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STAGPLU-01 KADIRISAI �►co�ro CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) `.�• 8/1 /2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER T es E: 155 Property s CasuaAngi ^ I g l a N FAX 1551 North Tustin Ave C (A/c, No, Ext): (914) 712-6260 (A/c, No): Suite 500 by q n SS: sarah.humes@nfp.com Santa Ana, CA 92705 INSURED Stage PILA, InA. v P.O. Box 11060 Santa Ana, CA 92711 ERA:Ohio Security Insurance Com an 24082 INSURER B -American Fire and Casualtv ComDanv 24066 Date: INSURERC: 2024. rnVFRAr,FC CFRTV-IC' rF NIIMRFR'1 /1_'1 I—_'1 A r%71r%r%I RFVICI(1N NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIF S 1 .- INSURANCE ATM'BL4NAA1BEWqfSSY THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X X BKS58241997 7/29/2023 7/29/2024 DAMAGE TO RENTED PREMISES Ea occurrence 500 000 $ MED EXP (Any oneperson) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PELT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE ccident Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS -MADE X ESA64850012 7/29/2023 7/29/2024 AGGREGATE $ 2,000,000 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Project Number: A-2022-046-01. The City of Santa Ana, its officers, officials, employees, volunteers and affiliate are named Additional Insured as respects to General Liability including Completed Operations. This insurance is primary and non-contributory with any other insurance of the additional insured, so long as a written contract or 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 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. Umbrella is Follow Form. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREO ACCORDANCE WITH THE POLICY PRC Risk>f�anagvmentDMslcrn AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD The ACORD name and logo are registered marks of ACORD f e °' REVIEWED & APPROVED BY: e MWIP Risk Management Specialist