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LIEBCAS-Cl VPASILLAS
<br /> ,a►CORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
<br /> 12/1212024
<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 CONTACT
<br /> NAME:
<br /> IMA,Inc.-Pasadena PHONE FAX
<br /> 3475 E.Foothill Boulevard (AIC,No,Ext)_(626)799-7000 (AIC,No);(626)441-3233
<br /> Suite 100 ADDRIESS:
<br /> Pasadena,CA 91107
<br /> INSURERS AFFORDING COVERAGE _ NAIC#
<br /> INSURERA:Hartford Casualty Insurance Company _ 29424
<br /> INSURED INSURFR B-Federal Insurance Company 20281
<br /> Liebert Cassidy Whitmore,A Professional Corporation INSURER C:QBE Insurance Corporation 39217
<br /> 6033 W.Century Blvd 5th Floor INSURERD:
<br /> Los Angeles,CA 90045
<br /> INSURER E
<br /> INSURER F: j
<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 TYPE OF INSURANCE ADDL SUBRI POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MMIDDIY MM/DDNYYY
<br /> A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE V OCCUR �72SBABL8FM5 12/1412024 12114/2025 OAMAGETO RENTED 1,000,000
<br /> X X PREMISES Ea occurrence)$ _
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $ 4,000,000
<br /> X POLICY F7 jpn [7] LOC PRODUCTS-COMPIOPAGG $ 4,000,000
<br /> OTHER: I$
<br /> COMBINED SINGLE LIMIT 2,000,000
<br /> A AUTOMOBILE LIABILITY Ea accident $
<br /> ANY AUTO 72SBABL8FM5 12114/2024 12114/2025 BODILY INJURY(Perperson) S
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> Ix
<br /> HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per.accident $
<br /> $
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000
<br /> EXCESS LIAB CLAIMS-MADE 72SBABL8FM5 12/14/2024 12/14/2025 I AGGREGATE $ 4,000,000
<br /> DED I X I RETENTION$ 10,000 $
<br /> B WORKERS COMPENSATION X PER
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> Rl YIN 2571750595 4/1/2024 411/2025 1000,000
<br /> ANY PROPMETOPARTNER/EXECUTIVE ❑ X E ,
<br /> L EACH ACCIDENT $
<br /> OFFICER/M EMBER EXCLUDED? N I A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C Prof.Liability LAW2163902 12/10/2024 12/14/2025 Each Claim/Agg 10,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> General Liability forms apply to Automobile as written in the policy.
<br /> GL Additional Insured applies per SL 30 32 06 21 attached,only if required by written contractlagreement.
<br /> GL Primary&Non-Contributory Wording applies per SL 00 0010 18 attached-
<br /> GL&WC Waivers of Subrogation apply per SL 30 03 10 18&WC 90 03 75 attached. APPROVED
<br /> RE:Legal Services Agreement A-2021-276
<br /> Additional Insured(s):City of Santa Ana,its officers,officials,employees and agents.
<br /> By Cynthia Mora at 3:26 pm, Dec 23, 2024
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> tY ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza
<br /> Santa Ana„CA 92701 AUTHORIZED REPRESENTATIVE
<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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