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A�Ro CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDONYYY) <br />0812912024 <br />I <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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />AOn Risk Services Northeast, Inc. <br />New York NY Office <br />CONTACT <br />NAME: <br />(A1CNNo.Ext}: (866) 283-7122 (aC No); (800) 363-0105 <br />E-MAIL <br />ADDRESS: <br />one Liberty Plaza <br />165 Broadway, suite 3201 <br />New York NY 10006 USA <br />INSURER(Sy AFFORDING COVERAGE <br />NAIL# <br />INSURED <br />INSURER A: Hartford Fire Insurance Co. <br />19682 <br />Hanson Rrldgett LLP <br />425 Market Street <br />26th Floor <br />INSURERS: Trumbull Insurance Company <br />27120 <br />INSURERC: Hartford Casualty Insurance Co <br />29424 <br />San Francisco CA 94105 USA <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570107773707 REVISION NUMBER: <br />THIS G 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 REOUIREMENT, 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. Limits shown are as requested <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />DULNSD <br />UU <br />POLICY NUMBER <br />MMlDDlYYY <br />FOLIC EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />1 UUNBD LAD <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE ❑X OCCUR <br />commercial Package <br />MA <br />PREMISES Ea occurrence <br />$300.000 <br />MED EXP (Any one person( <br />$10 , 000 <br />PERSONAL& ADV INJURY <br />$1, 000, 000 <br />GEN'LAGGREGATE <br />LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />12,000,000 <br />JECT POLICY ❑ PRO ❑ LpC <br />PRODUCTS-COMPIOPAGG <br />$2, 000, 000 <br />OTHER. <br />B <br />AUTOMOBILE LIABILITY <br />1DUENDL9026 <br />HUSineSS Auto <br />09/26/2024 <br />08/26/2025 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1, 000,000 <br />BODILY INJURY ( Per person( <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED AUTOS NON -OWNED <br />ONLv AUTOS ONLYUMBRELLALIAB <br />PeOPE TY AMAGE <br />JANY <br />X <br />OCCUR <br />IOXHUBF8ZA3 <br />08/26/2024 <br />08/2b/2025 <br />EACHOCCURRENCE <br />$10,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />Umbrella <br />SIR applies per policy ter <br />s & condi <br />ions <br />AGGREGATE <br />510,000,000 <br />OED X RETENTION <br />OtherAggregate Lim! <br />$10,000,000 <br />RKERS COMPENSATION AN❑PER <br />STATUTE OTH- <br />PLOYERS' LIABILITY Y1N <br />PROPRIETOR ! PARTNER 7 EXECUTIVE <br />ER <br />E.L. EACH ACGIUENT <br />OFFICERIMEMSER EXCLUDED, ❑ <br />(Mandatory in NH) <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />if yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe atlached If more space Is required) <br />City of Santa Ana is included as Additional Insured as their interests may appear as respects to General Liability and <br />Automobile Liability. <br />As respects General Liability and Automobile Liability, a waiver of Subrogation is included, but only to the extent permitted <br />by law. <br />at <br />O <br />Z <br />m <br />R <br />CS <br />41 <br />U <br />CERTIFICATE HOLDER CANCELLATION ilm <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />city of Santa And AUTHORIZED REPRESENTATIVE 1 <br />Risk Management Division <br />20 Civic Center Plaza �c FiA Mougane Div6(crn <br />Santa Ana, CA 92702 USA +L `'!J`J_ IJn� ` <br />�tt.CQlr c REVIEWE6&APPR6V®8Y: <br />of a. I A:e Arevr�la <br />® Risk Management Specialist <br />@1988-2015 ACORD CC <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />