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AC R® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/29/2024 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 1 CONTACT CIA! Aon Risk Services Central,Inc. PHONE (952)926-6547 FAX 952 928-3837 (A/C,No,Ext): (A/C,No): ( ) 5600 W 83rd St.8200 Tower ADDRESS: collectorsinsurance@acainternational.org Ste 1100 INSURER(S)AFFORDING COVERAGE NAIC# Minneapolis MN 55437-3844 I INSURER A: QBE Insurance Corporation 39217 INSURED I INSURER B: HERBERT P.SEARS CO.,INC. I INSURER DBA HP SEARS INSURER D: 1100 MOHAWK ST.STE 210 INSURER E: BAKERSFIELD CA 93309 i INSURER F: COVERAGES CERTIFICATE NUMBER: 10027477 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE 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. INR LTR TYPE OF INSURANCE 'ADDL SUBR POLICY EFF POLICY EXP INSD WVD OLICY NUMBER (MM/DDIYYYY) 1MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ I DAMAGE TO RENTED - CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) S PERSONAL&ADVINJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC I PRODUCTS-COMP/OPAGG $ _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED - AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE — AUTOS ONLY AUTOS ONLY (Per accident) $ $ __ — UMBRELLALIAB — OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE: AGGREGATE $ DED RETENTION $ I $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY y/N , STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I v A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ERRORS&OMISSIONS • EACH CLAIM $1,000,000 A ADC01959-01 05/01/2024 05/01/2025 AGGREGATE $2,000,000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICL-Eli (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CITY OF SANTAANA ACCORDANCE WITH THE POLICY PRO)\ ALEX GUTIERREZ ci,tr.PL't..?.<F4.s. Risk Management Division 20 CIVIC CENTER PLAZA I AUTHORIZED REPRESENTATIVE REVIEWED&rr APPROVED BY: SANTAANA CA 92701 `�"'` 'i� I ',, a I —_-- Risk Management Specialist ©1988-2015 ACOF/ ACORD 25(2016/03) The ACORD lame and logo at a registered marks of ACORD