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CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/13/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 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 Aon Risk Services Central, Inc. Chicago IL Office CONTACT NAME: (A/C. o. Ext): C312) 381-1000 C No : (312) 381-1000 E-MAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIC ft INSURED INSURER A: Scottsdale Ins Company 41297 Burke, Williams & Sorensen, LLP 444 South Flower St., Ste 2400 Los Angeles CA 90071-2953 USA INSURERB: Westfield specialty Insurance Comp 16992 INSURERC: Evanston Insurance Company 35378 INSURER D: Endurance American Specialty Ins Co. 41718 INSURERE: Ironshore specialty Insurance Company 25445 INSURER F: COVERAGES CERTIFICATE NUMBER: 570091298478 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE ❑OCCUR PREMISES Ea occurrence MED EXP (Any one person) PERSONAL& ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY ❑PRO - JECT El LOC PRODUCTS - COMP/OP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY ( Per person) ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HI RED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE DED RETENTION WORKERS COMPENSATION AND PER STATUTE I OTH- EMPLOYERS' LIABILITY Y/ N ER E.L. EACH ACCIDENT ANY PROPRIETOR / PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT A Lawyers Prof LWS0003997 01/15/2022 01/15/2023 Per Occurrence $5,000,000 D LPN30015160400 01/15/2022 01/15/2023 Aggregate $10,000,000 C MKLV7PL0005109 01/15/2022 01/15/2023 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Deductible: $350,000 Each Claim, $700,000 in the Aggregate and $50,000 step -Down, including defense costs Non -cancelable policy except for non-payment Claims Made Policy a� 00 r` v on on on 0 0 O Z O R V U CERTIFICATE HOLDER CANCELLATION 5n SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 USA c �_ RAMwaganerdDMsIan }� R�EWED & APPROVED SY:ACORD ©1988-2015 ACORD CO k v 25 (2016/03) The ACORD name and logo are registered marks of ACORD , • Risk Mtanagement Analyst