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A�" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDi6 YYYY)
<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
<br /> Marsh& McLennan Agency LLC PHON@ Jesse Garcia FAX
<br /> Marsh& McLennan Ins.Agency LLC c e Ez ;858 750-4695 arc Ne:85&452-753Q
<br /> PO Box 85638 ADDRESS: Jesse.Garcia@MarshMMA.com
<br /> San Diego CA 92186 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#.OH18131 INSURER A:Philadelphia Indemnity Insurance Co. 18058
<br /> INSURED SCANHEAL INSURERS:American Zurich Insurance Company 40142
<br /> SCAN Group
<br /> 3800 Kilroy Airport Way, Ste 100 INSURER C
<br /> Long Beach, CA 90806-2494 INSURER D
<br /> INSURER E: i
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1584699950 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 /> ILTR TYPE OF INSURANCE INSD WVQ POLICY NUMBER MMDDIYYYY MM ODIYPOLICY EFF POLICY YYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y PHPK2574081020 7/1/2025 7/1/2026 EACH OCCURRENCE S1,000,000
<br /> DAMAGE TO RENTED
<br /> X
<br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence S 1,000,00❑
<br /> MED EXP(Any one person) S 20,000
<br /> PERSONAL&ADV INJURY S 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S3,000,000
<br /> POLICY PRO-JECT ❑ LOG PRODUCTS-COMPIOPAGG S3.000,000
<br /> OTHER: I S
<br /> A AUTOMOBILE LIABILITY Y Y PHPK2574081020 W112025 7/1/2026 COMBINED SINGLE LIMIT S 1.000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) S
<br /> X OWNED SCHEDULED BODILY INJURY Per accident S
<br /> AUTOS ONLY AUTOS ( )
<br /> HIRED NON-OWNED PROPERTY DAMAGE S
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> S
<br /> A X UMBRELLALIAB OCCUR PHUB871598020 7/112025 7012026 EACH OCCURRENCE s5,000,000
<br /> EXCESS LIAB _H CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTIONS S
<br /> g WORKERS COMPENSATION Y WC869903BD1 711/2025 71l/2026 X STATUTE ©RH
<br /> 2 AND EMPLOYERS'LIABILITY YIN WC8717602DI 7/1/2025 7/1/2026
<br /> ANYPROPRIETORI PART N ERIEXECUTIVE E.L.EACH ACCIDENT S 1,000,000
<br /> OFFICERIMEMBER EXCLUDED? ❑ N I A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S1.000.000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000
<br /> _TT
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS p VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> City of Santa Ana,its City Council, its officers,officials,employees,agents, and volunteers are included as an Additional Insured as respects to General Liability
<br /> and Auto Liability per attached endorsements.Waiver of Subrogation applies to General Liability,Auto Liability and Workers Compensation per attached
<br /> endorsements.Cancellation provision applies per attached endorsement.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 3:56 pm,Mar 09,2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana, Attention: ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Parks, Recreation, and Community Services Agency
<br /> 20 Civic Center Plz„ M-23 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701
<br /> O 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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