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MAKK IHU-U7
<br />SUMMA R
<br />DATE 11/25/2024Y)
<br />11/25/2024
<br />,d►�co�Ro CERTIFICATE OF LIABILITY INSURANCE
<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 License # OE67768
<br />NOAAJACT Jessica McDonald
<br />IOA Insurance Services
<br />3875 Hopyard Road
<br />Suite 200
<br />Pleasanton, CA 94588
<br />PHONE FAX
<br />Alc, No, E,d): (925) 918-4535 (a/c, No):
<br />AbmA,'Ess. Jessica.McDonald@ioausa.com
<br />INSURER $ AFFORDING COVERAGE
<br />NAIL a
<br />INSURER A: Continental Casualty Company
<br />20443
<br />INSURED
<br />INSURER a: The Continental Insurance Company
<br />35289
<br />INSURER C;Valley Force Insurance Company
<br />20508
<br />Mark Thomas & Company, Inc.
<br />INSURER D :
<br />2833 Junction Avenue, Ste 110
<br />San Jose, CA 95134
<br />INSURER E :
<br />INSURER 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 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 />TYPE OF INSURANCE
<br />ADDINSp
<br />SUER WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY UPLTR CL
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />7040185059
<br />9/15/2024
<br />9115/2025
<br />ENCE
<br />$ 1,000,000
<br />NTPIREMI 'EDD
<br />num
<br />1 000 goone
<br />arson
<br />15,000V
<br />$
<br />lOCCURRENCE
<br />INJURY
<br />11000,000GEN'L
<br />AGGREGATE LIMITAPPLIES PER:
<br />LOC
<br />EGATE
<br />2,000,000POLICY
<br />MP/OP AGG
<br />2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea amitlmu
<br />1,000,000
<br />BODILY INJURY Par arson
<br />X
<br />ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUpT�OpSyyNEp
<br />X
<br />X
<br />7040183912
<br />9/15/2024
<br />9/15/2025
<br />BODILY WJURV Per accident
<br />AUTOS ONLY AIfrOS ONLY
<br />Pe�acciRtlenl DAMAGE
<br />$
<br />B
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 9,000,000
<br />X
<br />EXCESS LIAB
<br />X
<br />CLAIMS -MADE
<br />7040283234
<br />9115/2024
<br />9/15/2025
<br />AGGREGATE
<br />91000,000
<br />DED RETENTION$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNEIVEXECUTIVE YIN
<br />1MandEWMEatmy n NH) EXCLUDED'
<br />Ryyes, describe under
<br />DESCRIP ION OF OPERATIONS below
<br />NIA
<br />X
<br />740274825
<br />9/15/2024
<br />9/1512025
<br />X I PER OTH-
<br />STATUTE E
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYE
<br />$ 1,000,000
<br />E.L DISEASE- POLICY LIMB
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />IR-21101 - Santa Ana- Standard Avenue Protected Bike Lanes Project
<br />City of Santa Ana, Its City Council, officers, officials, employees, authorized agents, and authorized designated volunteers are included as Additional Insured
<br />on a Primary & Non -Contributory basis with Waiver of Subrogation with respects to the General & Auto Liability policies, as required by written contract.
<br />Worker's Compensation: Waiver of Subrogation is in favor of City of Santa Ana, its City Council, officers, officials, employees, authorized agents, and
<br />authorized designated volunteers, as required by written contract.
<br />The Workers Compensation / Employers Liability Deductible is none.
<br />30-day notice of cancellation is included per the policy provisions.
<br />APPROVES
<br />CERTIFICATE HOLDER
<br />CANCEL By Cynthia Mora at 7:34 am, Jan=14-2025
<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 />AUTHORIZED REPRESENTATIVE
<br />City of Santa AnalSanta Ana-- CA 92702
<br />20 Civic Center Plaza
<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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