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AC R® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
<br /> 16-� 0 512 2/2 0 2 6
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 NAMEACT Emily Kauffman
<br /> Mllestere Risk Management&Insurance Services p/CNNEo Ext; (949)852-0909 q7c,No: (949)852-1131
<br /> License No.OB72766 -MAIIEss. ekauffman@milestonepromise.com
<br /> ADDR
<br /> 8 Corporate Park,Suite 130 INSURER Si AFFORDING COVERAGE NAIC if
<br /> Irvine CA 92606 INSURERA: Travelers Casualty Insurance Company of America 019046
<br /> INSURED NSURER B: Travelers Property Casualty Company of America 256740
<br /> C3 Office Solutions LLC,DBA:C3 Technology Services INSURER C: Hartford Casualty Insurance Co 29424
<br /> 1536 E.Warner Ave, INSURER D: Lloyd's of London
<br /> INSURER E r
<br /> Santa Ana CA 92705
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: 25126 MASTER w124125 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW MAVE 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 MAYBE 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 DUL 6UHR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MMIDDIYYYY MMIDDIYYYY LIMITS
<br /> COMMERCIAL.GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE RE 171!T_
<br /> Fx OCCUR PREMISES(Ea occurrence) $ 1,000,000
<br /> MED EXP(Any oneperson) $ 5,000
<br /> A Y Y 680-6N797658 05/23/2025 05/23/2026 PERSONAL&ADVINJURY $ 2,000,000
<br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> X POLICY ❑PFCROT ❑
<br /> J LOG PRODUCTS-COMPIOPAGG $ 4.000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMaINEDSINGLEI-IMIT $ 1,000,000
<br /> Ea accident
<br /> X ANYAUTC BODILY INJURY(Per person) $
<br /> SCHEDA OWNER AUTOS LED Y Y BA-6N798090 05/23/2025 05/23/2026 BODILY $
<br /> Auros ONLY uros }
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> X UMBRELLA LIAB X OCCUR $ 1,OQO,000
<br /> B EXCESSLIIAB CLAIMS-MADE EACH OCCURRENCE CUP-7N447797-25-42 05/23/2025 05123/2026 AGGREGATE $ 1,000,000
<br /> X DED RETENTION$ 0 $
<br /> WORKERS COMPENSATION X I STgTUTE RH AND EMPLOYERS'LIABILITY Y1N
<br /> C ANY PROPRIETOR7PARTNER/EXECUTIVE NIA 72WECBK2YZ7 10/02/2024 10/02/2025 E.L.FACHACCIDENT $ 1,000,000
<br /> OFFICFR/MEMBER EXCLUDED? 1,ODO,000
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below F.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> Professional LiabilitylE&O Each Claim $2,000,000
<br /> D Y Y ESN0240365964 05/23/2025 05/2312026 Aggregate $2,000,000
<br /> F2etentlon $10,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required)
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers affiliates are Included as Additional Insured,with respects to the
<br /> General Liability,Auto and Professional Liability,where required by written contract,per attached form. A Waiver of Subrogation Is In favor of the Additional
<br /> Insured,with respects to General Liability,Auto,Professional Liability and Workers Compensation,where required by written contract,per attached form.
<br /> *30 days written notice of cancellation to the certificate holded10 days notice for nonpayment of premium.
<br /> DilgItay signed
<br /> Tu Tran Tu Trap Nguyen by APR®t/LA [[4
<br /> DdEe:2025,56,11 v ED - .g-
<br /> Ng uyen ne:os:oz-oron' By Tu Tran Nguyen at 8:07 am,Jun 11,20?,5
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana Attn:Informational Technology Department ACCORDANCE WITH THE POLICY PROVISIONS,
<br /> 20 Civic Center Plaza,M-42
<br /> AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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