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SCOTFAZ-01 MCCOWANA
<br />AC`ORO" CERTIFICATE OF LIABILITY INSURANCE FDATE TE{MMIDDIYYYY)
<br />�� 5123/2024
<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.
<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 conditior a of allc , Get in cies mayre wire an end ement A statement on
<br />this certificate does not confer rights to the certificate holder In lieu A su h nnon
<br />PRODUCER License # OES7768
<br />IOA Insurance Services PHONE FAX
<br />3636 Nobel Drive AIc, No, Ent) 619) 788-5795 50206 AIC,No):(619) 574-6288
<br />Suite n a e i a.com
<br />San Diego, CA 92122
<br />IN R 5 AFFORDING COVERAGE NAIC #
<br />INSURED
<br />Scott Fazeft 81 Associates, Inc. INL IER C :
<br />I Corpora rk
<br />Irvine,
<br />e v e o
<br />ine,
<br />E
<br />C 6
<br />INSURER F :
<br />nnV=0AnGc
<br />P'COTICMr ATC uI IV1Cr . A �% A
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSUP iNCr LISTED BELOW INMIJIAMIJUE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMEN ,-, T_RM 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
<br />I TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXPLTR
<br />IMMIDDffYYYI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE [X] OCCUR
<br />X
<br />PSB0003027
<br />615/2024
<br />61512025
<br />EACH OCCURRENCE
<br />S 1,000,000
<br />DAMAGE TO RENTED
<br />1,000,000
<br />X
<br />MED EXP An one rsan
<br />10,000
<br />Cont Liab/Sev of Int
<br />PERSONAL&ADV INJURY
<br />$ 1,000,000
<br />GENL AGGREGATE LIMIT APPLIES PER
<br />POLICY [K JECT El LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS - COMPIOP AGO
<br />$ 2,000,000
<br />Ded
<br />$ 0
<br />OTHER
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE L{MIT
<br />1,000,000
<br />BODILY INJURY Per person
<br />$
<br />ANY AUTO
<br />PSB0003027
<br />615/2024
<br />6/612025
<br />130DILY 4NJURY Per accident
<br />$
<br />OWNED SCHEDULED
<br />AUTO�S ONLY AUTOS
<br />X
<br />PepaccRAMAGE
<br />Qent
<br />$
<br />p
<br />AUETOS ONLY Ix AUTO OSIyry Y
<br />X
<br />Ao G . Owned
<br />A
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />EXCESS LIAll
<br />CLAIMS -MADE
<br />PSE0001119
<br />615/2024
<br />615/2025
<br />DED I X I RETENTIONS 0
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORlPARTNERlEXECUTIVE YIN
<br />OFFICERIMIEMBER EXCLUDED?
<br />(Mandatary In NH)
<br />If yes descnbe under
<br />DESCRIPTION OF OPERATIONS below
<br />N 1 A
<br />PSW0001945
<br />615/2024
<br />6151202$
<br />X PER OTH-
<br />TAT T
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />E_L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />11000,000
<br />$
<br />B
<br />Professional Liab.
<br />MCH288352513
<br />615/2024
<br />61512025
<br />Per Claim
<br />2,000,000
<br />B
<br />Ded.: $20k Per Claim
<br />MCH288362613
<br />6/612024
<br />6/512025
<br />Aggregate
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />Re; All Operations
<br />City of Santa Ana, its officers, employees, volunteers, representatives and agents are Additional Insureds with respect to General Liability per the attached
<br />endorsement as required by written contract
<br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions..
<br />IN
<br />ACCORDANCE WITH THE POLICY PROVISInufi
<br />City of Santa Ana
<br />Attn: Risk Management Divisor
<br />20 Civic Center Plaza, 4th Floor
<br />� x
<br />Risk Management Diviailm
<br />1dEVIEWED & APPROVED BY:
<br />AUTHORIZED REPRESENTATIVE
<br />7— ���
<br />Santa Ana- A 92702
<br />t� Aawdo
<br />ACORD 25 (2016103)
<br />©1988-201$ ACORD C
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
<br />The ACORD name and logo are registered marks of ACORD
<br />
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