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TOWNPUB-01 SKURUBA
<br /> ,dâ–ºcoRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 9/24/2025
<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 License#0757776 CONTACT Sara Scheuneman
<br /> NAME:
<br /> HUB International Insurance Services Inc. PHONE FAX
<br /> PO Box 5345 (A/C,No,Ext):(951)779-8534 No):(951)231-2572
<br /> Riverside,CA 92517 E-MAIL Cal-CPU@Hubinternational.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURERA:Continental Casualty Company 20443
<br /> INSURED INSURER B:United Financial Casualty Company 11770
<br /> Townsend Public Affairs,Inc. INSURERC:Oak River Insurance Company 34630
<br /> 1401 Dove St,Ste 430 INSURER D:Lloyd's Syndicate#2623/623
<br /> Newport Beach,CA 92660-2420
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR 8034762328 8/31/2025 8/31/2026 rl DAMAGE TO RENTED 1,000,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY PRO LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000 000
<br /> Ea accident $
<br /> ANY AUTO X 862859129 8/28/2025 2/28/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY X AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident)
<br /> ccident $
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE 8034762331 8/31/2025 8/31/2026 AGGREGATE $ 5,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> C WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> TOWC635486 8/31/2025 8/31/2026 1,000,000
<br /> ANY PROPRIETOR/ R/EXECUTIVE N/A X E.L.EACH ACCIDENT $
<br /> EXCLU
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D Professional Liab. W301DF240401 8/31/2024 9/30/2025 Ret: $5k; EA.Claim 2,000,000
<br /> D Professional Liab. W301DF240401 8/31/2024 9/30/2025 Aggregate 4,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Revised 09/24/2025:This certificate rescinds and supersedes any and all prior certificates issued on behalf of the Named Insured.
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are Additional Insured with regard to the General Liability policy,
<br /> when required by written contract,per the attached endorsement form SB146932G 10/19,Waiver of Subrogation included.Waiver of Subrogation applies to
<br /> the Auto Liability policy,when required by written contract,per the attached endorsement form 2367 06/10.Waiver of Subrogation applies to the Workers
<br /> Compensation policy,when required by written contract,per the attached endorsement form WC990410C 01/19.
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran Nguyen at 9:28 am,Sep 29,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana TU Tran Digitally signed by THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Y Tu Tran Nguyen ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention: PWA-Water Resources Date:2025.09.29
<br /> 220 S Daisy Ave N g u ye n o9:29:o7-m'oo'
<br /> Santa Ana,CA 92703 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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