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RGSIN-1 .4`Co� 20 CERTIFICATE OF LIABILITY INSURANCE OP ID: MIN DA1212312022Y) 1212312022 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 endorsements . PRODUCER 760-471-7116 Alliance Mgt. & Insurance So" 355 Via Vera Cruz #7 CA Agent/Broker Lic# 0737966 San Marcos, CA 92078 Michelle A. Nowell c JACT Michelle Nowell PNONE 760-471-7116 FAX 760-471-9378 AIC, No, Est): A/C, No M S. , mnowell@amiscorp.com INSURERS AFFORDING COVERAGE NAIC q INSURER : Peleus insurance Company 34118 pg WS Investigations & Consulting� LLC PO Box 29798 Anaheim, CA 92809-9798 INSURER B INSURER C: INSURER 0: INSURER E INSURER F : COVERAGES CERTIFICATE NIIMRFR- RFVIRIr1N NI IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 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 TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXPLm LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X PKV0000663 06/19/2022 06/1912023 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTEDic PREMISES Me occurre $ 100000 X MED E%P An one ersan Errors & Omission 5,000 PERSONAL &ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICVE—]jE0 F ]LOC GENERAL AGGREGATE 4,000,000 PRODUCTS - COMP/OPAGG 1,000,000 OTHER: A AUTOMOBILE LIABILITY EOMBINEDSINGLE LIMIT 1,000,000 BODILY INJURY Per arson ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS PKV0000663 06/19/2022 06119/2023 BODILYINJURY Per accident X ParePEF:a'af AMAGE AUT OS ONLY X AUTOS ONLY A UMBRELLA LIAR X OCCUR EACH OCCURRENCE 1,000,000 X AGGREGATE 11000,000 EXCESSLIAB CLAIMS -MADE UMV0000182 06/19/2022 06/1912023 OED I I RETENTION$ WORKERS COMPENSATION ANOEMPLOYERS'LIAeILITY V/NFIR ANY PROPRIETORIPARTNERIEXECUTIVE ❑ FFICEWry NH)MEMBER EXCLUDED? `MandatoIn If Yes, describe under NIA PER OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT A Professional Liab PKV0000663 06/19/2022 06119/2023 Occurence 11000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Santa Ana,its directors, officers employees, and agents, are named . as an additional insured with respects io the work performed by the named insured. Waiver of Subrogation and Primary Wording Applies Investigation, CA -- CERTIFICATE HOLDER CANCFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza,Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702.1988 1 YVC Q � , p 1 I��L-v...�,�- ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD