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79/5/2025
<br /> E(MM/DD/YYYY)
<br /> A�" 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 endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Marsh &McLennan Agency LLC PHONE FAX
<br /> Marsh &McLennan Ins.Agency LLC vC No Ext: A/C,No:
<br /> E-M1 Polaris Way#300 ADDRESS: occerts@marshmma.com
<br /> Aliso Viejo CA 92656 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#:OH18131 INSURERA: National Casualty Company 11991
<br /> INSURED ALLCITYMAN INSURERB: Lexington Insurance Company 19437
<br /> All City Management Services, Inc.
<br /> 11643 Telegraph Rd INsuRERc:AXIS Surplus Insurance Company 26620
<br /> Santa Fe Springs, CA 90670-3656 INSURERD:Westchester Surplus Lines Insurance Co 10172
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1986752662 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 POLICY NUMBER MM/DD MM/DD
<br /> B X COMMERCIAL GENERAL LIABILITY Y Y 020744001 6/15/2025 6/15/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE � OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $100,000
<br /> X 750,000 MED EXP(Any one person) $
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: Abuse&Molestation $Included
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
<br /> Ea accident
<br /> 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 UMBRELLA LIAB X OCCUR P00100118039403 6/15/2025 6/15/2026 EACH OCCURRENCE $3,000,000
<br /> X EXCESS LAB CLAIMS-MADE AGGREGATE $3,000,000
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION Y WCC334410A 1/1/2025 1/1/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE FN] N/A E.L.EACH ACCIDENT $1,000,000
<br /> OFFICE R/M EMBER 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 /> D Excess Layer G72535522005 6/15/2025 6/15/2026 AGGREGATE $6,000,000
<br /> Abuse&Molestation Included
<br /> EACH OCCURRENCE $6,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> City of Santa Ana,officers,agents,employees,and volunteers are included as additional insured as respects to General Liability per attached endorsement.
<br /> Primary and Non-Contributory Wording applies per attached endorsement.Cancellation provisions apply per the attached. Umbrella follows form.Waiver of
<br /> Subrogation applies to General Liability and Workers Compensation per attached endorsements.
<br /> Digitally signed
<br /> Tran I ran by Tu Tran
<br /> Nguyen
<br /> NguyeDate:2025.09.08 APPROVED
<br /> n 07:39:57-07'00'
<br /> By TO Tran Nguyen at 7.25 am,Sep 08, 202
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana
<br /> 20 Civic Center Plaza, 4th Floor AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701-0000 � 9"% '
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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