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TORTGAL-01
<br />BJONES
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE8126/(M2DIYYYY)
<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 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
<br />Ames & Gough
<br />8300 Greensboro Drive
<br />Suite 980
<br />CONTACT
<br />NAME:
<br />PHONE
<br />(arc, No, Ext): (703) 827 2277 LAIC No}:(703) 827-2279
<br />ADDRESS, admin@amesgough.com
<br />McLean, VA 22102
<br />I
<br />INSURERS AFFORDING COVERAGE
<br />NAIC 4
<br />INSURERA:Sentinel Insurance Company,LTD XV A+
<br />11000
<br />INSURED
<br />INSURER s: Hartford Insurance Company of the Southeast
<br />38261
<br />Torti Gallas and Partners, Inc.
<br />1923 Vermont Avenue, NW
<br />INSURER C : Travelers Casualty & Surety Co. of America A++, XV
<br />31194
<br />Grimke School, 2nd Floor
<br />INSURER D
<br />INSURERE:
<br />Washington, DC 20001
<br />INSURER F ;
<br />COVERAGES CERTIFICATE NUMBER: REVISION KILIMRER:
<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
<br />LIR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUER
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />fDD1YYYY1
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />42SBWBI7030
<br />51112025
<br />511/2026
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DAMAGE TO RENTED
<br />PREMISES Ea occuLi nce
<br />1,000,000
<br />$
<br />MED EXP (Any one arson
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY � JE LOC
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />GEN'L
<br />PRODUCTS - COMPIOP AGG
<br />$ 4,OOQOOO
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />EOa aBI NED SINGLE LIMIT
<br />$ 2,000,000
<br />BODILY INJURY Per erson
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS�y
<br />X
<br />X
<br />42SBWBI7030
<br />511/2025
<br />511/2026
<br />BODILY INJURY Per accident
<br />$
<br />X
<br />PeOaccA , DAMAGE
<br />$
<br />AUTOS ONLY X AUTOS ONLDY
<br />A
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />X
<br />X
<br />42SBWBI7030
<br />5/1/2025
<br />5/112026
<br />DEb X I RETENTION$ 10.000
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERfEXECUTIVF
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatoryin NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />X
<br />42WEGAX2W5U
<br />5/112025
<br />5/112026
<br />X PER OTH-
<br />STATUTE ER
<br />EL , EACH ACCIDENT
<br />1,000,000
<br />$
<br />F,L, DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />1,000,000
<br />$
<br />C
<br />Professional Liab.
<br />107866673
<br />711/2025
<br />71112026
<br />Per Claim/Aggregate
<br />5,000,000
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />The City of Santa Ana, its officers, officials, employees, and volunteers are included as additional insured with respect to General Liability, Automobile
<br />Liability and Umbrella Liability when required by written contract. General Liability includes Additional Insured coverage for On -Going & Completed
<br />Operations as required by written contract. General Liability, Automobile Liability, and Umbrella Liability are primary and non-contributory over any existing
<br />insurance and limited to liability arising out of the operations of the named insured and when required by written contract. General Liability, Automobile
<br />Liability, Workers Compensation and Umbrella Liability policies include a waiver of subrogation in favor of the additional insureds where permissible by state
<br />law and when required by written contract. Umbrella Liability coverage sits excess over General Liability, Automobile Liability and Employers Liability
<br />coverage. 30-day Notice of Cancellation will be issued for the General Liability, Automobile, Workers Compensation, Umbrella, and Professional Liability
<br />SEE ATTACHED ACORD 101
<br />Digitally signed
<br />Tu Tran 6yT�Tran
<br />City of Santa Ana Nguyen
<br />Planning and Building Agency Nguyen Da1e:2e25.08.26
<br />20 Civic Center Plaza 6,oa3 -o�oa'
<br />Santa Ana, CA 92702
<br />APPROVED
<br />ACORD 25 (2016103) By TitTran Nguyen at 4:04 pm, Aug 26, 2025
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />U r
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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