Laserfiche WebLink
.4CoreO� CERTIFICATE OF LIABILITY INSURANCE DATE(MMroDIYYYYI <br /> 5/22/2026 <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(les)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 CONTNAME: Venbrook OC Cert Desk <br /> Venbrook Insurance Services PHONE FAX <br /> 16818 Von Karman Avenue E 949 652-6321 AIC No): 949 652-3980 <br /> E-MAIL <br /> Suite 180 Dn Ess; certificates venbrook.com <br /> Irvine, CA 92606 INSURERS AFFORDING COVERAGE NA1C0 <br /> www.venbrook.com CA Lic No.OD80832 INSURER A: Fifthy and Guaranty Insurance Company 35386 <br /> INSURED INSURER B: Travelers Property Casualty Co of Amer 25674 <br /> Monument ROW INSURERC: Underwriters at Lloyds of London 15642 <br /> 8 Cobblestone Court <br /> Laguna Niguel CA 92677 INSURER D; Scottsdale Insurance Company 41297 <br /> INSURER E: Travelers Excess and Surplus Lines Co 29696 <br /> INSURER F: Travelers Casualty and Surety Co of Amer 31194 <br /> COVERAGES CERTIFICATE NUMBER: 90723123 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 /> I POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD ADDLSUBR POLICY NUMBER MM�D�mYY) (MMJDI3rrVrYYJ LIMITS <br /> A j COMMERCIAL GENERAL LIABILITY ,/ �/ BIPB87235012642 4/23/2026 4/23/2027 EACH OCCURRENCE $1 000 000 <br /> CLAIMS-MADE DAMAGE TO RENTED <br /> ✓ OCCUR PREMISES Ea occurrence $1 000 000 <br /> MED EXP(Any one person) $1 D 000 <br /> PERSONAL&ADV INJURY $1 000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY PE° LOC PRODUCTS-COMPIOPAGG $2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY BIPB87235012642 4/23/2026 4/23/2027 2 BINEDSINGLELIMIT $1 OOD000 <br /> ANY AUTO BODILY INJURY(Per persor) $ <br /> OWNED SCHEDULED AUTOS ONLY AUTOS {BODILY INJURY Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> ✓ AUTOS ONLY AUTOS ONLY Per accident $ <br /> $ <br /> B UM13RELLALIAB �/ OCCUR CUPB87346072642 4/23/2026 4/23/2027 EACH OCCURRENCE $5 OOD 000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $5 00O 00O <br /> DED F RETENTION$ $ <br /> $ WORKERS COMPENSATION ✓ UB-2Y352892-26-42-G 4/23/2026 4123/2027 I/ STATUTE ERH <br /> AND EMPLOYERS'LIABILITY y/N <br /> OFF CERMEMB REXCLU ED7 ECU7IVE � N!A E.L.EACH ACCIDENT $1 DOD OOO <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $1 000 0 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 <br /> C Professional liability(Claims Made) MPL444730626 4/23/2026 4/23/2027 $3,000,000 Each Claim/Aggregate Limit <br /> D Professional Liability(Excess) EKS3619329 4/23/2026 4/23/2027 $3,000,000 Each Claim/Aggregate Limit <br /> E Cyber Liability CYBI0809647301 7/24/2025 7/2412026 $2,000,000 Agg 1$2,000,000 Occ <br /> F Crime 108082890 7/1/2025 7/1/2026 $25 0001$2 500 ded <br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES IACORD10,Additional Remarks Schedule,maybe attached If mare space is required) - <br /> RE:The City Of Santa Ana,its Officers,employees,agents,and representatives are named as Additional Insured in respects General Liability, <br /> Primary/Non-Contributory and Waiver of Subrogation apply in favor of the Additional Insured when required by written contract. <br /> 30 Day Notice of Cancellation per policy provisions.Subject to policy terms,conditions and exclusions, <br /> APPROVED <br /> By Tu Tran Nguyen-at 9.35-am,-IHay-20;102$- <br /> CERTIFICATE HOLDER CANCELLATION <br /> City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza, 4th Floor <br /> Santa Ana CA 92701 AUTHORIZEDREPRESENTATIVE <br /> Jamie 5hetzer <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 90723123 12026 GL, HNO, DM6, WC PL I Leticia Martinez 15/22/2026 1:17;50 PM (PDT) I Page 1 of 11 <br /> This certificate cancels and supersedes ALL previously issued certificates. <br />