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OCEA'BLU-06 ADAVIS2
<br /> CERTIFICATE OF LIABILITY INSURANCE DATE(M s13a2PII'YYY)
<br /> 025
<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 License#0757776 CONTACT Alisha Davis
<br /> NAME:
<br /> HUB International Insurance Services Inc. PHHc°°,Nn,Ext):($77 $25-2681 FAX
<br /> 9855 Scranton Road ( 1 (AIC,No:(951)231-2572
<br /> Suite 100 Ab E-MpAILRE ,alisha.davis@hubinternational.com
<br /> San Diego,CA 92121
<br /> INSURER S AFFORDING COVERAGE NAIC N
<br /> _ INSURER A:Westchester Surplus Lines Insurance Co. 10172
<br /> INSURED INSURER B:ACE Property&Casualty Insurance Company 20699
<br /> Ocean Blue Environmental Services,Inc. INSURER C:National Casualty Company 11991
<br /> 925 West Esther Street INSURER D:
<br /> Long Beach,CA 90813
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 001
<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 ISSULD 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 SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER
<br /> IMMIDDM p LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE ®OCCUR X X G47475843 002 7/1/2025 711/2026 DAMAGE R occurrDence $ 100,000
<br /> -_ MED EXP(Any one erson $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,a0a
<br /> X POLICY JEd ❑ LOG PRODUCTS-COMPIOP AGG $ 2,000,00
<br /> X OTHER:DED:$5,000
<br /> $
<br /> B AUTOMOBILE LIABILITY E?aBINEDid.ntSINGLE LIMIT $ 1,000,000
<br /> X ANYAUTO X X CALH08886301 002 71112025 7/112026 BODILY INJURY Per erson $
<br /> OWNED SCHEDULED BODILY INJURY Per accident $
<br /> AUTOS ONLY AUTOS ��
<br /> AUTOS ONLY AUUT05 ONLDY PeQacEcldentDAMAGE $
<br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000
<br /> X EXCESS LIAB CLAIMS-MADE G47475855 002 71112025 7/112026 AGGREGATE $ 910001000
<br /> DED RETENTION$
<br /> C WORKERS COMPENSATION X PER OTH-
<br /> ANY PROPRIETORIPARTNERlEXECUTIVE
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> WCC340082A 7/1/2025 71112026 E.L.EACH ACCIDENT $
<br /> X 1,000,000
<br /> FFFICERfMEMBER EXCLUDED? ® N 1 A
<br /> Mlandatory in NH) 11000,000
<br /> If yes,describe under E.L.DISEASE-EA EMPLOYE
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,D0D,000
<br /> A Pollution 1 Environm X G47475843 002 71112025 7/1/2026 Each Occ/Aggregate 1,000,000
<br /> A Professional Liab G47475843 002 711/2025 7/1/2026 Aggregate 1,000,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> Revised 6/3012025 This certificate rescinds and supersedes any and all prior certificates issued on behalf of the Named Insured.
<br /> RE:City of Santa Ana Zoo
<br /> City of Santa Ana,officers,agents,employees,and volunteers are Additional Insured's with regards to the General Liability policy when required by a written
<br /> contract,per the attached endorsement forms CG2010 04113 and CG2037 04113.Primary wording applies with regards to the General Liability policy when
<br /> required by a written contract,per the attached endorsement form ENV3252 12118.Waiver of Subrogation applies with regards to the General Liability policy
<br /> when required by a written contract,per the attached endorsement form ENV3143 03105.Additional Insured applies with regards to the Auto Liability policy
<br /> when required by a written contract,per the attached endorsement form BENVCA06 19117.Waiver of Subrogation applies with regards to the Auto Liability
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> 8y Tu Tran Nguyen at 8:48 am,Jun 30,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa And Tu Trar>
<br /> Digitally signed by
<br /> TuTranNguyen THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Dales 2025.06.30 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> PRCSA—Zoo M-90 Nguyen oawvaa-moo
<br /> 1801 E Chestnut Ave.
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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