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ACO aR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDmm)
<br /> 1111 1 06/0312025
<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 /> NAME: Maricela Aguirre
<br /> McRae Associates Insurance Services ACNo Ext: (714)779-6999 Alcc Np; (714)779-6903
<br /> 1265 N. Manassero St Suite 303 ADDRESS: maricela@mcrae ins urance.insure
<br /> Anaheim, CA 92807 INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A: Travelers Property Casualty Com an of America 25674
<br /> INSURED INSURER B: TRAVELERS PROPERTY CASUALTY COMPANY OF AMER4CA 25674
<br /> CROSSTOWN ELECTRICAL &DATA, INC. INSURER c: GREAT AMERICAN INSURANCE COMPANY 16691
<br /> 5454 DIAZ ST. INSURER D: St Paul Surplus Lines Insurance Com an 30481
<br /> Irwindale, CA 91706 INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 00001315-0 REVISION NUMBER: 750
<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 /> INSR TYPE OF INSURANCE ADDL 5UBR Y EFF POLICY EXP
<br /> LTR POLICY NUMBER MMl POLICY
<br /> MMIDDIYYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y DT22-CO-7W503833-TCT-25 06103/2025 06/03/2026 EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE RETED
<br /> CLAIMS-MADE
<br /> �X OCCUR PREM SFSOFa occurrence) $ 300,000
<br /> X Deductible$10,000_ MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 2 0000
<br /> GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> PRO-
<br /> POLICY 1XI JFCT LOC PRODUCTS-COMPIOPAGG $ 4,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY Y Y 810-7W449049-25-26-G 06103/2025 06/0312026 E1 aocdeDSINGLE LIMIT $ 1 fl00 000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS 6061LY INJURY(PeraccidenQ $
<br /> _
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> X AUTOS ONLY X AUTOS ONLY Per accident
<br /> $
<br /> C X UMBRELLA LIAB OCCUR Y Y TUE257205207 0610312025 06/03/2026 EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DED 1 1 RETENTION$ 0 $
<br /> A AND EMPl.OYERS'LIABIWTY Y UB-7W504031-25-26-G 06/03/2025 06/0312026 X STATUTEWORKERS COMPENSATN ERH
<br /> ANY PROPRETOR/PARTNER/EXECUTEVE YIN E.L.EACH ACCIDENT $ 1,000,000
<br /> CFFICERIMEMBER EXCLUDED? N N I A
<br /> (Mandatory in Ni E.L.DISEASE-EA EMPLOYE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I $ 1,000,000
<br /> A 2nd Tier Umb. Policy Y Y EX-84831416-25-NF 06/03/2025 06/03/2026 Each Occl Gene Agg $5,000,000
<br /> D Prof. & Poll. Liab. Y Y ZCE-16P95095 10/10/2024 10/10/2025 Each Occ/Gen Agg $2 mill/$4 mill
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> RE:ATMS AND COMMUNICATION SYSTEMS, ON CALL REPAIR SERVICES,JOB#4775-22
<br /> THE CITY OF SANTA ANA ALONG WITH THEIR OFFICERS, OFFICIALS,AGENTS, EMPLOYEES AND VOLUNTEERS ARE NAMED
<br /> AS ADDITIONAL INSURED WITH RESPECTS TO THE ABOVE-MENTIONED POLICIES PER ATTACHED ENDORSEMENT(S).
<br /> COVERAGE IS PRIMARY& NON-CONTRIBUTORY AS REQUIRED BY WRITTEN CONTRACT, PER ATTACHED ENDORSEMENT
<br /> FORMS,WAIVER OF SUBROGATION APPLIES, IF REQUIRED BY WRITTEN CONTRACT.
<br /> continued on ACORD 101 Additional Remarks Schedule APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 3:16 pm,Jun 10,2025
<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 /> 20 CIVIC CENTER PLAZA M-30 TU Tran ❑igitallysignedby
<br /> SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE 12025.06.10
<br /> Nguyen 1516AS-0700'
<br /> (MAG
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Printed by MAG on 06/03/2025 at 08:54AM
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