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ANCOMAR-01
<br />ly_VINIM
<br />'4` R� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 024
<br />12/26/2024
<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 endorsements .
<br />PRODUCER
<br />CONTACT Jennifer Payne
<br />Bryson Casualty Insurance Services Inc
<br />3777 Long Beach Blvd
<br />5th Floor
<br />PHONE FAX
<br />(A/C, No, Exgo (562) 661-4723 (A/C, No):(562) 435-5639
<br />E-MAIEss:jpayne@brysonfinancial.com
<br />Long Beach, CA 90807
<br />INSURER(Sl AFFORDING COVERAGE
<br />NAIL 11
<br />INSURER A: Steadfast Insurance Company
<br />26387
<br />INSURED
<br />INSURER B:ZUrlch American Insurance Company
<br />16535
<br />INSURER C :
<br />Ancon Marine
<br />INSURER::
<br />10571 Los Alamitos Blvd.
<br />Los Alamitos, CA 90720
<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 />ADDLSUBR INSE,
<br />Won
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXPLTR
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE [ X] OCCUR
<br />X
<br />GPL 0831144-02
<br />11112025
<br />11112026
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DAMAGETOaoMUD e
<br />PREMISESMED
<br />$ 1,000,000
<br />EXP An one arson
<br />5,000
<br />PERSONAL B ADV INJURY
<br />1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY jEO LOG
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />PRODUCTS - COMP/OP AGG
<br />$ 4,000,000
<br />PROF LIABILITY
<br />21000,000
<br />OTHER:
<br />B,
<br />AUTOMOBILE
<br />LIABILITY
<br />CN
<br />EO aBi c.QED SINGLE LIMIT
<br />$ 5,000,000
<br />X
<br />BODILY INJURY (Parperson)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />X
<br />BAP 0125052-10
<br />11112025
<br />111/2026
<br />BODILY
<br />BOOqDILY INJURY Per accident
<br />$
<br />PerOP.ER nt AMAGE
<br />$
<br />X
<br />AUTOS ONLY AUTOS ONLY
<br />A
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />10,000,000
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />SXS 0831146.02
<br />1/112025
<br />1/1/2026
<br />DED X RETENTION$ 0
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNEWEXECUTIVE
<br />Me, ER/MEMBW�� EXCLUDED? Fy]NIA
<br />(Mandatory in NH)
<br />If yes, describe antler
<br />DESCRIPTIONOFOPERATIONSh low
<br />WC ig52gg3-1g
<br />11112g25
<br />1/112g26
<br />X PER OTH-
<br />TAT ER
<br />E.L. EACH ACCIDENT
<br />1,96Dr660
<br />EL. DISEASE - FA EMPLOYEE
<br />1,000,000
<br />EL. DIS SE -POLICY LIMIT
<br />1,000,000
<br />A
<br />Pollution Liability
<br />GPL 0831144-02
<br />111/2025
<br />11112026
<br />Per Occur/Aggregate
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />City, its City Council, its officers, officials, employees, agents, and volunteers, where required by written agreement are to be covered as additional insureds,
<br />under Consultant's CGL, Professional Liability, and Automobile Liability policies, with respect to any liability arising out of work or operations performed by
<br />or on behalf of the Instructor including materials, parts, equipment, and personnel furnished in connection with such work or operations. Coverage is primary
<br />and non-contributory. Waiver of Subrogation included. 30 day notice of cancellation given *10 days for non-payment of premium
<br />City of Santa Ana
<br />Attn: Heidi Chou
<br />20 Civic Center Plaza M-85
<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 />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016103) @ 1988-2015 ACOR "I. """"mil w0-r:. ad.
<br />The ACORD name and logo are registered marks of ACORD APPROVED ✓
<br />By Luisa Najera at 4:79 pm, Jan 29, 2025
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