Laserfiche WebLink
� l ® <br /> A�o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 02/05/2026 <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. <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 ELIDA GARCIA CERVANTES <br /> NAME: <br /> StateFarm EDDIE QUILLARES JR. HOONIJ Ext: 714.617.7150 A/C No: <br /> STATE FARM INSURANCE AGENCY E-MAILss: ELIDA.GARCIACERVANTES.VAF5S3@STATEFARM.COM <br /> =• <br /> 415 BROADWAY INSURER(S)AFFORDING COVERAGE NAIC# <br /> SANTA ANA CA 92701 INSURERA: State Farm Fire and Casualty Company 25143 <br /> INSURED INSURER B: State Farm Mutual Automobile Insurance Company 25178 <br /> INSURER C <br /> TRAVEL SANTA ANA INSURER D <br /> 1631 W SUNFLOWER AVE STE C 35 INSURER E <br /> SANTA ANA CA 92704 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 75-0450 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. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAM <br /> CLAIMS-MADE F\/1 OCCUR P R E M SEST OER ENccurrDence $ 300,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A Y Y 92-AO-0888-3 01/01/2026 01/01/2027 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO- <br /> JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY Y Y 699-8732-CO9-75A 03/09/2025 03/09/2027 COMBINED ccident SINGLE LIMIT $ 1 000 000 <br /> a <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> B X OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY /� AUTOS ONLY Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION X PER STATUTE OERH <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 <br /> A OFFICER/MEMBER EXCLUDED? NIA Y 92-TA-Z956-1 03/01/2026 03/01/2027 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Santa Ana,its officers,employees,agents and representatives are Additional Insured with respect to General Liability per the attached endorsements as <br /> required by written contract. Insurance is Primary and Non-Contributory. <br /> Cancellation Clause: City will be mailed 30 days'written notice of policy cancellation and the references"endeavor to"and"failure to mail such notice shall <br /> impose no obligation or liability of any kind upon the company, its agents or representatives"shall be removed or crossed out. <br /> APPROVED <br /> By Charlene R.Muro at 4:50 pm,Mar 09,2026 <br /> CERTIFICATE HOLDER CANCELLATION <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 /> CITY OF SANTA ANA <br /> ATTENTION:COMMUNITY DEVELOPMENT AGENCY AUTHORIZED REPRESENTATIVE <br /> 20 CIVIC CENTER PLAZA. M-25 <br /> SANTA ANA CA 92701 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 1001486 132849.13 04-22-2020 <br />