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REALEST-56 SPARKER1
<br /> ��aRo CERTIFICATE OF LIABILITY INSURANCE DAT 7 130l23012DIYYYY)
<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 1NSURER(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($).
<br /> PRODUCER License#6009644 CO NA FACT 'Shirley Parker
<br /> Acrisure West Insurance Services,LLC PHONE Ext):(951 640-8100 FAX
<br /> 1950 W Corporate Way ) (A/C,No):
<br /> #1 E-MAIL
<br /> ss:ShParker@acrisure.com
<br /> Anaheim,CA 92801-5373
<br /> INSURERS AFFORDING COVERAGE NAIC R
<br /> INSURERA:James River Insurance Company 12203
<br /> INSURED INSURER B:Carolina Casualty Insurance Company 10510
<br /> Real Estate Consulting&Services,Inc. INSURER C:Capitol Specialty Insurance Corporation 10328
<br /> 216 Avenida Fabricante
<br /> Suite 110 INSURER D:
<br /> San Clemente,CA 92672 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 CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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 I 7ypE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP
<br /> L I ❑ DD MM DD LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MAOE X OCCUR POOOOOO1571 713112025 713112026 DAMAGE TO RENTED 100,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Ary oneperson) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> Ea accident $
<br /> ANY AUTO BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000
<br /> X EXCESS LIAB CLAIMS-MADE X X POO00001580 7/3112025 7l31/2026 AGGREGATE S 2,000,000
<br /> ❑E❑ RETENTION$ 5
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y f N STATUTE E
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE X BNUWC0164238 12l112024 121112025 1,flD0,000
<br /> OFFICERfMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT 5
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000
<br /> C Pollution Liab EV20230202-03 411012025 4/1012026 General Aggregate 2,000,000
<br /> LL
<br /> DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> General Liability is Primary and Non-Contributory.Blanket Additional Insured Endorsement attached in regards to General Liability.Blanket Waiver of
<br /> Subrogation attached in regards to General Liability and Workers'Compensation.Excess Policy follows form over the General Liability.
<br /> Endorsements in favor of The City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers.
<br /> Re:On-Call TRASH,WEEDS,RUBBISH,8r SANITATION ABATEMENT,AND BOARD-UP SERVICES
<br /> aPPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Iran Nguyon at2.29pm,Jul30,2025
<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 /> Attention: Public Works Agency
<br /> CIP1Design Engineering
<br /> 20 Civic Center Plaza,M-36 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana,CA 92702
<br /> ACORD 25(2016/03) c©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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