76/17/2025
<br /> E(MM/DDYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE /Y
<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 CONTACT
<br /> Risk Strategies Company PHONE NAMESherr Young
<br /> FAX
<br /> 2040 Main Street, Suite 450 A/c No Ext: 949-242-9237 A/c No):
<br /> Irvine, CA 92614 ADDRESS: syoung@risk-strategies.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> www.risk-strategies.com CA DOI License No.OF06675 INSURERA: Citizens Insurance Company of America 31534
<br /> INSURED INSURERB: Allmerica Financial Benefit Insurance Co 41840
<br /> EC &AM Associates, Inc., DBA: GK&Associates INSURERC: Hartford Casualty Insurance Company 29424
<br /> 2896 Vista Ct.
<br /> Diamond Bar CA 91765 INSURERD: Great American Insurance Company 16691
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 85813592 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 LIMITS
<br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD
<br /> A / COMMERCIAL GENERAL LIABILITY ✓ 06311038906 9/1/2024 9/1/2025 EACH OCCURRENCE $2,000,000
<br /> AMAIE To RENTED
<br /> CLAIMS-MADE EVI OCCUR PREM SES(E.occurrence)
<br /> ccurrrence) $1,000,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000
<br /> POLICY ✓� ECT LOC PRODUCTS-COMP/OPAGG $4,000,000
<br /> 1� PRO-
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY ✓ ✓ AW3H038914 9/1/2024 9/1/2025 (CEO,acccidentSINGLE LIMIT $1,000,000
<br /> ✓ ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> ✓ AUTOS ONLY ✓ AUTOS ONLY Per accident
<br /> A / UMBRELLA LAB / OCCUR 06311038906 9/1/2024 9/1/2025 EACH OCCURRENCE $1,000,000
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $1,000,000
<br /> DED ✓ RETENTION$0 $
<br /> C WORKERS COMPENSATION ✓ 72WEGAYOKW2 7/9/2025 7/9/2026 �/ SPER TATUTE OERH
<br /> AND EMPLOYERS'LIABILITY Y/N
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? ❑ N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> D Professional Liability ✓ DPP4203925 5/4/2025 5/4/2026 Per Claim:$1,000,000
<br /> Aggregate:$2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Projects as on file with the insured.
<br /> City of Santa Ana, its officers,employees,agents,and representatives are additional insureds with respect to General Liability and Automobile
<br /> Liability policies per the attached endorsement or as required by written contract.Insurance is Primary and Non-Contributory. Waiver of Subrogation
<br /> applies to the Automobile,Workers Compensation and Professional Liability.. 30 Day's Notice of Cancellation with 10 Days'Notice for Non-Payment of
<br /> Premium in accordance with the policy provisions. Tu Tran Digitally signed by
<br /> Tu Tran Nguyen
<br /> Nguyen 094;20-0 008 APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9:40 am,Jul 08,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Attention: Emily Ho ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Public Works Agency—Administrative Services Div.
<br /> 20 Civic Center Plaza, 4th Floor Ross Annex M-21 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92702
<br /> RSC Insurance Brokerage
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br /> 85813592 125-26 WC-PL, 24-25 GL-AL-UL I Sherry Young 16/17/2025 12:33:12 PM (PDT) I Page 1 of 8
<br />
|