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CERTIFICATE OF LIABILITY INSURANCE DATE (MMn1D/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riahts to the certificate holder in lieu of such endorsementlsl- PRODUCER a �. �� Di $t Venbrook Insurance Services 16815 Von Karman Ave Suite 180 L. a 7i f E, L 0 FAX o ac No: certificates venbrook.com 949-652-3980 Irvine, CA Angie tJ 92606 MSU S AFFORDING COVERAGE NAIC; www.venbrook.cont CAo. OD80632 1 velers Casual Insurance Co of America 19046 INSURED Monument ROW I u elers Property Casual Co of America 25674 200 Spectrum Center, Acevedo o ri L of London 15642 Irvine CA 92618 11512 O I — COVERAGES CERTIFICATE NUMBER: 79779905 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TypE OF INSURANCE ADDL UBR POLICYNUMBER POLICY EFF MWDD POLICY EXP MIDD LIMITS A ✓ COMMERCIALGENERALLIABILITY ✓ ✓ 6807P4562802442 4/23/2024 4/23/2025 EACH OCCURRENCE $1000000 CLAIMS -MADE OCCUR PREMSES fEa ossenence $300000 MED EXP (Anyone person) $ 5 000 Deductible: none PERSONAL&ADV INJURY $1000000 ✓ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 GEN'L ✓ POLICY n JET LOG PRODUCTS -COMPIOP AGO $2 000,000 $ OTHER: A AUTOMOBILE LIABILITY 6807P4562802442 4/23/2024 4/23/2025 COMBINEDSINGLE LIMIT $1000000 BODILY INJURY (Per person) $ AUTO AUTOS SCHEDULED AUTOS OILY Al OS AANY BODILY INJURY(Peraccldent ) $ Peerr aciden DAMAGE$ WED AUTOS ONLY ✓ AUTOS ONLY B ,i UMBRELLALIAB ✓ OCCUR CUP5N8889392442 4/23/2024 4/23/2025 EACH OCCURRENCE $5000.000 AGGREGATE $5000,000 EXCESS LIAB CLAIMS -MADE DEC) I✓ RETENTION$0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OF CERIPMFLI WART EREXECU-11VE � XCL(Mandatory NIA ✓ UB2Y3528922442G 4/23/2024 4/23/2025 ,/ HfpTUTE ER E.L. EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYEE $1 In NH) It es, describe order DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT - $1 000 000 C Professional Liability (Claims Made MPL444730524 4/23/2024 4/23/2025 $2,000,000 Each Claim/ Aggregate Limit & Reported) Retention: $5,000 Each Claim DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more apace Is required) RE: The City of Santa Ana, its officers, employees, agents, and representatives are named as Additional Insured in respects General Liability per form CGD105 0494. Primary/Non-Contributory form CGT1000219, Waiver of Subrogation form CGD842 0219, WC040306 4-84 applies in favor of the Additional Insured when required by written Contract. 30 Day Notice of Cancellation per policy provisions. Subject to policy terms, Conditions and exclusions. CI Of Santa Ana SHOULD ANY OF THE ABOVE DIE City THE EXPIRATION DATE THEF Risk Management Division ACCORDANCE WITH THE POLICY 20 Civic Center Plaza, 4th Floor Santa Ana CA 92701 AUTHORnED REPRESENTATNE n POLICIES BE CANCELLED BEFORE I?EmEwED& APPROVED BY: A'ffU Aa'A4 Rhk Management Specialist ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 79779905 1 2029 GL, "D, UMB, an, PL Gabriela Covarrubias 1 4/30/2024 1:02:02 K4 (PDT) I Page I of B This certificate cancels and supersedes ALL previously issued certificates.