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JPWCOMM-01
<br />A` oRo CERTIFICATE OF LIABILITY INSURANCE
<br />DATE YYY)
<br />121512025/2024
<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 endomement(s).
<br />PRODUCER
<br />C NTACT
<br />Culture Insurance Services, LLC
<br />140 West 3rd Avenue
<br />Escondido, CA 92025
<br />PHONE FAX
<br />INC, No, Eat): (619) 346-9653 lac, No :(619) 324-7035
<br />E-MAIL . accounting@cultureinsurance.com
<br />INSURER(Sl AFFORDING COVERAGE
<br />NAIC R
<br />INSURER A: Hanover insurance Company NAIC922292
<br />22292
<br />INSURED
<br />INSURERS: United Specialty Insurance Company
<br />INSURER c:TrisuraSpecialty Insurance
<br />JPW Communications Inc.
<br />INSURER D
<br />2710 Loker Ave W Suite 300
<br />Carlsbad, CA 92010
<br />INSURER E
<br />NSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENTWITH RESPECTTO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR LTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />UPMOILAICOM
<br />POLICYEXP)
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE O OCCUR
<br />X
<br />X
<br />OBF J373720 01
<br />41412024
<br />41412025
<br />EACH OCCURRENCE
<br />S 2,000,000
<br />DAMAGE TO RENTED
<br />PREMISES La omumencelMED
<br />$ 300,000
<br />EXP (Am one erson
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />S 2,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY � j�T LOC
<br />GENERALAGGREGATE
<br />S 4,000,000
<br />JEN'L
<br />PRODUCTS-COMP/OP AGG
<br />4,000,000
<br />X
<br />$
<br />OTHER: HNOA ONCLUDED
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />$ 1,000000
<br />BODILY INJURY Per erson
<br />$
<br />ANY AUTO
<br />OBF J37372001
<br />4/4/2024
<br />4/4/2025
<br />1XX
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per a,sldent
<br />$
<br />Pare %T.Yt AMAGE
<br />$
<br />II{A{LRTOS ONLY X AUUTNOS ONLY
<br />C8%RAGE ONL
<br />$
<br />A
<br />X
<br />UMSRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />11000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />OBF J37372001
<br />414/2024
<br />4/412025
<br />DED I X I RETENTION$ 0
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />OFFICEWMEMBERwqEXCLUDED ECUTIVE ❑
<br />(Mandatory In NH)
<br />If yes, Cescdbe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />BF J373715 01
<br />41412024
<br />4/412025
<br />X I PERTUTE I OTH-
<br />E.L EACH ACCIDENT
<br />1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E.L DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />B
<br />Professional Liab
<br />GCT-1847134-02
<br />4/4/2024
<br />4/4/2025
<br />Policy Aggregate
<br />2,000,000
<br />C
<br />Cyber Liability
<br />B-6609930-04
<br />4/4/2024
<br />4/412025
<br />Aggregate
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe adached R more space is required)
<br />City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are named as additional insured per the attached endorsement
<br />This insurance is primary. Waiver of Subrogation applies.
<br />APPROVED
<br />By Cynthia Mora at 4:12 pm, Jan 13, 2025
<br />City of Santa Ana
<br />Attn: City Manager's Office
<br />20 Civic Center Plaza, M-31
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />T
<br />�HOZE
<br />AUTHORIZED RREPRESENTATWE
<br />r
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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