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AC RO EP (CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDfYYYY) <br /> �.- 11/90025 10'21 i2 024 <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 Lockton Insurance Brokers.LLC CO <br /> OOMEACT <br /> CA License#0B99399 PHONE FAX <br /> IAIC yo,_Extl: (A/C.No): <br /> 777 S.Figueroa Street,52nd fl. E-MAIL <br /> Los Angeles CA 90017 ADDRESS: <br /> 213-689-0065 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Travelers Property Casualty Company of America 25674 <br /> INSURED Willd n Financial Services INSURER B:Allied World Surplus Lines Insurance Company 24319 <br /> 1511007 27368 Via Industria,Suite 200 INSURER C: <br /> Temecula,CA 92590 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 18919392 REVISION NUMBER: )00DOCKX <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 ADDL SUER <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP <br /> [MMlDDIYYYY) (tRArDDfYYYY) LIMBS <br /> A COMMERCIAL GENERAL LIABILITY Z y p-630 A11 8471-Ta 24 11,912024 11/9/2025 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO /LLI <br /> CLAIMS-MADE X OCCUR PREMISES fEaEoccurrence) S 1,000,000 <br /> X Emp.Benefits Liab. MED EXP(Any one person) $ 15-000 _ <br /> X Conir.Liab.Incl. PERSONAL&ADV INJURY S 1,000,000 <br /> GENT-AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 <br /> POLICY PRri O- X LOC PRODUCTS-COMP/OP AGG S 2,000.000 <br /> OTHER: $ <br /> A AUTOMOBILE umurr N N 810-A1161741-24-43-G 11192014 11/9/2025 CEOaAaxideDtSINGLE LIMIT 3 1,000,000 <br /> x ANY AUTO BODILY INJURY(Per person) S IWO= <br /> OWNED SCHEDULED — <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ 300000CC <br /> HIRED NON-OWNED AUTOS ONLY — AUTOS ONLY (P PROPERTY DAMAGE S <br /> — (Per accident) X:XXXXXi <br /> S XX>OCCXX <br /> UMBRELLA LIAR — OCCUR NOT APPLICABLE EACH OCCURRENCE $ I0L <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE s XMOOCXX <br /> DED RETENTION$ $ X300000i <br /> WORKERS COMPENSATION N - PER OTFi- <br /> A AND EMPLOYERS'LIABILITY YIN UB-SI'032268-24 3-G 11;9r2024 11?9./2025 X STAThTE ER <br /> OFCE0ERCU EL._4CHACCIDJ�T $ 1,000_Q00FFICER. 9BEX DED? N NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000-000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATiONS below EL DISEASE-POLICY LIMIT S 1,000,000 <br /> B Pollution Liab. N N 0313-5950 11/9/3024 1119,2025 Per Claim:SIM;Aggregate:S2M <br /> Arch.&Eng.Prof Liab. Per Claim:$1M;Aggregate:$2M <br /> DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE:Project Name:Assessment District Administration Services.The City of Santa Ana,its officers,employees_agents,volunteers and representatives are included as <br /> Additional Insured in accordance with the policy provisions of the General Liability policy.General Liability policy evidenced herein is Primary and Non-Contributory to <br /> other insurance available to an Additional Insured,but only in accordance with the policy's provisions.Please see next page. <br /> CERTIFICATE HOLDER CANCELLATION See Attachments <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 18919392 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City of Santa Ana <br /> Risk Management Division <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE ,, <br /> Santa Ana CA 92701 .; - <br /> I <br /> ©1988-20 "^r�nr�nrtan/' nru�wr n n":why----- " <br /> ACORD 25(2016/03} The ACORD name and logo are registered marks of A APPROVED <br /> By Cynthia Mora at 9:14 am, Nov 13, 2024 <br />