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ACOREI CERTIFICATE OF LIABILITY INSURANCE <br />L� 2/112025 <br />DATE(MM/DDIYYYY) <br />1/24/2024 <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WANED, 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 Lockton Insurance Brokcrs, LLC <br />777 S. Figueroa Street, 52nd FI. <br />CA License #OFI5767 <br />Los Angeles CA 90017 <br />CONTACT <br />PHONE FAX <br />ryol; <br />No Ez AllE-MAIL <br />I1` A- E$IS. - " - <br />(213) 689-0065 <br />r�i p NAIc# <br />;�' JF&` <br />I ofstOS `�'(` <br />INSURER mm c l'ofster S L 1 Insurance Co <br />44520 <br />_I <br />INSURED RinCW Consultants, IN R : r 1 nsurance Company <br />19682 <br />1462718 I80 N Ashwood rivAngie IN E c : r 1 1 1 L.ter Insurance Company <br />VenmrH CA 93003 NSURER o : PalomBr xcess and Surplus Insurance Co. <br />E M nal Insurance Company <br />42471 <br />16754 <br />25496 <br />NSL'SR F: <br />GUVtKAGtb KLNCOUI ®®5N4Q9 try .RF]1gMN1J JARPP- <br />THIS IS TO CERTIFY THAT TH 1 S O BE J 1 ;, E - T� <br />INDICATED. NOTWITHSTAN G A C <br />vvv <br />E A O FOR THE POLICY PERIOD <br />E T I OF O UR OT ER <br />M NY I RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURF.iJC - AFFORDED BY THE OL CIES DESCRIBED E'E I SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SF'JW'. MAY HAVE BE C 1$ LAI <br />1 <br />INSR TYPE OF INSURANCE ADDL BUHR <br />LTR D VO _e.ILICY NUMBER MMIDD a MMIDDY� <br />00 <br />LIMITS <br />A X COMMERCIALGENERALLIABIIJTY Y Y EPK-142587 2/12023 2/1/2025 <br />EACH OCCURRENCE s 3,000,000 <br />CWMSMAOE FxIOCCUR <br />PREMSES IF,occunence S 100000 <br />X SIR:$50.000 <br />MEDEXP(Any oneposer) S 10000 <br />X P&I <br />PERSONAL BACV INJURY $ 3 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 4000000 <br />JEoFILOC <br />POLICY <br />PRODUCTS -COMP/OPAGG $ 4000000 <br />OTHER: <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />72UENOL5481 <br />2/1/2024 <br />2/12025 <br />ISINGL LIMY <br />$ 1000O00 <br />X <br />ANY AUTO <br />JURY(Perperson) <br />$ XXXXXXX <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />INJURY (Patacchun0 <br />$ XXX}:3C+O\ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />DAMAGE <br />nt <br />MAGGRrGATE$ <br />$XXXXXXX <br />ll. d <br />$ 1,000 <br />C <br />UMBRELLgLIAe <br />X <br />OCCUR <br />N <br />N <br />EFX-119720 <br />2/12024 <br />2/12025 <br />URRENCE <br />$ 1Q 000 000 <br />TE <br />$ 1Q Q00 000 <br />D <br />X <br />EXCESS UAB <br />cLAlMsldAOE <br />EVEQ-0000005 <br />2/12024 <br />2/I2025 <br />DED X RETENTIONS 10,000 <br />$ XXXXXXX <br />E <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIASILITY <br />Y <br />T10220329 <br />2/1/2024 <br />2/12025 <br />X STATUTE ERH <br />YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ® <br />N/A <br />E.L EACH ACCIDENT <br />$ 1000000 <br />E.L DISEASE -EA EMPLOYEE <br />$ 1000000 <br />(Mandator, in NH) <br />If yes, describe under <br />E.L DISEASE -POLICY LIMIT <br />$ 1000.000 <br />DESCRIPTION OF OPERATIONS below <br />A <br />Contractors Pollution Liab <br />N <br />N <br />EPK-142597 <br />2/I/2023 <br />2/1/2025 <br />Limit: $3,000,000/$4,000,000 <br />E&O Liab. <br />Limit: $3,000,000/S4,0oopoo <br />Rem Date: 12/9/1994 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached If more apace Is required) <br />Effeclive 1/I12024-8/IR025, Cyber Liability $5M Limit, $25k Retention. Carrier. HCC; Policy #H24NGP2-14923-01, SSM x $5M Limit. Carrier. Cmaus, Policy #CXS-107946155-00. The City of <br />Santa Ana and Community Development Agency and their officers, employees, agents and volunteers are an Additional Insured to the emem provided by be policy language or endorsement issued or <br />approved by the insurance carrier. WaNer of Subrogation applies per attached endorsemzm(s) or policy language. Insurance provided to Additional <br />Insured(s) is primary and non-contributory as per the <br />attached endorsement or policy language. Excess policy follows General Liability, Auto Liability and Employers Liability fora. Notice ofCaneellation applies per the applicable policy language or <br />endorsements. <br />110V <br />16059509 <br />City or Santa Ana <br />Risk Management Divison <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92701 <br />ACORD 25 (2016/03) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PRC <br />RiaF Mnnaganml il[delon <br />AUTHORIZED REPR %/ REVIEWED&APPROV®Sr ` <br />_. , f L® Risk Management Speaabst <br />©1988-201 rACI <br />The ACORD name and logo are registered marks of ACORD <br />