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Act CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) L...- 01/17/2024 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 I CONTACT Hiscox Inc.d/b/a/Hiscox Insurance Agency in CA PHONE FAX 5 Concourse Parkway (888)202-3007 .-MAIL Extl• A/O,No): A s: co nta c hi scox.c mSuite 2150 Atlanta GA,30328 e _ _ NAIL t INSURED ngie INSURER : tcox -nsv aAnce C poony Inc d- IN . 10200 STRAIGHTLINE COMMUNICATIONS Angie rcdO 14930 Greenleaf Street Sherman Oaks,CA 91403 IN: '` R D: IN D a e: _/SIPL _ IT* I _._. A -. SURER F: COVERAGES CE• -A , T : - • . INSURER: dim,dim,•la at BER: -'THIS IS TO CERTIFY TH THE _ .O S ' S -ANC ! F O .`. JE B:Elli: I D Q T,:IJi S "Wr AM:n •!iVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM 'JR ',ONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSU.t^...iCE 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. INSR 1 ADDL SUBR POLICY EFF POLICY EXP LTR I TYPE OF INSURANCE INSR WVIQ POLICY NUMBER JMMIDD!YYYYLLMMIDDIYYYYL LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I S 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED I PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) S 5,000 A Y Y P100.042.462.10 01/12/2024 01/12/2025 PERSONAL&ADV INJURY 5 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OPAGG 5 SIT Gen.Agg. OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) S _ AUTOS ....___ AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS • AUTOS (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DE❑ I RETENTIONS $ WORKERS COMPENSATION PER OTH- - AND EMPLOYERS'LIABILITY STATUTE ER YIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under --- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S A Professional Liability Y Y P100.042.069.10 01/12/2024 01/12/2025 Each Claim:S 1,000,000 .Aggregate:S 2,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,its officers,employees,agents and representatives are Additional Insureds with respect to General and Professional Liability per the attached endorsements as required by written contract.Insurance Primary and Non-contributory.Waiver of Subrogation applies.Hiscox will provide 30 Days Notice of Can cellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions. CERTIFICATE HOLDER CANCELLATION City of Santa Ana,Risk Management Division 20 Civic Center Plaza,4th floor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana,CA 92701 THE EXPIRATION DATE THEREOF" NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRC\ Jr RiskMllnagenentDivislon s"r"o�,„„s AUTHORIZED REPRESENTATIVE i' tt . REVIEWEDEr APPROVmBY: • / Mitt r�7 A.eia Aava. k • Risk Management Specialist ©1988-2015 ACORD'/ ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD