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ACCW?" CERTIFICATE OF LIABILITY INSURANCE r <br /> ATE(MMIDDIYYYYI <br /> 11/25/2024 <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 INSUREII 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 /> NAME: <br /> (WC) Heffernan Insurance Brokers PHONE 925_g34 8500 FAX No:925-934-8278 <br /> 1350 Carlback Avenue E-MAIL <br /> Walnut Creek CA 94596 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> License#,05B4249 INSURER A:Vallev Fore Insurance Company 20508 <br /> INSURED VISIINT-02 INSURERB:Continental Casualty Company 20443 <br /> Meridian Knowledge Solutions, LLC <br /> 80 Iron Point Circle, Suite 100 INSURER c:Transportation Insurance Company 20494 <br /> Folsom CA 95630 INSURERD:Continental Insurance Company 35289 <br /> INSURERE:At-Bay Specialty Insurance Company 19607 <br /> INSURER F: Federal Insurance Company 20281 <br /> COVERAGES CERTIFICATE NUMBER:1947558657 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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 /> ILTR TYPE OF INSURANCE ADDL'SUBR POLICY NUMBER MMIDCmYY MMIDDIYEYXYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 7094828100 10/15/2024 10/15/2025 EACH OCCURRENCE $1,000.000 <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence $1,000,004 <br /> MED EXP(Any one person) $15.000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000.000 <br /> POLICY PRO- LOC PRODUCTS-COMPIOP AGG $2,000,000 <br /> OTHER: $ <br /> C AUTOMOBILE LIABILITY BUA 7094828095 10/15/2024 10/15/2025 COMBINED SINGLE LIMIT $1,000.00❑ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) If <br /> AUTOS ONLY AUTOS <br /> X HIRED Ix <br /> NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> D X UMBRELLA LIAR OCCUR OCCUR CUE 7094828125 10/15/2024 10/15/2025 EACH OCCURRENCE $10,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 <br /> DE❑ I X I RETENTION$a $ <br /> A WORKERS COMPENSATION Y WC 7 34823993 10/15/2024 10/15/2025 X SPER TATUTE EORH <br /> B AND EMPLOYERS"LIABILITY YIN WC 7 34824013 10/1512024 10/15/2025 <br /> ANYPROPRIETOPIPARTNERfEXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 <br /> OFFICERIMEMBER EXCLUDED? N f A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 <br /> E TECH E&O Retro 11114f24 AB-6636808-01 11/14/2024 10/15/2025 LIMIT 1 RETENTION $5M I$50K <br /> F CRIME 8264-5216 10/1512024 10115/2025 LIMITIDEDUCTIBLE $1M1$25k <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Re:As Per Contract or Agreement on File with the Insured.The City,its officers,officials,employees,and volunteers are included as an additional insured <br /> (primary and non-contributory)on General Liability policy per the attached endorsement,if required.Waivers of Subrogation are included on General Liability <br /> and Workers Compensation policies per the attached endorsements,if required.Cancellation notice endorsement for the General Liability policy is attached,if <br /> required.The General Liability declarations page is attached,if required. <br /> Tu Tran T.z`.' 9 renbY <br /> Nguyen OBM2D 5 0�8 <br /> APPROVED <br /> 8y Tu Tran Nguyen at 8:20 am,Jun 18,2025 <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Human Resource Department <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br /> Santa Ana, CA 92701 / <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />