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BURKE, WILLIAM & SORENSEN, LLP
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Last modified
6/9/2026 10:42:42 AM
Creation date
12/9/2025 5:20:37 PM
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Contracts
Company Name
BURKE, WILLIAM & SORENSEN, LLP
Contract #
A-2025-203
Agency
Human Resources
Council Approval Date
12/2/2025
Expiration Date
11/30/2027
Insurance Exp Date
8/1/2026
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/-"I ® DATE(MM/DD/YYYY) <br /> 14� CERTIFICATE OF LIABILITY INSURANCE 01/12/2026 <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 policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If <br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Aon Risk Services Central, Inc. PHONE (312) 381-1000 FAX (312) 381-7007 <br /> Chicago IL Office (A/C.No.Ext): A/C.No.: -a <br /> 200 East Randolph E-MAIL p <br /> Chicago IL 60601 USA ADDRESS: _ <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: MS Transverse Specialty Insurance Comp 41807 <br /> Burke, Williams & Sorensen, LLP INSURERB: Ironshore specialty Insurance Company 25445 <br /> 444 South Flower St., 40th Floor <br /> Los Angeles CA 90071 USA INSURER C: Endurance American Specialty Ins Co. 41718 <br /> INSURER D: Evanston Insurance Company 35378 <br /> INSURERE: Westfield specialty Insurance Comp 16992 <br /> INSURER F. <br /> COVERAGES CERTIFICATE NUMBER: 570117604469 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. Limits shown are as requested <br /> LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> CLAIMS-MADE ❑OCCUR <br /> PREMISES Ea occurrence <br /> MED EXP(Any one person) <br /> PERSONAL&ADV INJURY <br /> v <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE o <br /> POLICY ❑PRO- <br /> JECT ❑LOC PRODUCTS-COMP/OP AGG <br /> OTHER: o <br /> AUTOMOBILE LIABILITY COMBINEDt SINGLE LIMIT <br /> Ea acciden , <br /> ANY AUTO BODILY INJURY(Per person) 0 <br /> Z <br /> OWNED SCHEDULED BODILY INJURY(Per accident) 0 <br /> AUTOS ONLY AUTOS R <br /> HI R PROPERTY DAMAGE <br /> ED AUTOS NON-OWNED V <br /> ONLY AUTOS ONLY (Per accident <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE V <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED RETENTION <br /> WORKERS COMPENSATION AND PER STATUTE I OTH- <br /> EMPLOYERS'LIABILITY y;N ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT -_ <br /> A Lawyers Professional MSTLPL00392 01/15/2 226 01/15/2027 Per Occurrence $5,000,000- <br /> C LPN30030693103 01/15/2026 01/15/2027 Aggregate $10,000,000 <br /> D MKLV3PLA000379 01/15/2026 01/15/2027 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Deductible: $350,000 Each Claim, $700,000 in the Aggregate and $50,000 step-Down, including defense costs <br /> �AP�PROVWDTu Tran Nguyen at 8:27 am,Jun 09,2028 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> City of Santa Ana AUTHORIZED REPRESENTATIVE <br /> Ris Management Division <br /> 20 Civic Center Plaza <br /> Santa Ana, CA 92702 USA <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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