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A� CERTIFICATE OF LIABILITY INSURANCE
<br />OATE0Dn'YYY)
<br />5/31 1//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 such endorsement(s).
<br />PRODUCER
<br />Woodruff Sawyer
<br />2 Park Plaza, Suite 500
<br />Irvine CA 92614
<br />_
<br />CONTACT
<br />WS Certificates
<br />PHONE FAx
<br />IAJC, No:
<br />E-MAIL
<br />ADOREss: certificates woodruffsa er.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA: Continental Casualty Company
<br />20443
<br />INSURED HDLOORE-01
<br />HdL Coren & Cone
<br />120 S. State College Blvd., Suite 200
<br />Brea, CA 92821
<br />INSURERS: American Casualty Company Of Reading2D427
<br />INSURERC:
<br />NSURER O:
<br />INSURER E
<br />INSURER F :
<br />1E`Uvelc,vtsts CERTIFICATE NUMBER: 1745473978 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICYNUMBER
<br />MMDDYNYYY
<br />MM/DDY/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />V
<br />V
<br />B6025253592
<br />6/15/2024
<br />6/15/2025 EACHOCCURRENCE
<br />$2,000,000
<br />$1,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$10,000
<br />L MED EXP(Any one person)
<br />PERSONAL B ADV INJURY
<br />$2.000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER
<br />$4,000,000
<br />I
<br />GENERAL AGGREGATE
<br />X
<br />PRO
<br />POLICY �
<br />JECT LOC
<br />PRODUCTS-GOMPIOP AGG
<br />$4,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILEUABILITY
<br />Y
<br />Y
<br />B6025253592
<br />6/15/2024
<br />6/15/2025 COMBINED SINGLE LIMIT
<br />$1,000,000
<br />Ea accident
<br />AUTO
<br />BODILY INJURY (Per person)
<br />OWNED SCHEDULED
<br />HANY
<br />AUTOS ONLY AUTOS
<br />BVINJURV (Peracciden[)
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />$
<br />Per accident
<br />A
<br />X
<br />UMBRELLALIAS
<br />X
<br />OCCUR
<br />86025253811
<br />6/15/2024
<br />6/15/2025
<br />EACH OCCURRENCE
<br />$1,000,000
<br />AGGREGATE
<br />$1,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DIED I X RETENTION$
<br />$
<br />B
<br />WORKERSCOMPENSATION
<br />Y
<br />WC625253608
<br />6/15/2024
<br />6/15/2025
<br />X
<br />OERH
<br />AND EMPLOYERS' LIABILITY YIN
<br />STATUTE
<br />E.L. EACH ACCIDENT
<br />$1,000,0DO
<br />ANYPROPRIETOR/PARTNERIEXECUTIVE
<br />OFFICER/MEMBEREXCLUDED? ❑
<br />N/A
<br />EL DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000.000
<br />DESCRIPTION OF OPERATIONS below
<br />I
<br />A
<br />Errors & Omissions
<br />Cyber Liability
<br />652117825
<br />6/15/2D24
<br />6/15/2025
<br />Each Claim
<br />$2,D00,000
<br />Aggregate
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />The City of Santa Ana, its officers, employees and agents are included as additional insured as respects General Liability to the extent provided in the attached
<br />form. Waiver of Subrogation applies as respects Workers Compensation and General Liability to the extent provided in the attached form and as permitted by
<br />law. Notice of Cancellation applies with respects General Liability to the extent provided in the attached form.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />The City of Santa Ana --- �e� dA pA ry ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division a -a' r--.Aae
<br />20 CIVIC Center Plaza, 4th floor — F' AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702
<br />© 1988.2015 ACORn CORPnRATIi Au Ar,hl1 .ewe. -A
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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