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COVER-1 OP ID: LW
<br /> .Acorrca" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
<br /> 05/07/2024
<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 suchp endorsement(s).
<br /> PRODUCER 916-960-8718 � 1 n2mE- ACT Lory Williams
<br /> ISU/Francis-Pinney Ins. f PHONE 916-960-8718 FAX 916-773-4484
<br /> 2266 Lava Ridge Court St 00 0,Exit • (A/C,No):
<br /> P.O.Box 619050 I �� �I
<br /> Roseville,CA 95661-905 -
<br /> Lory Williams °: p I(NNSSUU RIS)AFFFF��' ING COVERAGE NAIL N
<br /> INSURED Consulting Partners Inc. I ra AA ✓ un- "r�eVed O
<br /> J.Bradley Wilkes , URER C U
<br /> 5016 Brower Court
<br /> Granite Bay,CA 95746A1//4r ■/�//�', r rvs ' �A 7n7a 06•
<br /> "I
<br /> —C ,ft-'IT///VV'��""u" 'DREk //4�r"q • nn
<br /> COVERAGES E IC E N �B �'2T•S 2 ® EVWI@M NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANC (STD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE I URANCE 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD IMMIDDIYYYY) /MM/DDJYYYYI
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR X X PHBX23003419 10/10/2023 10/10/2024 PRFMSES/F.nNT1EDnce) $ 50,000
<br /> .Li . ': , MED EXP,AnY one eurscnl . , $ -10,000
<br /> _ _ 1
<br /> 1 ; PERSONAL&ASV INJURY I $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: I GENERALAGGREGATE $ 3,000,000
<br /> X POLICY JEC
<br /> ( PRO-T LOC2,000,000
<br /> PRODUCTS-COMP/OP AGG I $
<br /> OTHER:
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident) $
<br /> ANY AUTO PHBX23003419 10/10/2023.10/10/2024 i BODILY INJURY(Per person)_ $
<br /> OWNED
<br /> AUTOS ONLY (SCHEDULED
<br /> AUTOS p racciden t)pBODILY INJURY(Per accident) $
<br /> X I AUTOS ONLY X AUTO ONEV tPeAMACE $
<br /> NOHA AGG $ 3,000,000
<br /> A X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000
<br /> EXCESS LIAB CLAIMS-MADE, IPHUB893341 12/15/2023110/10/2024 AGGREGATE $ 1,000,000
<br /> i DED , X I RETENTION$ 10,0001 — -$
<br /> B AND EMPLOY COMPENSATION
<br /> V/N X STATUFE OTH-
<br /> ER WEC BB2L9J 11/01/2023 11/01/2024 1,000,000
<br /> ANYIPRO PRIEBORR/PARTNERE/ ECUTIVE N/A E.L.EACH ACCIDENT $
<br /> Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE'POLICY LIMIT $
<br /> A MISC Professional PHSD1831334 12/15/2023 10/10/2024 CLM/AGG 2M/4M
<br /> DED/CLM 10,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS)VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> RE:CA Professional Service Provided by the Named Insured
<br /> The City of Santa Ana, its officers, officials,employees,and volunteers
<br /> are included as Additional Insured,as respects to General Liability per Form
<br /> PI-BOP-003,with Primary/Non-Contributory per Form PI-BOP-011 and Waiver of
<br /> Subrogation per Form BP0497 0106.When Required by Written Contract.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> CITYSAN
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF "^� "" " ^^ ""^'^ "'
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PR(\
<br /> Risk Management Division _ : - littakkManagarent1 sIwr
<br /> 9 + RWIEUVEO 8 ArPxovq$BY:
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br /> : A T
<br /> Santa Ana, CA 92702 7tt 7 i`s,ANrt,DNS
<br /> I
<br /> f 1fMnN nent$pecuuehst
<br /> ACORD 25(2016/03) ©1988-2015 ACORD Ifs-=-E $
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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