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WISECAll LRMIREZ
<br /> CERTIFICATE OF LIABILITY INSURANCE DATE 7131/202202YYYi
<br /> 5
<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 /> NAM E:
<br /> IMA,Inc.-Pasadena PHONE
<br /> 3475 E.Foothill Boulevard (Arc,No,Exf):(626)799-7000 ('CC,Nol:(626)441-3233
<br /> Suite 100 E-MAIL
<br /> Pasadena,CA 91107 ADORES :-
<br /> fNSURERISy AFFORDING COVERAGE NAIC q
<br /> �— INSURERA:Tokio Marine Specialty Insurance Company 23850
<br /> INSURED INSURER B:Service American Indemnity C mpany 39152
<br /> Wiseplace,CA Corp.Wise Silver Center dba: INSURER c:Philadelphia Indemnity Insurance company 18058
<br /> 1505 E. 17th St. Ste.#214 INSURER D:
<br /> Santa Ana,CA 92705
<br /> t INSURERE:
<br /> _ INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 RLQUIREMENT, 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 POLIICDY EFF POLICY Ill LIMITS
<br /> LTR TYPE Of INSURANCE POLICY NUMBER
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR X X PHPK2624672-023 11112025 1/1/2026 DAMAGE TO RENTED 100,000
<br /> PREMISES(Ea occurrence $
<br /> MED EXP Any one erson $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,00©,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000
<br /> POLICY PRO-
<br /> JECT LOC PRODUCTS-COMPIOP AGG $ 3,000,000
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<br /> HOTHER: SEXUAL PHYSICAL 1 0000,000
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> _(Ea accident} $
<br /> ANY AUTO X X PHPK2624672.023 1/112025 11112026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X AUTOS ONLY X A�TOOS pNL� PROPERTY DAMAGE
<br /> Per accident $
<br /> $
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
<br /> EXCESS LAB CLAIMS-MADE PHUBS90187023 1/1/2025 1/112026 AGGREGATE $ 1,000,000
<br /> DEO I X I RETENTION 10,000 Personal &Adv $ 1,000,000
<br /> B WORKERAND EMPLO ERS'L ABILIITY X STAOMPENSATION ERTUTE EORli _
<br /> ANY PROPRIETORJPARTNERIEXECUTIVE Y 1 N X SATIS0324605 8/15/2025 8/15/2026
<br /> OFFICERIMEMBER EXCLUDED? ❑ NIA E.L,EACH ACCIDENT $ 1,000,000
<br /> (Mandatory in NH)It E,L,DISEASE-EA EMPLOYE $ 1,000,000
<br /> yes,descr ibe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> A Professional Liab. PHPK2624672-023 11112025 1/112026 Aggregate 3,000,000
<br /> C Crime PHSD1792539005 6/912025 6/9/2026 500,000
<br /> I
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES `{ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> Cyber Liability:Policy#PHSD1802586.619125-619126-Limits:$500,000,Ded.$25,000
<br /> City of Santa Ana,officers,officials,agents,employees,and volunteers are named as additionally insured on this policy pursuant to written contract,
<br /> agreement,or memorandum of understanding.Such insurance as is afforded by this policy shall be primary,and any insurance carried by City shall be
<br /> excess and noncontributory.GL,Auto&WC Waivers of Subrogation apply per forms attached.
<br /> Tu Tra n Digitally signed by
<br /> Tu Tran Nguyen LAP
<br /> Nguyen 115,3939-07''00'1 RO�Eu Twarr Nguyeta aL 3:34 pm,Jtr13i,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana Attention: Executive Director THE EXPIRATION HATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Community Development Agency
<br /> 20 Civic Center Plaza(M-25)
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> t r�
<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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