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AC RO " CERTIFICATE OF LIABILITY INSURANCE r
<br /> ATE(MMIDDIYYYY)
<br /> 3/1912025
<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 /> Alliant Insurance Services, Inc. P"'ONIr_ FAX
<br /> 353 N. Clark Street c •312-595 6723 �c No
<br /> Chicago IL 60654 ADDRESS: cho-inscerts@aIliant.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> Licensek�OC36861 INSURER A:Champlain Specialty Insurance 16834
<br /> INSURED CONTSER-01 INSURERB:Zurich American Insurance Comp 16535
<br /> Contemporary Services Corporation
<br /> 17101 Superior Street INSURER C:Lloyd's of London 0
<br /> Northridge CA 91325 INSURERD:American Zurich Insurance Comp 40142
<br /> INSURERE:Allied World Holdings S ndicat 0
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:776620217 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMLD 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 ADDL SUER POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE POLICY NUMBER MMfDD MMIDD YYYl LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y CSSE-CGL-0001717-03 311812025 3/18/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE I—XI OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence s 300,000
<br /> X SIR MED EXP(Any one person) $5.000
<br /> PERSONAL&ADVINJURY s1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3.000.000
<br /> POLICY[_ ]JEc°T F7LOC PRODUCTS-COMP/OP AGG $3,000.0()0
<br /> OTHER: S
<br /> B AUTOMOBILE LIABILITY Y Y BAP937666821 311 812025 3/1812026 EOa aBc deDISINGLE LIMIT $1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) s
<br /> OWNED SCHEDULED BODILY INJURY Per accident $
<br /> AUTOS ONLY AUTOS ( I
<br /> HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> X COMP 250015K X COLL 2500I5K 5
<br /> C UMBRELLALIAB OCCUR 61230JC00149A25 3/1812025 3/18/2026 EACH OCCURRENCE S3,000,00o
<br /> E 0314-6207 3/1812025 3/18/2026
<br /> X EXCESS LIAR HCLAIMS-MADE
<br /> AGGREGATE 53,000,00
<br /> DED RETENTION$ Layer 2: $2MMx$3MM S
<br /> p WORKERS COMPENSATION Y WC930778722 3/18/2025 311812026 X STATUTE ER"
<br /> D AND EMPLOYERS'LIABILITY Y i N WC930783022(WI) 3/18/2025 3/1812026
<br /> ANYPROPRIETORIPARTNEPJEXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OF N EE NIA
<br /> IMaodatory in NHI E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OP OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 1 D1,Additional Remarks Schedule,may be attached if more space Is required)
<br /> From the period of April 1,2025,through March 31,2028,City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are
<br /> additional insured on a primary/non-contributory bas with respect to the General Liability and Automobile Liability as required by a written Contract or
<br /> agreement.A Waiver of Subrogation applies with respect to the General Liability,Automobile Liability and Workers'Compensation as required by a written
<br /> contract or agreement.
<br /> Tu Tran DIg tally signed by
<br /> TL Tran Nguyen
<br /> Ngt�yen0755Z326°0". APPROVED
<br /> By Tu Tran Nguyen at 7 54 am,;1:yl�2W]25
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana, Attn: Parks, ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Recreation, and Community Services Agency
<br /> 20 Civic Center Plaza, CA 92701, M-23 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701 L P, -
<br /> C)1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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