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SCOTFAZ-01 CC WANA
<br /> .4�IRO CERTIFICATE OF LIABILITY INSURANCE DAT 5 231212312D2YYY)
<br /> 024
<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, 5ublect to the terms and conditio,a'If silo ,oe aln cles marre uire an end ement A statement on
<br /> this certificate does not confer rights to the certificate holder In lieu 3f su h n
<br /> PRODUCER License#OES7768 Impki.21,l
<br /> IDA Insurance ServicAngie
<br /> PHONE FAx
<br /> 3636 Nobel Drive Afc,No,Ea}• 619)788-5795 50206 AID,..g(619)574-6288
<br /> Suite 410 f d.COm
<br /> San Diego,CA 42122
<br /> IN R S AFFORDING COVERAGE NAIC N
<br /> IFJURFRA:RLllnsura ceCom Pan 13066
<br /> INSURED IAICR E-W"W I S ua Ity Com pany 20443
<br /> Scott Fazaft&Associates,Inc. Ir1I
<br /> IPF.� 1 3 1
<br /> 'ER C:
<br /> Corpora rkp eve
<br /> Irvine,C fi
<br /> E
<br /> do , PNSURER F;
<br /> COVERAGES CERTIFICATE NUF'61F'.: 1
<br /> � ER: 1
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSUP rNC' LISTED BELOW H IN,U AM E FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REOUIREMEIs',', T-RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREON IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR I TYPE OF INSURANCE ADDLINSO.SUBR wVD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS
<br /> A X COMMERCIAL OENERAL LIABILITY EACH OCCURRENCE S 1,040,000,
<br /> CLAIMS-MADE ®OCCUR X PSB0003027 6/512024 61512025 DAMAGE 70RENCED 1,000,400j.
<br /> }( Cont Llab/Sev of Int MR)EXP Any one rson $ 10,000
<br /> PERSONAL&AOV INJURY $ 1,000,400I
<br /> GEN'L AGGREGATE LIMIT APP.JES PER GENERAL AGGREGATE $ 2,000,000
<br /> POLICY jE LOG PROOUGTS-COMPIOP AGO S 2,000,000
<br /> OTHER. _ DEd $ 0
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> ANY AUTO I PSB0003027 615/2024 61612025 BODILY INJURY Parperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY
<br /> BODILY INJURY(Per a6c;tl a $
<br /> X AUTOS ONLY X AUTOS ONLY Pet-P-1 d Ak1AGE $
<br /> X AoCo.Owned
<br /> $
<br /> A X UM13RELLA LIAe X OCCUR EACH OCCURRENCE S 2,000,400
<br /> EXCESS LIAe CLAIMS-MADE,I TP SEO001119 6/512024 6/5/2025 AGGREGATE $ 2,400,440
<br /> DED X RETENTION S 4 $
<br /> A WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY TAT
<br /> YIN E
<br /> ANY PROPRIE70RIPARPNER11EXECUTIVE PSW4401945 61512424 6!5l2425 1,000,000
<br /> E.L.EACH ACCIDENT
<br /> OFFICER,MEMaER EXCLUDED? NIA
<br /> (Mandatory In NH) E_L.DISEASE-EA EMPLOYEG S 1040,040
<br /> If yyes 6eSrnbe Under
<br /> DFSCRIPTION OF OPERATIONS tCow i I E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> B Professional Liab. MCH288352513 6/512024 6/512025 Per Claim 2,00D,400
<br /> B Ded•:$20k Per Claim MCH288352513 616/2024 6/5/2025 Aggregate 2,000,000
<br /> i
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS;VEHICLES (ACORD 101•Additional Remarks Schadu4,may be attached it more space Is requfredi
<br /> Re;All Operations
<br /> City of Santa Ana,its officers,employees,volunteers,representatives and agents are Additional Insureds with respect to General Liability per the attached
<br /> endorsement as required by written contract.
<br /> 30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions..
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROvlclnuc
<br /> City of Santa Ana 4W:1
<br /> AUTHORU:ED REPRESENTATIVE 14E EWED&ApmovEr]8Y.
<br /> �Attn:Risk Management Divison �24 Civic Center Plaza,4th FloorIrqc zvra
<br /> Santa Ana,CA 92702 ® eaalisl S
<br /> ACORD 25(2016143) Q 1988-2015 ACORD C Risk Management� 9 P
<br /> The ACORD name and logo are registered marks of ACORD V Ili
<br />
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