Laserfiche WebLink
<br />DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />02/20/2025 <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 />CONTACT <br />PRODUCER Stefanie Oliphant <br />NAME: <br />FAX <br />PHONE <br />ECBM, LP(610) 668-7100(610) 667-2208 <br />(A/C, No): <br />(A/C, No, Ext): <br />E-MAIL <br />1400 N Providence Roadsoliphant@ecbm.com <br />ADDRESS: <br />Suite 5025 <br />INSURER(S) AFFORDING COVERAGENAIC # <br />MediaPA19063Lloyds of London085202 <br />INSURER A : <br />INSURED Evanston Ins Co.35378 <br />INSURER B : <br />Partners in Control, Inc., DBA: Enterprise Automation <br />INSURER C : <br />9050 Irvine Center Drive <br />INSURER D : <br />Suite 200 <br />INSURER E : <br />IrvineCA92618 <br />INSURER F : <br />24 M <br />COVERAGESCERTIFICATE 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 />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 />ADDLSUBR <br />INSRPOLICY EFFPOLICY EXP <br />TYPE OF INSURANCELIMITS <br />POLICY NUMBER <br />LTR(MM/DD/YYYY)(MM/DD/YYYY) <br />INSDWVD <br />COMMERCIAL GENERAL LIABILITY 1,000,000 <br />EACH OCCURRENCE$ <br />DAMAGE TO RENTED <br />1,000,000 <br />CLAIMS-MADEOCCUR$ <br />PREMISES (Ea occurrence) <br />Contractual Liability5,000 <br />MED EXP (Any one person)$ <br />AYYARG11212A2406/15/202406/15/20251,000,000 <br />PERSONAL & ADV INJURY$ <br />2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ <br />PRO- <br />2,000,000 <br />POLICYLOCPRODUCTS - COMP/OP AGG$ <br />JECT <br />Employee Benefits1,000,000 <br />$ <br />OTHER: <br />COMBINED SINGLE LIMIT <br />AUTOMOBILE LIABILITY <br />$ <br />(Ea accident) <br />ANY AUTOBODILY INJURY (Per person)$ <br />OWNEDSCHEDULED <br />BODILY INJURY (Per accident)$ <br />AUTOS ONLYAUTOS <br />HIREDNON-OWNEDPROPERTY DAMAGE <br />$ <br />(Per accident) <br />AUTOS ONLYAUTOS ONLY <br />$ <br />UMBRELLA LIAB 2,000,000 <br />OCCUREACH OCCURRENCE$ <br />B EXCESS LIAB YMKLV7EUL10458106/15/202406/15/20252,000,000 <br />CLAIMS-MADEAGGREGATE$ <br />DEDRETENTION$$ <br />PEROTH- <br />WORKERS COMPENSATION <br />STATUTEER <br />AND EMPLOYERS' LIABILITY <br />Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT$ <br />N / A <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ <br />Each Claim$2,000,000 <br />Professional Liability <br />AARG11212A2406/15/202406/15/2025Aggregate$2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Ejhjubmmz!tjhofe! <br />RE: Contract: A-2023-162-01 <br />cz!Uv!Usbo! <br />Uv!Usbo! <br />Ohvzfo! <br />Ebuf;!3136/13/35! <br />The City, its officers, employees, agents, volunteers and representatives are included as additional insured on the General Liability for ongoing and <br />Ohvzfo <br />1:;48;59!.19(11( <br />completed operations per forms attached as required by written contract. General Liability is Primary and Non-Contributory per forms attached. Waiver of <br />Subrogation is included on the General Liability per forms attached. Umbrella/Excess is follow form. <br />CzUvUsboOhvzfobu:;46bn-Gfc35-3136 <br />CERTIFICATE HOLDERCANCELLATION <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 />Attention: Heidi Chou <br />AUTHORIZED REPRESENTATIVE <br />215 Center Street, M-85 <br />Santa AnaCA92703 <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD <br /> <br />