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Aco OR ® CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DD/YYYY) ‘11......--/ 01/17/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Hiscox Inc.d/b/a/Hiscox Insurance Agency in CA PHONE I FAX 5 Concourse Parkway I MA Lo.Ext): (888)202-3007 (a ,Nod: Suite 2150 nD s: •ontac hiscox.cgm Atlanta GA,30328 • e - I to R; A ' it C ,© NAIL a INSURED I INSURERA: Hiscox Ins.rance C• pany Inc I 10200 .5Esti STRAIGHTLINE COMMUNICATIONS 14930 Greenleaf Street S • d o — Sherman Oaks, CA 91403 IN:...: R D: IN Da e• I11PZ IIIT'1111 Aft- — 0 INSURER F: COVERAGES CE' A T ' :. ! 0, I BER: THIS IS TO CERTIFY TH• THE '0 • S b S ANC F O JE BlE D/TQ.ARYSL7F I AMUA VE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM 'JR',ONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSU.3P.:4CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DDIYYYY) (MMIDD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PR S RENTED PREEMIMI E SES((Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y P100.042.462.10 01/12/2024 01/12/2025 PERSONAL&ADVINJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PE�X POLICY J LOC PRODUCTS-COMP/OP AGG $ SIT Gen.Agg. OTHER: $ - . AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED (- SCHEDULED BODILY INJURY(Per accident) $ AUTOS _.AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS ., AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION S $ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY Y/N ' ANYPROPRIETOR/PARTNERfEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liability Y Y P100.042.069.10 01/12/2024 01/12/2025 Each Claim:$1,000,000 Aggregate:$2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,its officers,employees,agents and representatives are Additional Insureds with respect to General and Professional Liability per the attached endorsements as required by written contract. Insurance Primary and Non-contributory.Waiver of Subrogation applies.Hiscox will provide 30 Days Notice of Can cellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions. CERTIFICATE HOLDER CANCELLATION City of Santa Ana,Risk Management Division 20 Civic Center Plaza,4th floor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana,CA 92701 THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRC\ f ,1,L,IN, Risk Masagenett Division .. g///��-''. REVIEWED&APPROVED BY: AUTHORIZED REPRESENTATIVE �/ i 1 Ii■•11 � Jl, A A,W I --=�' �' �--- R� isk Management Specialist ©1988-2015 ACORD I/ \ ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD