br />$5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED '� RETENTION$ in DOD
<br />$
<br />B
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY YIN
<br />Y
<br />WC869903800
<br />VVC871760200
<br />7/1/2024
<br />7/1/2024
<br />7/1/2025
<br />7/1/P025
<br />X STATUTE ERH
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />ANVPROPRIETORIPARTNER/EXECUTIVE ❑
<br />OFFICERIMEMBEREXCLUDEDi
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEEI
<br />$1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1.000.000
<br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: Lunar New Year event at Park, Recreation, and Community Services, on January 27, 2025.
<br />City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers collectively and individually is included as additional insured as
<br />respects to Auto and General Liability per attached endorsement. Waiver of Subrogation applies to General Liability Workers Compensation per attached
<br />endorsement.
<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 ,( 1
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03)
<br />The ACORD name and logo are registered marks of ACORD APPROVED
<br />By Lulsa Najera of 1:32 pm, Jan 23, 2025
<br />
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