Laserfiche WebLink
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 />