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<br /> A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 10/28/2024
<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 CONTACT
<br /> NAME: Nancy Kwong
<br /> Willis Towers Watson Northeast, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378
<br /> c/o 26 Century Blvd IA/C.No.Extl: (A/C,No): _
<br /> P.O. Box 305191 E-MAIL ADDRESS: certificates@willis.com
<br /> Nashville, TN 372305191 USA INSURER(S)AFFORDINGCOVERAGE NAIL#
<br /> INSURERA: Hartford Insurance Company of the Midwest 37478
<br /> INSURED INSURER B: Hartford Fire Insurance Company 19682
<br /> Elecnor Belco Electric, Inc.
<br /> 14320 Albers Way INSURER C: Navigators Insurance Company 42307
<br /> Chino, CA 91710 INSURERD: Sentinel Insurance Company Ltd 11000
<br /> INSURERE: Markel American Insurance Company 28932
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:W35958810 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 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.
<br /> INSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD_WVD, POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)_, LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> -
<br /> DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000
<br /> A MED EXP(Any one person) $ 10,000
<br /> Y Y 10 UEA BH6 U3E 11/01/2024 11/01/2025 PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X PRO
<br /> JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> (Ea accident) $ 1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> B OWNED SCHEDULED Y Y 10 UEA HF1837 11/01/2024 11/01/2025 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> X AUTOS ONLY X AUTOS ONLY (Per accident) $
<br /> $
<br /> C UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> X EXCESSLIAB CLAIMS-MADE MR24EXC9189061V 11/01/2024 11/01/2025 AGGREGATE $ 3,000,000
<br /> DED RETENTION$ - $
<br /> WORKERS COMPENSATION X PER OTH-
<br /> ANDEMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> D ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? No N/A Y 10 WEA AU9TBV 11/01/2024 11/01/2025
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> E Excess Liability MKLM1EUE100962 11/01/2024 11/01/2025 Each Occurrence $5,000,000
<br /> Aggregate $5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Certificate Holder is included as an Additional Insured as respects to General Liability and Auto Liability.
<br /> General Liability and Auto Liability shall be Primary and Non-contributory with any other insurance in force for or
<br /> which may be purchased by Additional Insured.
<br /> Waiver of Subrogation applies in favor of Additional Insured with respects to General Liability, Auto Liability and
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana AUTHORIZED REPRESENTATIVE rAPPROVED L
<br /> 20 Civic Center Plaza
<br /> City Hall - Ross Annex (yam- . By Cynthia Mora at 2:02 pm,Dec 03,2024
<br /> Santa Ana, CA 92701 �� o-
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br /> SR ID 26643328 BATCH: 3679162
<br />
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