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<br /> .ate E0 CERTIFICATE OF LIABILITY INSURANCE DATE/229/2��
<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 WTW Certificate Center
<br /> Willis Towers Watson Midwest, Inc. NAME:
<br /> c/o 26 Century Blvd PHONE 1-877-945-7378 FAX
<br /> No: 1-888-467-2378
<br /> P,O, Box 305191 E MAIL PDRE53: certificates@wtwco.com
<br /> Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A: Zurich American Insurance Company 16535
<br /> INSURED INSURER B:
<br /> Kimble and Company
<br /> 15182 Bolsa Chi,Ca Street, Suite A INSURERC:
<br /> Huntington Beach, CA 92649 INSURER D:
<br /> INSURER E:
<br /> INSURER IF:
<br /> COVERAGES CERTIFICATE NUMBER:W39896455 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 /> IL7R TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP
<br /> POLICY NUMBER INIMfDDNMI (MMfDDNYYY) LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> AMAGE TO RENTED
<br /> CLAIMS-MADE F OCCUR PREMISES Ea occurrence $ 2,000,000
<br /> A X Contractual Liability MED EXP(Any one parson) $ 10,000
<br /> Y Y GLO 8902940-05 12/31/2024 12/31/2025 PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000i
<br /> POLICY� PRO- ❑ LOC [PRODUCTS $ 41000,000
<br /> JECT
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> Ea accident $ 5,000,000
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED Y Y BAP 8488453-05 12/31/2024 12/31/2025 BODILY INJURY(Por aceldent) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED n
<br /> NON-OWNED PROPERTYDAMAGE $
<br /> AUTOS ONLYAUTOS ONLY Per accident
<br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED I I RETENTION$ $
<br /> WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY X STATUTE ER
<br /> A ANYPROPRIETOWPARTNEWEXECUTIVE YIN E.L.EACH ACCIDENT $ 5,000,000
<br /> OFFICERIMEMBEREXCLUDED? tiro NIA Y WC 8902941-05 12/31/2024 12/31/2025
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 5,000,000
<br /> If yes,describe under 5,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required)
<br /> City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are included as
<br /> Additional Insureds as respects to General Liability and Auto Liability when required by written contract.
<br /> General Liability and Auto Liability policies shall be Primary and Non-contributory with any other insurance in force
<br /> for or which may be purchased by City, its City Council, its officers, officials, employees, agents, or volunteers
<br /> when required by written contract.
<br /> CERTIFICATE HOLDER A¢_PROyEU CANCELLATION
<br /> By Tu Tran Nguyen at 3:00 prn Jut 3D 20Sr
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Digitally stgnedby THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Tu Tran,Tu Tran Nguyen ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Nguyen
<br /> City of Santa Ana Nguyen 15:00:54-07'00'
<br /> Attn: PWA - Parks, Fleet, 6 Facilities Services AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza, M-11y�
<br /> Santa Ana, CA 92701
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD.name and logo are registered marks of ACORD
<br /> srz So: 28162944 —cm 4063280
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