Laserfiche WebLink
.r---) EXHIBIT 1 <br /> ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> ‘,.._../ 08/13/2024 <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 CONrncT Erica Hornaday <br /> NAME: <br /> The Empire Company PHONE FAX <br /> AIC,No.Ertl: (NC,No): <br /> 550 North Park Center Drive AUOREss: ehomaday@empire-co.com <br /> Suite 205 INSURER(SI AFFORDING COVERAGE NAIL R <br /> Santa Ana CA 92705 INSURER A: Sentinel Insurance Company,LTD 11000 <br /> INSURED INSURER B: Trumbull Insurance Company 27120 <br /> RSG,Inc. INSURER C: Navigators Specialty Insurance Company 36056 I <br /> 170 Eucalyptus Avenue <br /> INSURER 0 <br /> Suite 200 INSURER E: <br /> Vista CA 92084 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 24/25 Master 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 MAYBE 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 —AWL VUHH POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSO POLICY NUMBER (MMIOOrYYYV1_IMMIDDI YYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> UAMAGv TUrttN I tU <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1,000,000 <br /> MED EXP(Any one person) S 10,000 <br /> A H Y Y 72S8AAQ7019 01/01/2024 01/01/2025 PERSONAL&AOVINJURY $ 1,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> 1 POLICY E JECT I I LOC PRODUCTS•COMPlOPAGG $ <br /> 2.000.000 <br /> OTHER. — <br /> S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED 72SBAAQ7019 01/01/2024 01/01/2025 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OwNED PROPERTY DAMAGE S <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,090 <br /> A -- EXCESSLIAB CLAIMS-MADE 72SBAA07019 01/01/2024 01/01/2025 AGGREGATE s 2,000,000 <br /> DED X RETENTION S 10,000 <br /> S <br /> WORKERS COMPENSATION X STATUTE I ERµ <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETORARTNER/EXECUTIVE YIN EL EACH ACCIDENT $ 1,000,000 I <br /> B ZP <br /> OFFICER/MEMBER EXCLUDED? a EA <br /> NIA Y 72WECVK8727 01/01/2024 01/01/2025 <br /> (Mandatory In NH) E.L.DISEASE.EA.EMPLOYEE S 1,000,000 I <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below _E L.DISEASE-POLICY LIMIT S <br /> AGGREGATE LIMIT 4,000,000 <br /> Errors&Omissions <br /> C Claims Made CH24MPLX00580NC 01/01/2024 01/01/2025 EACH CLAIM 2,000,000 <br /> DEDUCTIBLE 10,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE:RFQ No.21-107 Affordable Housing Financial,Analytical And Advisory Services-Evidence of Renewal of Insurance applies to agreement dated <br /> 9/6/2024. <br /> City of Santa Ana,its officers,officials,employees,and volunteers are named as additional insured on this policy pursuant to written contract,agreement,or <br /> memorandum of understanding.Such insurance as is afforded by this policy shall be primary,and any insurance carried by City shall be excess and <br /> non-contributory under the General Liability,where required by written contract,per form(SS 00 08 04 05)and(SS 00 08 04 05).General Liability is Primary <br /> and Non-Contributory per form(SS 00 08 04 05) General Liability and Worker's Compensation Waiver of Subrogation per forms(SS 00 08 04 05)and(WC <br /> 04 03 06) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> (M-28) AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92702 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved, <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />