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Digitally signed ACOROF CERTIFICATE OF LIABILITY INs4kwye by n IM/DD/YYYY) 05/25/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHW UPON THE CERTIF /.TE , CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWE IIiG �c IZ�c.P22.OJ.2 FTFIIIR'Z� REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ' ' IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Priscilla Ramirez NAME: Winton Ireland Strom & Green FAX A/CNNo Ext : (209) 667-0995 (AIC No): (209) 667-7142 License# 0596517 E-MAIL pramirez wis com ADDRESS: @ g' INSURER(S) AFFORDING COVERAGE NAIC # P.O. BOX 3277 INSURERA: Travelers Casualty Insurance Company ofAmerica 19046 Turlock CA 95381 INSURED INSURER B : Oak River Insurance Company 34630 Sterling H.S.A., Inc., DBA: Sterling Health Services, Inc. INSURERC: PO Box 71107 INSURER D : INSURER E : Oakland CA 94612 INSURER F : COVERAGES CERTIFICATE NUMBER: CL2152552891 REVISION NUMBER: THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL UBR EFF O ICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER M� DD YYYYMLICY DD YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 � DAMAGE ence 300,000 OCCUR PREM SESORENTEEa occur $ _7CLAIMS-MADE MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 A Y 680OR423616 05/14/2021 05/14/2022 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 ❑ PRO ❑ 4,000,000 POLICY JECT LOC PRODUCTS - COMP/OPAGG $ Employee Benefits $ 2,000,000 OTHER: AUTOMOBILE LIABILITY CC?MMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION X AND EMPLOYERS' LIABILITY Y / N STATUTE EORH E.L. EACH ACCIDENT 1,000,000 $ B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA STWC246755 05/14/2021 05/14/2022 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE- EA EMPLOYEE $ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or operations per attached CGD1050494, Primary & Non -Contributory wording applies (Form to Follow) City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Flr Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Risk Mwwgernenf Dhb1an tt REVIEWED & APPROVED BY: ai -- Risk Management Specialist