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MARKTHO.01
<br />SIIMMANR
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />OAT91912OD/YYYY)
<br />9/snoza
<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 License # OE67768
<br />cNRMP CT Jessica McDonald
<br />IDA Insurance Services
<br />3875 Ho yard Road
<br />Suite 200
<br />Pleasanton, CA 94588
<br />PHONE FAX
<br />AIC, No, E# : 925) 9184535 A/c, No ;
<br />EMAIL Jessica.McDonald@ioausa.com
<br />DRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC N
<br />INSURERA: The Continental Insurance Company
<br />35289
<br />INSURED
<br />INSURERS: Continental Casual' Com ny
<br />20443
<br />INSURER C: Valle For - a Insurance Coany
<br />20508
<br />Mark Thomas 8 Company, Inc.
<br />INSURER D: Lloyd's
<br />NA
<br />2833 Junction Avenue, Ste 110
<br />San Jose, CA 96134
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NI NUIRPo-
<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 CONTRACTOR 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 />DISK
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />MD
<br />POLICY NUMBER
<br />POLICY EFF
<br />1MNVDOiYYYYI
<br />POLICY UP
<br />(MMIDDYYYY)LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />X
<br />7040185059
<br />911612024
<br />9/1512025
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />$ 1,000,000
<br />MEDEXP Anaone erson
<br />$ 15,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,000
<br />GENT
<br />X
<br />N
<br />AGGREGATE LIMITAPPLIES PER:
<br />POLICY❑za LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS - COMP/OP AGO
<br />$ 2,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILELINBILITY
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1,000,000
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOSS
<br />X
<br />X
<br />7040183912
<br />9/16/2024
<br />9/1512025
<br />X
<br />BODILY INJURY Per erson
<br />$
<br />BODILY INJURY Per accident
<br />$
<br />Pe�aco dent AMAGE
<br />$
<br />pp
<br />Ai1T05 ONLY AUTOS IN
<br />A
<br />X
<br />UMBRELLA LIAR
<br />EXCESS LIAB
<br />OCCUR
<br />CLAIMSWADE
<br />7040283234
<br />9/1512024
<br />9/15/2025
<br />EACH OCCURRENCE
<br />S 9,000,000
<br />X
<br />AGGREGATE
<br />$ 9,000,000
<br />DED RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYER$' WBILITY
<br />ANY PROPRIETORIPARTNER/EXECUTIVE Y❑
<br />KQ�.F.17R/MEMg�q EXCLUDED4
<br />(mandatoryin NH)
<br />If yes, describe under
<br />DESCRIPTION OFOPERATIONSbebw
<br />N/A
<br />X
<br />740274825
<br />9/1512024
<br />9115/2025
<br />X PER 0:FF
<br />EL EACH ACCIDENT
<br />$ 1,000,000
<br />EL DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E.L.DISEASE - PODGY LIMIT
<br />$ 1,000,000
<br />D
<br />Cyber Liability
<br />CS1284324
<br />71112024
<br />7/1/2025
<br />Limit
<br />6,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />21-00208
<br />Re: Job# 21-00208 - SAGS Grant Applications
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives as additional insureds.
<br />Umbrella follows form.
<br />The Workers Compensation I Employers Liability Deductible is none.
<br />City of Santa Ana
<br />20 Civic Center Plaza
<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 />.I. P.1
<br />ACOHU 25 (ZU16IU3) ©1988-2015 ACORD CORPORABON, All rights reseored.
<br />The ACORD name and logo are registered marks of ACORD APPROVED
<br />BY C}mlhia A00ra at 3:54 arq Mx. D5, 2024
<br />
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