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4THWATC-01 OFFBE
<br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
<br /> J 8/26/2026
<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 pclicy(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 /> Digital Insurance LLC-San Francisco,CA PHONEc o,Extl;(415)661-6500 FAX
<br /> 31 West Portal Ave i Arc,Nel:(209)459-3772
<br /> San Francisco,CA 94127-1412 A M .
<br /> INSURERS AFFORDING COVERAGE NAIC ft
<br /> INSURER A:Philadelphia Indemn Insurance 18058
<br /> INSURED INSURER B;Hartford Casualty Insurance Co 29424
<br /> 4th Watch Educational Services DBA:Machinist Career College MSURERC;
<br /> 1717 S Grove Ave INSURER D;
<br /> Ontario,CA 91761 INSURER E:
<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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP
<br /> LTR SD !O MMlDDlYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY 1,000,
<br /> 0
<br /> EACH OCCURRENCE $ DO
<br /> CLAIMS-MADE OCCUR x X PHPK2707139-000 2/27/2025 2/27/2026 DAMAGETORENTED
<br /> S E occu 100,000
<br /> S Ea ante $
<br /> MEDEXP(Any one erson $ 6,000
<br /> PERSONAL&ADVINJURY $ 1,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 1 2,000,000
<br /> X POLICY JEC7 LOG PRODUCTS-COMPIOPAGO $ 2,000,000
<br /> OTHER: HNO AUTO LIABIL $ 1,000,000
<br /> AUTOMOBILE LIABILITY - - �OMBINEPD SINGLE LIMIT $
<br /> ANY AUTO BODILY INJURY Perperson) $
<br /> AUITOS ONLY SCHEDULED 80DILY INJURY Per accident $
<br /> AIJ7 OS ONLY AUTOSNLY PerOaccRdent AMAGE $
<br /> A X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAR CLAIMS-MADE PHUB918129-000 2/27/2025 2/27/2026 AGGREGATE $ 6,000,000
<br /> OED X RETENTION$[. 10,000 $
<br /> B WORKERS COMPENSATION X IPER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE E
<br /> 57WECBU6VL5 7/25/2026 911212026 E.L.EACH ACCIDENT
<br /> ANY PROPRIETORlPARTNERIFJ(ECUTIVE ❑ 1,000,000
<br /> OFFICER!M M8ER EXCLUDED? N 1 A
<br /> (roandatoryjn Ntil 1,ODO,D00
<br /> E.L.DISEASE-EA EMPLOYE $
<br /> yes,describe under D E.L.DISEASE POLICY LIMIT $
<br /> escRlPn -
<br /> DESCRIPTION of OPERATIONS below 1,000,000
<br /> A Professional Liab€ll PHPK2707139-000 2/27/2025 2/2712026 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES `ACORD 1e1,Additlonal Remarks Schedule,maybe attached If more space Is required)
<br /> The Entity,Its officers,officials,employees,and volunteers is blanket Additional Insured on a Primary and Non-Contributory basis with respect to the GL
<br /> when required by written contract.A blanket Waiver of Subrogation also applies to the GL in favor of blanket additional insured when required by written
<br /> contract.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> ATTN:Audrey Goodson
<br /> 801 W.Civic Center Dr.,Suite 200
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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