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A-2020-186-01 Anie UlylLdilyslyneLl
<br />CERTIFICATE OF LIABILITY INSURANCEby An 12DATE (M11202YYY)
<br />_ oa/n/zozz
<br />THIS ATE IS
<br />AS A MATTER OF
<br />ON ONLY AND
<br />NFERS NO
<br />GHT
<br />CERTIIFICATECDOES NOT AFFIRMATIVELY VE Y OR NEGATIVELYIAM ND, EXTEND OOR ALTER HIE Ct7VERAGE-A DAD'=6 BYJFQOL CIESIS
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSJRErttJ6�,. ffy2D
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDnTONAL IN317,4D provi
<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 1 CONTACT Customer Service Team
<br />NAME:
<br />o.
<br />Preferred American Insurance vNC. N , (888) 745-0002 A No: (888) 834-0006
<br />P.O. Box 79498 Erne«, customerserviceapreferredamerican.com
<br />Corona CA 92877
<br />INSURERA: Colony Insurance Company
<br />39993
<br />INSURED
<br />TSG Enterprises, Inc.
<br />dba: The Solis Group
<br />3462 E. Foothill Blvd, Suite 200
<br />Pasadena CA 91107
<br />INSURERS: Travelers Casualty Insurance Company of America
<br />19046
<br />INSURER C : Colony Insurance Company
<br />39993
<br />INSURER D : Sinus America Insurance Company
<br />38776
<br />INSURER E : Underwriters at Lloyds of London
<br />32727
<br />INSURER F:
<br />GnVFRAGFR r.PPTIFICATF MI IMRFR- 22-23 Renewal Carts Revlclntd nu liumc R.
<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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 />ADOL
<br />IN D
<br />SUIJK
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MM/DO
<br />LIMITS
<br />x
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE 7X OCCUR
<br />PREMISES Ea occurrence
<br />$ 100,000
<br />MET, EXP Any one parson)
<br />$ 5,000
<br />PERSONALBADVINJURY
<br />$ 1,000,000
<br />A
<br />Y
<br />600GL0005702-12
<br />08/20/2022
<br />08/20/2023
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />POLICY [g SM F LOC
<br />PRODUCTS -COMP/OPAGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLELIMIT
<br />$ 1,000,000
<br />Ea accident)
<br />X
<br />BODILY INJURY Per person)
<br />$
<br />ANYAUTO
<br />g
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />Y
<br />BA-BN613360-22-42-G
<br />OW20/2022
<br />08/20/2023
<br />BODILY INJURY (Per accident)
<br />$
<br />!�
<br />HIRED NON -OWNED
<br />P
<br />PROPERTY DAMAGE
<br />$
<br />AUTOS ONLY AUTOS ONLY
<br />Per accident)
<br />Uninsured motorist
<br />$ 1,000,000
<br />UMBRELLA LIM
<br />OCCUR
<br />���W6C'--U "•a'-CE' -
<br />EACH OCCURRENCE
<br />4,000,000
<br />$
<br />AGGREGATE
<br />$ 4,000,000
<br />C
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />XS4282270
<br />08/20/2022
<br />08/20/2023
<br />DED RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />PER OTH-
<br />ANDEMPLOYERS'LIABILITY YIN
<br />X STATUTE Eft
<br />E.L. EACHACCIDENT
<br />$ 1,000,000
<br />D
<br />ANY PROPRIETORIPARTNER/EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />NIA
<br />WC2520502
<br />01/01/2022
<br />01/01/2023
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory In NH)
<br />If yes, deacdbe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />Aggregate Limit:
<br />$2,000,000
<br />Professional Liability (E&0)
<br />E
<br />PSL0039504347
<br />08/20/2022
<br />08/20/2023
<br />Per Claim Limit:
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insured as required by written contract.
<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 />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92701 \rJ.,. ,,.=ar,.yE 1Mautgn adIDMdon REVIEWED &APPROVED BY.
<br />-
<br />©1988-2015 ACOF Rp "44
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD®
<br />Risk Management Spedalist
<br />
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