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CERTIFICATE OF LIABILITY INSURANCE I DATE <br />8113/2 DIYYYY) <br />/13/2024 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(sl. <br />PRODUCER <br />Risk Strategies C anyThird Ave <br />760 New <br />S to <br />New York, NY1naie <br />INSURED <br />Inc. <br />CA <br />COVERAGES <br />IA <br />,URER D <br />r_1:14113_11ty= <br />611.111b11e7111Ill r110N <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED B =Lr,J 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 />INBR <br />TR <br />TYPE OF INSURANCE <br />AO R <br />SUBR <br />POLICY NUMBER <br />MM/DDY� <br />MMIODY� <br />LIMITS <br />A <br />GENERAL LIABILITY <br />Y <br />JWA <br />Y <br />MGF30041677801 <br />7252D24 <br />7252025 <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$1,000,000 <br />MED UP (My one person) <br />$15.WD <br />CLAIMS -MADE MOCCUR <br />X Crass Liability <br />PERSONAL It ACV INJURY <br />$1,0m.ow <br />X <br />Pnm.Non-Cont. <br />GENERALAGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS-COMP/OPAGG <br />$2,000,000 <br />POLICY <br />X PRO-JECT F-1 LOC <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />IIAFM41675201 <br />7125Q024 <br />7252025 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1000000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />X <br />ALL OWNED X SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY(Peraccidenl) <br />$ <br />X <br />NONOWNEO <br />HIRED AUTOSX AUTOS <br />PROPERTY DAMAGE <br />Peraocident <br />$ <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />Y <br />Y <br />MUF30041685901 <br />7252024 <br />7252025 <br />EACH OCCURRENCE <br />$10,000000 <br />AGGREGATE <br />$10,000000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I REfENTION$10000 <br />$ <br />C <br />WORKERS COMPENSATION <br />Y <br />JWCS1006I0 <br />W252024 <br />725/2025 <br />X V✓C STATU- S- <br />AND EMPLOYERS' LIABILITY YIN <br />E.L. EACH ACCIDENT <br />$I'mo,00 <br />ANY PROPRIETOWPARTNER/EXECUTIVE <br />OFFICEWMEMBER EXCW❑DEDP <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,00,00 <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 />E <br />E&OMm essional-Claims Made <br />PROVAE-0000110_00 <br />7/252024 <br />725/2025 <br />Each Claim/Agg. Limit $5MM/$5MM <br />D <br />Cyber Liability <br />CYB.108072029-00 <br />7/25/2024 <br />725/2025 <br />Each Claim/Agg. Umit $5MM/$5MM <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />RE: Agreement To Provide On -Call Right Of Way Services: Property <br />The City of Santa Ana, its officers, officials, employees, and volunteers are included as Additional Insureds on the Auto Liability and General Liability policies <br />with respects to the operations of the named insured as required by written contract, per policy terms, conditions and exclusions. <br />Insurance is primary and non-contributory under the General Liability as required by written contract, per policy terms, conditions and exclusions. <br />Waiver of Subrogation applies in favor of the additional insureds as required by written contract subject to the policy terms, conditions and exclusions.. <br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVEREn IN <br />ACCORDANCE WITH THE POLICY PR( <br />AA/�UUTTHHO(/R/iIZZEED REPRESENTATIVE <br />' y "�"'X.M1t <br />Risk Management SpnLeWo4.Ylcsot <br />©1988-2010 ACORD <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />