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DATE (MM/DD/YYYY)
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />01/14/2025
<br />THISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.
<br />THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHE
<br />POLICIESBELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S),
<br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT:IfthecertificateholderisanADDITIONALINSURED,thepolicy(ies)mustbeendorsed.IfSUBROGATIONISWAIVED,
<br />subjecttothetermsandconditionsofthepolicy,certainpoliciesmayrequireanendorsement.Astatementonthiscertificatedoesnot
<br />confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCERCONTACT
<br />NAME:
<br />WHINS INSURANCE AGENCY LLC/PHS
<br />FAX
<br />PHONE
<br />(866) 467-8730
<br />72186575
<br />(A/C, No):
<br />(A/C, No, Ext):
<br />The Hartford Business Service Center
<br />E-MAIL
<br />3600 Wiseman Blvd
<br />ADDRESS:
<br />San Antonio, TX 78251
<br />INSURER(S) AFFORDING COVERAGENAIC#
<br />INSURED
<br />INSURER A :
<br /> Hartford Underwriters Insurance Company30104
<br />Igoe & Company, Incorporated DBA Igoe Administrative Services,
<br />INSURER B :
<br />Incorporated
<br />INSURER C :
<br />10905 TECHNOLOGY PL STE A
<br />INSURER D:
<br />SAN DIEGOCA92127-1811
<br />INSURER E :
<br />INSURER F :
<br />COVERAGESCERTIFICATE NUMBER:REVISION NUMBER:
<br />THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD
<br />INDICATED.NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS
<br />CERTIFICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHE
<br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSRADDLSUBRPOLICY EFFPOLICY EXP
<br />POLICY NUMBER
<br />TYPE OF INSURANCELIMITS
<br />LTRINSRWVD(MM/DD/YYYY)(MM/DD/Y YYY)
<br />COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE
<br />$2,000,000
<br />DAMAGE TO RENTED
<br />CLAIMS-MADEOCCUR
<br />$1,000,000
<br />X
<br />PREMISES (Ea occurrence)
<br />General Liability
<br />$10,000
<br />MED EXP (Any one person)
<br />X
<br />PERSONAL & ADV INJURY
<br />$2,000,000
<br />AX72 SBA BH9RMS02/07/202502/07/2026
<br />$4,000,000
<br />GENERAL AGGREGATE
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRO-
<br />LOC
<br />POLICY
<br />$4,000,000
<br />PRODUCTS - COMP/OP AGG
<br />X
<br />JECT
<br />OTHER:
<br />COMBINED SINGLE LIMIT
<br />AUTOMOBILE LIABILITY
<br />$2,000,000
<br />(Ea accident)
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />ALL OWNEDSCHEDULED
<br />BODILY INJURY (Per accident)
<br />A72 SBA BH9RMS02/07/202502/07/2026
<br />AUTOSAUTOS
<br />HIREDNON-OWNEDPROPERTY DAMAGE
<br />XX
<br />AUTOSAUTOS(Per accident)
<br />OCCUR
<br />EACH OCCURRENCE
<br />$2,000,000
<br />X
<br />UMBRELLA LIAB
<br />X
<br />CLAIMS-
<br />EXCESS LIAB
<br />AGGREGATE
<br />$2,000,000
<br />72 SBA BH9RMS02/07/202502/07/2026
<br />A
<br />MADE
<br />DED
<br />RETENTION$ 10,000
<br />WORKERS COMPENSATIONPEROTH-
<br />AND EMPLOYERS' LIABILITYSTATUTEER
<br />ANY
<br />Y/N
<br />E.L. EACH ACCIDENT
<br />PROPRIETOR/PARTNER/EXECUTIVE
<br />N/ A
<br />E.L. DISEASE -EA EMPLOYEE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />E.L. DISEASE - POLICY LIMIT
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />Each Claim Limit$2,000,000
<br />Employee Benefits Liability
<br />A72 SBA BH9RMS02/07/202502/07/2026
<br />Aggregate Limit$4,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES(ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Those usual to the Insured's Operations. City of Santa Ana, its officers, agents, employees, and volunteers, but only as required by a valid written
<br />contract, agreement, or permit is an additional insured per the Business Liability Coverage Part includes a Blanket Additional Insured By Contract
<br />Endorsement, Form SL 30 32, attached to this policy.
<br />CERTIFICATE HOLDERCANCELLATION
<br />SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLED
<br />City of Santa Ana
<br />BEFORETHEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVERED
<br />Human Resources Department
<br />IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 CIVIC CENTER PLZ
<br />AUTHORIZED REPRESENTATIVE
<br />SANTA ANA CA 92701-4058
<br />CzUvUsboOhvzfobu3;41qn-Gfc15-3136
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD
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