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JONES-3 <br /> ACOR�� CERTIFICATE OF LIABILITY INSURANCE EDAOTI,5/22/2025 <br /> E(MMIDWYYYYI <br /> �� <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 ri hts to the certificate holder in lieu of such endorsements . <br /> PRODUCER 714-256-9600 CN2M ACT <br /> NAME: <br /> Schrimmer-Cavanagh PHONE 714-256-9600 FAX 71 - -9606 <br /> Insurance Agency, Inc. (A/C,No,Ext): FAX Noy: <br /> 601-A Lunar Avenue E-MAIL <br /> Brea,CA 92821 ADDRE mm <br /> Joan S.Cavanagh INSURERS AFFORDING COVERAGE NA€C# <br /> iNSURER A:Sentinel Insurance Company 11000 <br /> INSURED INSURER B:Hartford Accident and 22357 <br /> Richard D.Jones,A Professional <br /> Law Corp. INSURER C: <br /> DBA: Jones Mayer <br /> 3777 N. Harbor Blvd. INSURER D: <br /> Fullerton,CA 92835 <br /> €NSURER E <br /> INSURER F: E <br /> COVERAGES CERTIFICATE 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 /> INSR LTR <br /> [[ TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POL€CY EFF POLICY EXP I LIMITS <br /> A E X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ` S 2,000,000 <br /> DAMAGE TD RENTED 1,000,000 <br /> CLAIMS-MADE—LA OCCUR X 72SBAIA8539 07/17/2024 07l1712025 p MI ,Sl C urren 5 <br /> MED EXP An one person).....] 5 10,444 <br /> I PERSONAL&ADV INJURY I S 2,000,000 <br /> 1 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE �I S 4,000,000 <br /> PRO- 4,000,000 <br /> POLICY JECT X LOC PRODUCTS-COMPIOP AGG SE .. <br /> OTHER: S <br /> COMBINED SINGLE LIMIT1,404,000 <br /> AUTOMOBILE LIABILITY scLgent S <br /> X ANY AUTO X 72UECCL9753 05/2212025 05/22/2026 BOD€LYINJURY Per person 5 <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident 5 <br /> X HIRED X NON-pWNE0 PeOPFR enFDAMAGE 5 <br /> AUTOS ONLY AUTOS ONLY <br /> I 5 <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE 5 <br /> EXCESS LIA13 CLAIMS-MADE AGGREGATE S _ <br /> DED RETENTIONS 5 <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN TA R <br /> ANY PRCPRIETORIPARTNERIEXECU I kVE E.L.EACH ACCIDENT 5 <br /> OFFICERIMEMBER EXCLUDED? NIA i <br /> (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE $ <br /> 11 yes.describe under I <br /> DESCRIPTION OF OPERATIONS below I E_L DISEASE-POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101,Additional Remarks Schedule,may be attached It more space is required) <br /> The City of Santa Ana,its offiicers,officials,employees,and volunteers are <br /> named as additional insureds per the attached additional insured endorsement Tu Tran °gwil,,i,n^by <br /> (primary/non-contributory).Additional insured status extends to Auto per the Date:2025 06,04 <br /> attached additional insured endorsement. Nguyen 10:55:02-07'00' <br /> APPROVED <br /> By Tu Tran Nguyen at 10:54 am,Jun 04,2025 <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 /> Risk Management Division <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br /> Joan S. Cavanagh <br /> Santa Ana, CA 92702 <br /> ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />