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Digitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />ACC J?ElCERTIFICATE OF LIABILITY INSURANCE DATE
<br />g1/19 /2022
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFDRMATllE)N ONLY AND CONFERS NO RIGHTS UPON THE CERMFICA E 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) midst 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. CONTACT Victoria L Smith-NJAME_
<br />Yergey Insurance Services, LLC PHONE (55711�319tit �^ FA
<br />877)418-5422
<br />_.
<br />E MANL
<br />5941 Parsons Lane E� victoria a�erg 'n �rao
<br />King George. VA 22485.2434 INSURER@ AFFORDNG COVERAGE NAIL is
<br />INSURER A ACE RreUnderwr'itersinsurance Company _ 20702
<br />INSURED INSURER B
<br />Four Star investigations, LLC INSURER c __...__.._...
<br />400 N "Tustin Avenue INSURER D
<br />Suite 401 INSURER I— ,�._... .. ......._.�___._._._ ..�... _..._._..m.,..._,.m
<br />Santa. Ana CA 92705 INSURER
<br />r^%/r0Arec r OTICIreTc MIIIRAMCQ, r3l=ttNralflSMtl NIIIVIRII::R•
<br />THIS IS TO CERTPF'Y THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 TC '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 />_..— _ _.........m..-.
<br />�NSR TYPE OF INSURANCE', ADDL SUBR POLICY NUMBER MO DDI EFF POLICY EXP LIMITS
<br />LIEh
<br />COMMERCIAL GENE RAIL LIABILIV
<br />EACH OCCuRREN(d ,E
<br />$ 4,000,000
<br />CILAMAS-MADE X OCCUR
<br />'..
<br />PRIDO aES(Ea
<br />$ 100,000
<br />toED EXP ¢A,y ane pe« son)
<br />$ 5,000
<br />_ .._...
<br />A
<br />Y
<br />Y
<br />SPIG28990649003
<br />05/13/2021
<br />05/13/2022
<br />PERSONAL S, ADy uI'A,IUR`A
<br />$ 4,000,000
<br />GEN'LAOGREGXfFLRM4APPLIES PER
<br />GENERAL AGGREGATE
<br />"$ 4,000,000
<br />PRCk- 4 .
<br />P'C71 VC k ,AECT'
<br />PRODUCTS COMiVPAOP AGG
<br />$ 4 000 000
<br />OTHER.
<br />D'eductit;leRetentIcsn
<br />$ 0/NIL
<br />AU MOBILE LIABILITY
<br />COMBINED
<br />M�l�P��TDISiIrksLE LGrP1T...,...:
<br />$. 1,000,000 _.....
<br />ANY ALIT`O
<br />BODILY 8NJURY (Per person
<br />$
<br />A
<br />Ow'E SCHEDULEDBODLY
<br />�
<br />Y
<br />Y
<br />SPIG28990649003
<br />D5/13�022
<br />INJURY (Per acc�er4t)�
<br />$i
<br />NON-0 NED
<br />H�RErT, ONLY AUTO b Pofi ED
<br />PROPERTY FRTY DAMAGE
<br />--'--
<br />$
<br />AYIREDT05 ONLY �
<br />Rere,:reorot
<br />$
<br />UMBRELLA LIAR
<br />OC;GUR
<br />EACH I'AC 4ERRE',rvC F
<br />E'ArCESSLIAB
<br />C1LAlES-N AIE.',
<br />AGLIRECAT'E.
<br />5
<br />R -T NTQN S
<br />WORKERS COMPENSATION
<br />PErt OTH_.
<br />T IT ERR
<br />ANDEMAtPLOYERS`LIABILITY Y
<br />ANY F+�#+"�rrRlE'"C,AR,tARTNFR.L ECUTI (-'�
<br />LDRcICEIRMEM ER EXC.B UD, E'LD
<br />N d A
<br />E L MACNiACYC'I$4ENT
<br />$
<br />_
<br />(mandatory in NH)E
<br />4. DISEASE - EA EMPLOYEE
<br />S
<br />E L DVSEPSE - POUC°( LPIff
<br />�... ..
<br />$
<br />'Ityes, de3cnbo a ndw
<br />DES'C.RIRTEON OF OPERATUONS bf,,4 sr
<br />A
<br />Professional LIabllity /
<br />Y
<br />Y SPIG28990649003
<br />05/13/2021 05/1312022
<br />Occurrence
<br />$4„000,000
<br />Errors and Omissions
<br />Aggregate
<br />$4 000,000
<br />DESCRIPTION OF OPE'RA"nONS A LOCATIONS I VEHICLES ACORD 101, AdditionsI Remarks Schedule, may be attached if more apace Is reg%cred)
<br />City of Santa Ana, its officers, officials, employees, and volunteers are named as an Additional Insured Wath endorsement 1BOP45230 under the above policy
<br />number.
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Fax: Email:
<br />• R `r 10
<br />SHOULD ANY OFTHE ABOVE, DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATNON DATE THEREOF, NOMCE WILL BE DELIVERED NMI
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AU THORIZE7PRESENTA TIVE
<br />µ Rie4tI4viagt:l7adDlMsian
<br />CA 92701 a e\°= RE L1,11ED & ,0VPRDVED 8Y:
<br />01988-20'15, ACORD 'C ,
<br />The ACORD name and logo are registered marks of ACORD �_ ram' Risk Management Analyst
<br />
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