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AC Ro® CERTIFICATE OF LIABILITY INSURANCE DATE (MM DN Y) 024 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd Suite 230 Lafayette CA 94549 CONTACT NAME: Mandy Gu0 PHONE 510-272-1402 ac No: Ext)L EAtC.-MAINo ADDRESS: Certsoesi nPrO AssuredPartners.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: XLSpecialty Insurance CO. 37885 License#: 6003745 INSURED MARKTHO-D3 Mark Thomas & Company, Inc. 2833 Junction Avenue, Suite 110 INSURER B INSURER C: INSURER D: San Jose CA 95134 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 2015017712 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLTYPE JNM SUER POLICY NUMBER MMID�Y� MMIDDYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TORENTED PREMISES Ea occurrence) $ MED EXP Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICYRIE] PECT ❑ LOC PRODUCTS-COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB ICLAIMS-MADE DED I I RETENTION$ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUrE ER E.L. EACH ACCIDENT S ANYPROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED4 NIA E.L. DISEASE -EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.LDISEASE-POLICYLIMIT $ A Professional liability& DPR5031067 7/1/2024 7/1/2025 Per Claim $2,000.000 Cattle. Pollution Liab Included Aggregate Limit $2.000.000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job Number: 21-00208 - SAGS Grant Applications — City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92702 CANCELLATION 30 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. APPROVED ACORD 25 (2016/03) The ACORD name and logo are registered By Cynthia Mora at 8:55 am, Nov 05, 2024