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ACORO° CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />06/28/2024
<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 />Bannister & Associates Insurance Agency
<br />CA License #OL78680
<br />CONTACT
<br />NAME: Jonathan Severson
<br />PHONE FAX
<br />A/c No Ezt: 536-6086 A/C,No: (714) 536-4054
<br />_(714)
<br />E-MAIL
<br />ADDRESS: ,-j0
<br />a
<br />305 17th Street
<br />Huntington Beach CA
<br />Angie
<br />INSUR (S) AFFORD G COV AGE
<br />AIC #
<br />INSURER A:CC tAtMpN7p4n Company
<br />20443
<br />INSURED
<br />Townsend Public Affairs, Inc.
<br />INSURER B:UiiLZd Financial Casualty Co
<br />11770
<br />��� ```
<br />INSURER C : Jak ' N 'may -r
<br />1401 Dove Street, Suit 0
<br />INSURERr:Leazley In.-_ance Company
<br />37540
<br />INSU2Er.E:
<br />wp Ne ort Beach CA 92660� e e v e O
<br />INA".ERF:
<br />(949) 399-9050
<br />COVERAGES RH CERTIFICATE NUMBER: Cert ID 14363 (271) 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />I
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1 , 000 , 000
<br />CLAIMS -MADE 1XI OCCUR
<br />Y
<br />Y
<br />B 6074573557
<br />08/31/2024
<br />08/31/2025
<br />DA
<br />PREM SES Ea oNcur ence
<br />$ 300, 000
<br />MED EXP (Any one person)
<br />$ 10 , 000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY PRO �
<br />El JECT LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1, 000 , 000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />B
<br />ANY AUTO
<br />Y
<br />972631650
<br />08/29/2024
<br />02/28/2025
<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 />A
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />B 6074573560
<br />08/31/2024
<br />08/31/2025
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION$ 10,000
<br />$
<br />WORKERC AND
<br />AND EMPLOYERS' LIABILITY
<br />EMPLOYERS' YIN
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />Y
<br />TOWC532707
<br />08/31/2024
<br />08/31/2025
<br />X STATUTE EERPER H
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />(Mandatory in NH)
<br />NIA
<br />E.L. DISEASE- EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Professional Liability
<br />W301DF240401
<br />08/31/2024
<br />08/31/2025
<br />Limit (each
<br />claim):
<br />g 2,000,000
<br />incl Personal/Adv injury
<br />Retention: $5,000
<br />Limit (aggregate):
<br />$ 4,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Santa Ana, its officers, agents, employees, and volunteers are named as additional insureds
<br />with respects general and auto liability policy limits. Primary and non-contributory wording
<br />applies with respects general and auto liability policy limits. Waiver of subrogation applies with
<br />respects general and worker's compensation policy limits. 30-day notice of cancellation for
<br />underwriting reasons and 10-day notice of cancellation for non-payment of premium will be sent in
<br />the event of company election.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF. NOTICE WILL RIF DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PRC
<br />City of Santa Ana
<br />Risk Management Division %skManaganentDMsbn
<br />20 Civic Center Plaza, AUTHORIZED REPRESENTATIVE a�'� REVIEWED& APPROVED BY.
<br />4th Floor 1 �Iw¢Aar'Zy{o
<br />Santa Ana CA 92701 ®' Risk Management Specialist
<br />© 1988-2015 ACORD
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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