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AMTECTO-01 PCISNEROS
<br /> .a►co�a CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY)
<br /> 313 p12026
<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 Patricia Cisneros
<br /> NAME:
<br /> Snellings Waiters Insurance Agency PHONE FAX
<br /> 5 Concourse Pkwy LAIC,No,Extl:(470)266-3271 (AIC,Nol:
<br /> Suite 2700 A DPEss:pcisneros@snellingswalters.com
<br /> Atlanta,GA 30328-5350 INSURERS AFFORDING COVERAGE NAIL#
<br /> INSURER A:Lloyd.s of London NIA
<br /> INSURED INSURER 13:Security National Insurance Company 19879
<br /> AM TEC Total Security Inc INSURERC:Certain Underwriters at Lloyds,London 085202
<br /> 4075 Schaefer Ave INSURER D:Se uoia Insurance Co. 22985
<br /> Chino,CA 91710
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 8Y 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 ADDL SUBR POLICY EFF POLICY EXP
<br /> TR TYPE OF INSURANCE POLICY NUMBER M LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
<br /> CLAIMS-MADE OCCUR X X SARPG-001339-00 3/15/2026 311512027 PREMSEES eacccu RENTED S 300,000 1XI
<br /> X Deductible:$2,600 MED EXP(Any one erson S 10,000
<br /> ! PERSONAL&ADV INJURY S 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY Xl PET 1XI LOG PRODUCTS-COMPIOPAGG $ 2,000,000
<br /> OTHER. PROFESSIONAL $ 1,000,000
<br /> S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> X ANY AUTO X X SPP1834118 3/15/2026 3115/2027 BODILY INJURY Peeperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Peraecident $
<br /> aU OS ONLY aN.UU S ONLY PPeQaoEcdem,DAMAGE $
<br /> I $
<br /> C X UM13RELLALIAB X OCCUR EACH OCCURRENCE $ 2,000,000
<br /> EXCESSLIAB CLAIMS-MADE X X SARPGUMS-001339-00 3/15/2026 311512027 AGGREGATE $ 2,000,000
<br /> DEDJ I X ' RETENTION$ 10,000
<br /> $
<br /> D WORKERS COMPENSATION X I PEATUTE ERH
<br /> AND EMPLOYERS'LIABILITY QWC1530215 3/15/2026 3115/2027 1,000,000
<br /> ANY PROPRIMB RIPXCLUD IEXEG UTIVE Y® NIA E.L.EACH ACCIDENT
<br /> OFFICERIMEM6ER EXCLUDED
<br /> (Mandatory in NHl E.L.DISEASE-EA EMPLOYEE S 1,000,000
<br /> DESCRIPTION OF OPERATIONS helcw E.L.DISEASE-POLICY LIMIT S 1,000,000
<br /> A Professional Liab. SARPG-001339-00 3/1612026 3/15/2027 Professional Liab. 1,000,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES JACORD f01,Additional Remarks Schedule,may be attached if more space is required}
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers.
<br /> The Certificate Holder is included as Additional Insured as respects to General Liability(Ongoing 8 Completed Operations),Automobile Liability and Umbrella
<br /> Liability.A Waiver of Subrogation is provided as respects to General Liability,Automobile Liability,Workers Compensation and Umbrella Liability.Coverage
<br /> is primary and non-contributory as respects to General Liability,Auto Liability and Umbrella Liability.30-day Notice of Cancellation(except for 10 days for
<br /> non-payment of premium)applies to General Liability,Auto Liability,Workers Compensation and Umbrella Liability.All are as required by written contract
<br /> subject to policy terms,conditions and exclusions.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9:19 am,Mar 30, 2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> ATTEN: Parks,Recreation,and Community Services Agency
<br /> 20 Civic Center Plaza M-23
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016103) (P1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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