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ACCAi CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDOIYYYY) <br />05/20/2022 <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 Priscilla Ramirez <br />NAME: <br />Winton Ireland Strom & Green <br />(209) 667-0995 FAX (209) 667-7142 <br />AHCNE Ext : No <br />LICerse°# 0596517 <br />E-MAIL ramirez wis <br />p �'Com <br />ADDRESS: <br />P.O. Box 3277 <br />INSURERS) AFFORDING COVERAGE <br />NAIC # <br />Turlock CA 95381 <br />INSURERA: Travelers Casualty Ins Cc of America <br />19046 <br />INSURED <br />INSURER B: Allied World Surplus Lines Insurance Company <br />24319 <br />Sterling H.S.A., Inc. <br />INSURER C : <br />DBA: Sterling Health Services, Inc. <br />INSURER D : <br />PO Box 71107 <br />INSURER E : <br />Oakland CA 94612 <br />INSURER r <br />COVERAGES CERTIFICATE NUMBER: zuzz 6LIE&(3lCyberlAUto/ REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW KAVE 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 <br />LTR <br />TYPE OF INSURANCE <br />INS[) <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MMfDDIYYYY <br />POLICY EXP <br />MMIODIYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 2.000,000 <br />� <br />DAMA E T R <br />PREMISES occurrence <br />S 300,000 <br />CLAIM&MADE OCCUR <br />MED EXP (Any are person) <br />S 5.000 <br />PERSONAL&ADV INJURY <br />S 2.000,000 <br />A <br />Y <br />680OR423616 <br />05/1412022 <br />05/14/2023 <br />G ENL <br />AGGREGATE LI MIT APPLIES PER: <br />GENERAL AGGREGATE <br />S 4.000,000 <br />POLICY a PRO- ❑ <br />JECT LOC <br />PRODUCTS-OOMPIOPAGG <br />S 4,000,000 <br />S <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />S Included in GL <br />Ea accident <br />BODILY INJURY(Per person) <br />S <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />680OR423616 <br />05/1412022 <br />05/14/2023 <br />BODILY INJURY IPer accident) <br />S <br />X <br />HIRED IXNON-OWNED <br />PROPERTY DAMAGE <br />$ <br />AUTOS ONLY AUTOS ONLY <br />Per aceitlenl <br />$ <br />UMBRELLA LIAB <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />DED I I RETENTION S <br />$ <br />WORKERS COMPENSATION <br />X aRH <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE <br />E.L. EACH ACCI❑ENT <br />$ 1,000,000 <br />A <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />STWC352048 <br />05/14/2022 <br />05/14/2023 <br />E.L DISEASE - EA EMPLOYEE <br />$ 1,000,0fl0 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />I <br />EL DISEASE - POLICY LIMIT <br />5 1,000,0fl0 <br />Cyber Limit: <br />$1,000,000 <br />IProfessional E&O Liability <br />C: Cyber Liability l Data Breach <br />P00100012245403 <br />05/14/2022 <br />05114t2023 <br />E&O Limit: <br />$2,000.000 <br />DESCRIPTION Or OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability <br />arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work <br />Or operations per attached CGD1050494, Primary & Non -Contributory wording applies (Form to Fallow) <br />CERTIFICATE HOI DFR r.ANrFI I ATInN <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 Risk Management Division <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th Fir <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />