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FOSTE-2
<br /> ACORN CERTIFICATE OF LIABILITY INSURANCE DATE 01/13/2025Y)
<br /> 01/13/2025
<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 endorsements.
<br /> PRODUCER 239-437-5555 CONTACT Paul G Atkinson
<br /> NAME:
<br /> Atkinson &Assoc. Insurance PHONE 239-437-5555 FAX 239-689-3826
<br /> 1637 Brantley Rd, Bldg C (A/C,No,Ext): (A/C,No):
<br /> Fort Myers,FL 33907 aDORIL patkinson@atkinsoninsurance.com
<br /> Paul G.Atkinson A009636
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Travelers Indemnity Company 25666
<br /> INSURED INSURER B:of America
<br /> Foster and Foster Consulting Actuaries, Inc. INSURER C:Indian Harbor Insurance Co 36940
<br /> dba Foster&Foster, Inc. Travelers Excess&SL Co 29696
<br /> 13420 Parker Commons Blvd#104 INSURER D:
<br /> Fort Myers,FL 33912 INSURER E:Evanston Insurance Company 35378
<br /> INSURER F:Atlantic Specialty Lines, Inc.
<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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
<br /> INSD POLICY NUMBER LIMITS
<br /> E X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR 3AA861743 01/01/2025 01/01/2026 DAMAGE TO RENTED 100,000
<br /> Y Y PREMISES Ea occurrence $
<br /> D X CYBER LIABILITY CYB10790987801 01/01/2025 01/01/2026 MED EXP(Anyoneperson) $ 5,000
<br /> F X CRIME-$1,000,000 MML-36098-24 $10K DED 04/17/2024 04/17/2025 PERSONAL&ADV INJURY $ Excluded
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY JECT PRO-
<br /> El ❑ LOC PRODUCTS-COMP/OP AGG $ Excluded
<br /> Fx OTHER:CYBER RET$10,000 CYB-EA CL $ 3,000,000
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 000
<br /> Ea accident $
<br /> X ANY AUTO BA-9T746362-25-42-G 01/01/2025 01/01/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> E UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 5,050,000
<br /> X EXCESS LAB CLAIMS-MADE EZXS3184476 01/01/2025 01/01/2026 AGGREGATE $ 5,000,000
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN UB-8J390688-2542-E 01/01/2025 01/01/2026 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A Y E.L.EACH ACCIDENT $
<br /> OFFICE(Mandatory
<br /> in H)EXCLUDED? NO DEDUCTIBLE 1,000,000
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C PROF LIAB E&O MPP 9037622 06 $250K DED 01/01/2025 01/01/2026 PL-EA CLM 5,000,000
<br /> PL-AGGREG 5,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Santa Ana, its officers, employees, agents, volunteers and
<br /> representatives as additional insureds with respects to the General
<br /> Liability. General Liability is Primary and Non-Contributory. 30 Day
<br /> Notice of Cancellation. Waiver of Subrogation applies to the General
<br /> Liability and Workers Comp.
<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 Floor 4 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana, CA 92701 G��� // '4 OAUIIU�
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD APPROVED
<br /> By Luisa Najera at 11:15 am,Jan 22,2025
<br />
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