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78/14/2024
<br /> (MM/DD/YYYY)
<br /> A`oRo° CERTIFICATE OF LIABILITY INSURANCE
<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 endor—ment(s).
<br /> PRODUCER CONTACT
<br /> McGriff Insurance Se s L • PHONE Susie Gu
<br /> 150 S. Warner Road, ui 4 A/c No E: .1 61 - 3 - No):
<br /> King Of Prussia PA 1 tig i
<br /> e ADDRESS: usa uarino@ griff.co
<br /> _ (S IN X tj NAIC#
<br /> INSURER : N Onal nI ire ns o ol P151TA 19445
<br /> INSURED 151LAZKARP INSUREr a:AILr'&Auranc Compa 19399
<br /> LAZ Parking CalifornAcevedo �-'--URERE:
<br /> 1200 Wilshire Bld., S INSUR rtc:Alli z -US r n 35300
<br /> Los Angeles CA 900I <ee.u:
<br /> _ ASURER F
<br /> COVERAGES CERTIFICATE NUMBER:118681 E 5c, 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 EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 3609369 7/31/2024 7/31/2025 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $1,000,000
<br /> X 1,500,000 MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY� PRO- � LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY Y Y 3135687 7/31/2024 7/31/2025 COMBINED SINGLE LIMIT $5,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED FIR ER DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> L $
<br /> C X UMBRELLALIAB X OCCUR SEE SCHEDULE 7/31/2024 7/31/2025 EACH OCCURRENCE $100,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $100,000,000
<br /> DED RETENTION$ $
<br /> B WORKERS COMPENSATION Y 14111734 7/31/2024 7/31/2025 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> A Garage keepers Liability Y Y 3135687 7/31/2024 7/31/2025 11000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> If agreed upon in a written contract or agreement,City,its officers,employees,agents and representatives are included as an additional insured for general
<br /> liability, but only with respect to the operations of the named insured. This insurance is primary and non-contributory to the additional insureds if agreed upon in
<br /> a written contract or agreement. Re: City of Santa Ana Parking Enforcement Services
<br /> CERTIFICATE HOLDER CANCELLATION
<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, Risk Management Division ACCORDANCE WITH THE POLICY PRC
<br /> 20 Civic Center Plaza ;%orz,�F RAMampmentDMs[an
<br /> Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE x R�EWED&APPROVED
<br /> USA °1 HILL: A AaN44
<br /> ®`
<br /> 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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