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SEDAINC-01
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDD(YYYYI
<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)r AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliey(fes) must have ADDITIONAL INSURED provisions or bo 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 Ileu of such endorsemont(s).
<br />PRODUCER te r=^b1 ty,aay uoa vujm
<br />NFP Property & Casualty Services, Inc. 1 PHONE
<br />1951 North 7ustln Avenue l c, No, gxtj:S714�617.2327
<br />l ss: mar cary
<br />Saito 500 �iz�r�._._._...........�! ;�.�.�...a aln..
<br />Santa Ana, CA 92705
<br />INSURED j tNSURE,6 ,11dCiTOrg egosgqtjt Sriq inggAit"Etty t;o Zd3t)f
<br />Sodaru, Inc. I IN URERC Admiral Insurance Company 2485E
<br />IQ Modeling
<br />168 F. Arrow Hwy, Suite 101 114A jNSURE D
<br />San Dimas, CA 91773 IrlsuSER E!_.._...._....__ ------- _.._____
<br />COVER„ �E� CERTIFICA ,C 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 />INDICATFD, 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 18 SUBJECTTO ALL THE TERMS,
<br />E_KCLUSfONS AND CONDITIONS OF SUCH POLICIES. LIM TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />)NSR.
<br />._...___.. TYPE OPiNSCIRAiuCi: W �.J.i,ADULSU3Ai�
<br />T MD
<br />..•.V,•.�aC1LiGYNUMBER POL10YEFF
<br />POLICYFXP
<br />_
<br />t,IMlr3. ...._......,......
<br />A l
<br />X CQ€NMERCIALCaENERALLIABILITY
<br />1
<br />I
<br />1
<br />EACH CC-,VRRENCE
<br />1>tiilil�l�tl i'
<br />DAMjSFS 3Pat�rE
<br />F.MI;3ESjF.e�nr.��.._.,.,..._
<br />1,ti00,000
<br />r
<br />CLAwsu-ZE I� OCCUR
<br />I
<br />x
<br />x
<br />�72SSASA0623 = 0110612018
<br />I
<br />01106120i9
<br />10,000
<br />PERSONAL s ADV INJURY
<br />1,000,000
<br />G G(-RE[ RATE LIM17 APPLIES PER:
<br />GENERAL AG RELATE
<br />2,000,000
<br />pEo LOC
<br />X[PI
<br />PRODUCT5-CO_MPIGPAGG
<br />2,000,000
<br />.i,„....__.
<br />AUTOMOBILE L€ABILITY
<br />I
<br />i w
<br />W�
<br />[ CQMRINCI7 SINGLE LIMIT...„�,.�QI)r�dil
<br />3C ANY AUTO
<br />x
<br />x
<br />72UECPX8358 01/0612018
<br />0110012019
<br />BODILY IAJLIRY (Per p3rsa91
<br />J_
<br />OwnIED SCHEDULED
<br />ALt�r��OS.ONLY AUTQS
<br />BbDILY INJURY_Per accldenl
<br />fI
<br />50
<br />A!JTQ,S ONLY _ NIU)V yyN Lp
<br />f �acc dsnt AMAGC
<br />A
<br />E
<br />UMBRELLA LIAR X OCCUR
<br />(
<br />�_
<br />j
<br />EACH OCCURRENC1w_._..
<br />AGGREGATE
<br />EXCESS LIAR i CLAIPASe E
<br />.72SBABA9623 € 011061201E
<br />0110612019
<br />DP D : RI TEWTNO i $
<br />I
<br />2,000,000
<br />°WO% RS G4MPENSATION
<br />AND EMPLOYkRS LABILITY
<br />i STA7ilT I OTH•
<br />—.-�
<br />ANY PROPRIETORIPARTNCRIEXECOTIVE Y�
<br />pp��F1GERRiP/[^MI�ERExCL1DED� 1
<br />lkfnndaWry.in +I
<br />NIA`
<br />E.L.FA,_Hf CtQFNT
<br />C
<br />IIs, dpsGYib 3 Under
<br />06 (f�lTi(} OF OPE TI S b I w
<br />E&OlPrra ssional Lia
<br />EOO0002663205 081301201E
<br />OI�lSOT019
<br />bl P_�E».:.�YE
<br />E.L. tll� LQSIY LIMIT
<br />leer Claim Limit
<br />....__
<br />1,000,000
<br />I.
<br />DESCRIPTION 01 JpERAT10NS 1 LOCATIONS P VEHICLES (ACOIiL7 tt11, Addlllnn"I Remarks S�ho�dmaybaattqq d y roar@ spaeo Is rnqulrad)
<br />If required by written contract, The City, Its elected or appointed officials, bsnG S, erf, agents, employees and volunteers are Included as
<br />Primary/Non-Contributory Waiver General Liability Endorsement
<br />Additional Insureds with wording and oftt s respects per SSOOO80405 attached.
<br />if required by written contract, The City, its elected or appcintao n yeas and volunteers are included As
<br />Additional Insureds with PrimaryfNon-Contributory wording and W �gatio as ra e �uto y` rse ent HA991BU312 attached. 30
<br />days notice of Intent to cancel policies will 6e provided suplect to a m v IIt erendarsemert# 831233t1611 and as
<br />respects auto liability per endorsement1HO3130611 attached.
<br />SHOULD ANY OF THC ABOVE DESCRIBEo POLICIES BE CANCELLED EIRFOIRE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE ❑ELIVEREp IN
<br />CI y ofCiviSanta
<br />CenA Plaza ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Ross Annex (N22)
<br />Santa Ana, CA 92701 AUTHORITEt7 REPR✓ WNTATIV9
<br />AC.ORD 25.(20.1.61.03)..... 1988»201.5,ACORD CORPORATION. All fights reserved,
<br />ThA ACORri name and land art mgistorAri marks of ACORD
<br />City Council 20 — 17 11/21/2023
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