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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />06/02/2025
<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 />Aon Risk Services Central, Inc.
<br />Chicago IL Office
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />(A/C.No. Ezt): (866) 283-7122 (A/C.No.): (800) 363-0105
<br />E-MAIL
<br />ADDRESS:
<br />200 East Randolph
<br />Chicago IL 60601 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURED
<br />INSURERA: American Casualty Co. of Reading PA
<br />20427
<br />Aon Corporation and its Subsidiaries
<br />(See Subsidiary Information Below)
<br />200 E. Randolph
<br />INSURERB: Transportation Insurance Co.
<br />20494
<br />INSURER C: Continental Casualty Company
<br />20443
<br />Chicago IL 60601 USA
<br />INSURER D:
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570112954286 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 INDICATED.
<br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY
<br />HAVE BEEN REDUCED BY PAID CLAIMS.
<br />Limits shown are as requested
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />(MM/DD1YYYY)
<br />POLICY EXP
<br />(MM/DDNYYY)
<br />LIMITS
<br />C
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />4014103835
<br />06 01 2025
<br />06 01 2026
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE OCCUR
<br />PREMISES (Ea occurrence)
<br />$1,000,000
<br />MED EXP (Any one person)
<br />$10 , 000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />LIMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />P'LAGGREGATE
<br />POLICY ❑ PRO
<br />JECT �LOC
<br />PRODUCTS - COMP/OPAGG
<br />$2,000,000
<br />OTHER:
<br />C
<br />AUTOMOBILE LIABILITY
<br />4014103656
<br />06/01/2025
<br />06/01/2026
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$1,000,000
<br />BODILY INJURY( Per person)
<br />)( ANYAUTO
<br />BODILY INJURY (Per accident)
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />PROPERTY DAMAGE
<br />HIREDAUTOS NON -OWNED
<br />(Per accident)
<br />ONLY AUTOS ONLY
<br />UMBRELLA LAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DED I RETENTION
<br />B
<br />WORKERS COMPENSATION AND
<br />4014100157
<br />06/01/2025
<br />06/01/2026
<br />X PER STATUTE ORTH-
<br />A
<br />EMPLOYERS' LIABILITYJE
<br />v/N
<br />A
<br />oEEiCERMENIBPROPRIETOR/ PARTNER/ EXECUTIVE
<br />cERrMEMaERExcwoeD? N
<br />N/A
<br />AZ, WI
<br />4014100059
<br />06/01/2025
<br />06/01/2026
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />All Other States
<br />UID SCes, Under
<br />RIPTION OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: Aon Risk Insurance Services West = Inc., PO Box 849832. City of Santa Ana, its City Council, officers, officials,
<br />employees, agents and volunteers are included as Additional Insured in accordance with the policy provisions of the General
<br />Liability and Automobile Liability policies. A Waiver of Subrogation is granted in favor of City of Santa Ana, its City
<br />Council, officers, officials) employees, agents and volunteers in accordance with the policy provisions of the General
<br />Liability, Automobile Liability and Workers' Compensation policies. The above terms are as required by written contract.
<br />CERTIFICATE HOLDER I APPROVED
<br />CANCELLATION
<br />(By Tu Tran Nguyen at 2:52 pm, Jun 02, 2025 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />l DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa And by Tu T,.n ned AUTHORIZED REPRESENTATIVE
<br />Attn: Risk Manager Tu Tran N9�y nran
<br />20 Civic Center Plaza, M-24 Nguyen Date: 2025.06.0
<br />Santa Ana CA 92701 USA rass:ra-moo'
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<br />©1988-2015 ACORD CORPORATION. All rights reserved
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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