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RCSIN-1 OP D
<br /> ACC7R0" CERTIFICATE OF LIABILITY INSURANCE DATE{MMIDDIYYYY)
<br /> k.� 1 0612112025
<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 endorsements.
<br /> PRODUCER 760-471-7116 N2IJACT Michelle Nowell
<br /> Alliance Mgt.&Insurance Sery PHONE 760-471-7116 FAX 760.471-9378
<br /> 355 Via Vera Cruz#7 (Arc,No,Ext): AlC,No):
<br /> CA Agent/Broker Lic#0737966 al ss:mnowell@amiscorp.com
<br /> San Marcos,CA 92078
<br /> Michelle A.Nowell INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:*StarStone Specialty Ins Comp 44776
<br /> ANdSIfnvestigations& INSURER B:
<br /> Consulting,LLC INSURERC:
<br /> PO Box 29798
<br /> Anaheim,CA 92809-9798 INSURER D:
<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 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 DDL UBR NSDPOLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR X WSGP001043 06/19/2025 06119/2026 pREMISEs 6a occurre ca $ 100,000
<br /> X Errors&Omission MED EXP(Any oneperson) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> X POLICY❑pE°T LOC I PRODUCTS-COMPIOP AGG $ 1,000,000
<br /> OTHER:
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,0(10,000
<br /> (Ea accideni)ANY AUTO WSGP001043 06119/2025 06/19/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accidenl $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> A UMBRELLA LFAB X OCCUR EACH OCCURRENCE $ 1,000,000
<br /> X EXCESS LIAR CLAIMS-MADE WSG0000398 06/1912025 06/19/2026 AGGREGATE $ 1,000,000
<br /> DED RETENTION$
<br /> WORKERS COMPENSATION I STATUTE EOTRH
<br /> AND EMPLOYERS'LIABILITY Y I N
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE ❑,NIA E.L.EACH ACCIDENT
<br /> W.F CER/MEMBER EXCLUDED?
<br /> (Mandatory in NHj E.L.DISEASE-EA EMPLOYEE
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
<br /> A Professional Liab WSGP001043 06/19/2025 06119/2026 Occurence 1,000,000
<br /> Aggregate 4,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Santa Ana,its City Council,officers,officials,employees Dig'rtallysigned
<br /> agents,and volunteers are named as additional insured with respects to the TU Tran byTu Tmn
<br /> work erformed b named insured.Waiver of Subrogation Applies. Mguyen
<br /> P y 9 PP N9uyenDatV.2025.0&14
<br /> J' 7 15:2425-07'OW
<br /> Investigation,CA
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> �Y 7u T"rari"lsTguyer"s af'�:'2�•p'""m;�Lugf��A�`5`
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City fo Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Police Department
<br /> 60 Civic Center Plaza#M-18 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana,CA 92701 IWIM a, W
<br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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