PUBLIC AGENCY RETIREMENT SERVICES (PARS)

Home Browse Search

(MMIDIDIYYYY ACOI CERTIFICATE OF LIABILITY INSURANCE DAT412812025 ) 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(ies)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 rights to the certificate holder in Ileu of such endorsement(s). PRODUCER NAME:CONT Sherr Youn Risk Strategies Company PHONE } 949-242-9237 FAX No: 2040 Main Street, Suite 450 E-MAIL Irvine, CA 92614 AD s oun risk-strata ies.com INSURERS AFFORDING COVERAGE NAIL# www.risk-strategles,com CA DOI.License No,OF06675 INSURERA; Sentinel Insurance Co. 11000 INSURED INSURER B: Hartford Casualty Insurance Company 29424 Phase 11 Systems INSURER c: Starr Surplus Lines Insurance Company 13604 dba: PARS 4350 Von Karman Ave., Ste 100 INSURER D: Newport Beach CA 92660 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 85027131 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLECYNUMBERi MMDD YYY MMIDDIYYYY LIMITS A �/ COMMERCIALGENERALLIABILITY ,/ 72SBAAC2429 5/8/2024 5/812025 EACH OCCURRENCE $2000000 DAMAGE ED CLAIMS-MADE 7 OCCUR PREMISES occurence $1 000 000 MED EXP(Any one parson) $1 000 PERSONAL&ADV SNJ URY $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY F,/]JECTPRO- LOC PRODUCTS-COMPIOPAGG $4 000 000 OTHER: $ A AUTOMOBILE LIABILITY 72SBAAC2429 5/8/2024 5/8/2025 EOa aBcideDISINGLE LIMIT $2 0 00 D00 ANY AUTO BODILY INJURY(Per perscn) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYUAMAGE $ - AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION 72WECAY9CJZ 7/1/2024 711/2025 ,/ STATUTE ERH PER AND EMPLOYERS'LIABILITY YIN ANYPROPR]ETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $1000000 OFFICERIMEMBE R EXCLUDED? (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE1 $1.000,000 IF yyes,deacrlbe under ❑ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Professional Liability 1000635549241 7/30/2024 W3012025 Per Claim:$3,000,000 Aggregate:$3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Projects as on file with the Insured including but not limited to Agreement for Administrative Services,A-2020-119, Tu Tran,Digitallysigna by City of Santa Ana PARS 3121 Part-Time Social Security Alternative Retirement Plan, N U eft o0t!:as2o74 e The City of Santa Ana,its officials,employees and volunteers are named as additional insureds on the general liability policy, g y, including the non-owned and hired auto liability.General Liability policy is primary and non-contributory. The above policies contain a 30-day notice provision for non-renewal and cancellation,10-day notloe for non-payment of premium. APPROVED CERTIFICATE MOLDER CANCELLATION -BY -Tran-Nguyen at 1i:37 am;Apr-30,2025. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attention: Rosie Perez ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza M-17 Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE RSC Insurance Brokerage O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 85027131 1 24-25 CA GL-HNOA-WC-PL I Sherry Young 1 4/20/202$ 2120:15 PM (DDT) I Page 1 of 18