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STAGPLU-01 SUHASNARAYAN <br />d►c , CERTIFICATE OF LIABILITY INSURANCE <br />�� <br />DATE(MM/DD/YYYY) <br />8/8/2024 <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 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 endorsement(s). <br />PRODUCER <br />CONTACT C it ah Humes <br />NAME: <br />(A//CNNo, Ex1 (911 <br />7 <br />NFP Property & Casualty Sery Inc. <br />1551 North Tustin Avenue <br />Suite 500 <br />E-MAIL s Ir�h. <br />ADDRESS: <br />Santa Ana, CA 92705 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURERA:f 1iObqwvy I u • n 2 <br />INSURED 00 <br />INSURERB' f,r1.! n Ir n m a 4 WfiU 1, <br />Stage Plus, Inc. <br />INSURER( <br />+1REF isSanta <br />• S. <br />P.O. Box 11060 <br />Ana, CAUl <br />COVERAGES B"` C&RTIFI TE NU&1R: T' IL l IL 1 -1 -% _ ^ MV;91O1`1 MUMBLR 11 ^ /11 <br />THIS IS TO CERTIFY Y <br />INDICATED. CH THIS <br />NOTW NOTWITHSTANDING ANY REQUIREMENT, TERMI OR CONS TIC` , OF ANY CONTR CO �O E OT-U E T WITCH RESPECT T W <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE / FFr.<DED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAl hr•VE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE X OCCUR <br />X <br />X <br />BKS58241997 <br />7/29/2024 <br />7/29/2025 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />500 000 <br />$ <br />MED EXP (Any oneperson) <br />$ 15,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENT <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />X <br />POLICY PRO LOC <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />CMBINED SINGLE LIMIT <br />EaOaccident <br />1,000 000 <br />$ <br />X <br />BODILY INJURY Perperson)$ <br />ANY AUTO <br />BAS64850012 <br />11/29/2023 <br />11/29/2024 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />B <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />ESA64850012 <br />7/29/2024 <br />7/29/2025 <br />AGGREGATE <br />$ 2,000,000 <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />N / A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Project Number: A-2022-048. <br />City of Santa Ana, its officers, officials, employees, volunteers and affiliate are named Additional Insureds as respects to General Liability including <br />Completed Operations. This insurance is primary and non-contributory with any other insurance of the additional insured, so long as a written contract or <br />agreement to such exists prior to a loss. A Waiver of subrogation in favor of the additional insured applies as respects to General Liability coverage so long <br />as written contract or agreement exists as per attached endorsements CG 88 10 04 13 and CG 20 37 04 13. 30 days' notice of cancellation applies. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREO <br />City of Santa Ana ACCORDANCE WITH THE POLICY PRC <br />20 Civic Center Plaza =;"orz,"�E RAManagmumtDMs(an <br />Santa Ana, CA 92702 REVIEWED & APPROVED BY. <br />AUTHORIZED REPRESENTATIVE <br />�/q <br />r"I Aavdo <br />—mm,� Risk Management Specialist <br />ACORD 25 (2016/03) © 1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />