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<br /> � DATE(MM1DDNYYY)
<br /> A
<br /> 6" CERTIFICATE OF LIABILITY INSURANCE 311012026 i
<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. j
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 I
<br /> this certificate does not confer rights to the certificate holder in lieu of such ondorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Arthur J. Gallagher Risk Management Services, LLC PHONE 312-704-01t)a p Na:312-803-7443
<br /> 300 S Riverside Plaza, Suite 1500
<br /> Chicago IL 60606 n DR11i
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Continental Casualty Company 20443
<br /> INSURED SIBHOLD-01 INSURER B:Phoenix Insurance Company 25623
<br /> Procure America INSURERC:Farmington Casualty Company 41483
<br /> 31103 Rancho Viejo Rd#D2102
<br /> San Juan Capistrano,CA 92675 INSURER D:Travelers Property Pfoperty Casualty Company of America 25674
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1940660979 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 /> INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMI��Y EFF MMlaU�YY LIMITS
<br /> LTR
<br /> B X COMMERCIAL GENERAL LIABILITY H-630-C3204824-PHX-2e 1/1/2026 1/112027 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE I—XI OCCUR PREM SES EaEowurrencs $100,000
<br /> MED EXP(Any one person) $15,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GFN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000.000
<br /> X POLICY❑ PRI LOG PRODUCTS-COMPIOPAGG $2,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY BA-C3 207 9 1 8-261 3-G 1/1/2026 1/112027 COMBINEDSINGLELIMIT
<br /> ccident $1,000,000
<br /> Ea a
<br /> IANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTenYDAMAG£ $
<br /> AUTOS ONLY AUTOS ONLY Per accidt
<br /> 0 X UMBRELLA LIAB X OCCUR CUP-C321461A 1/1/2026 1/112027 EACH OCCURRENCE $10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED I X I RETENTION$ $
<br /> B WORKERS COMPENSATION UB-C3208294-26-13-G 1/1/2026 II/V2027
<br /> AND EMPLOYERS'LIABILITY STATLiTE ER
<br /> YIN
<br /> ANYPROPRTETORIPARTNERIEXECUTiVE ❑ NIA E.L.EACH ACCIDENT $1,000,000
<br /> OFFICERIMEMBEREXCLUDED7
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yea,describe under
<br /> DESCRIPTION OF OPERATIONS helDw E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> A Professional Liability 652490170 1/1/2026 1/112027 ClalmlAggregate $4M14M
<br /> A Cyber Llabilily 652490170 4/1/2026 111/2027 Limit $4,000,000
<br /> Retention $25,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached If more space is required)
<br /> The City of Santa Ana,its officers,employees,agents Volunteers,and representatives are included as additional insureds pursuant to the attached
<br /> endorsement. As noted on the cent,the professional and cyber package includes a 4M per clalmAM aggregate policy limit.
<br /> APPROVED
<br /> By Charlene R. Muro at 3:41 pm,Apr 13, 2026
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn Public Works
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br /> USAa Ana CA 92702
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> f
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD i
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