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AC4[?20 CERTIFICATE OF LIABILITY INSURANCE DAM(MMIDD/YYYY) llk� 1 05/03/2024 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 PRODUCER StateFarfn Terry Bradshaw, Ag/m�t Lie. #0B80831 Villa Santiago Blv/,`uite o Villa Park, CA 928 \� ■ ) INSURED Hennessey & Hennessey, LLC 17602 17th Street, Suite 102-2 Tustin, CA 92780 A in lieu of such endorsemf 1t(.a). CONTAcr Kal -_Vasquez • PHONE 7 4-637 p AIC No Est: ECM ply ■ A cc. karE ( ate V -F THIS IS TO CERTIFY THAT THE POLICIES OF I RAN LISTED BELOVIMAVE-7-An ISS D TO 11,1 VE F " T E A&VERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIO'. OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFr RDE' BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY I AVF ,EEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD INSD US WVD — POLICY NUMBER POLICY EF MMIDO MIDO LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ 1,000,000 ED PREMISES mm $ 300,000 MED EXP (Any me person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 A Y Y 92-CZ-W382-6 05/16/2024 05/16/2025 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L POLICY PRO- JECT LOC X PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY 4717092-E19-75H 05/16/2024 05/1612025 EOMaBIINdmb ED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS Y Y BODILY INJURY (Per $ HIRED AUTOS ONLY X AUTOS ONLY X Per accident) $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A ESS L EXCIAB CLAIMS -MADE N N 92-CZ-W386-5 05/16/2024 05/16/2025 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? � NIA PER OTH- $ E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance canted by City shall be excess and noncontributory Certificate Of Insurance shall provide thirty (30) day prior written notice of cancellation Project Number. A-2021-221-03 Gf•]111ygN City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL RE DELIVEREn IN ACCORDANCE WITH THE POLICY PR( AUTHORIZED REPRESENTATIVE Ka".11 la4 ©1988-2015 AC( ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD APPROV®BY: 7tIrkMNlag�mlmtD[vlefpn 3t&, REVIEWED6 Risk Managemen[Spedalist or 1001486 132849.14 04-13-2022