Laserfiche WebLink
A� or CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMI o214 Y1 <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 <br />Assured Partners Design Professionals Insurance Services, LLC <br />19689 7th Ave NE, Ste 183, PMB #369 <br />Poulsbo WA 98370 <br />Allison Barge <br />FAX <br />, 360-626-2007 c No), 360-626-2007 <br />allison.bar a assured artners.com <br />nNAME: <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />Travelers Pro a Casual Com an of America <br />25674 <br />LicenseM 6003745 <br />INSURED SAGEPLA-01 <br />Sagecrest Planning+Environmental <br />Hudson Insurance Com an <br />25054 <br />27128 Paseo Espada Suite 1524 <br />INSURER O: <br />San Juan Capistrano CA 92675 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 752314418 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 />A X COMMERIICIIALGENEAL OCILRY CUR Y Y 610IJ742189 <br />CIL <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY [ X ] PEO- LOC <br />OTHER' <br />A AUTOMOBILE LIABILITY <br />X ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED No' <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLALIAS OCCUR <br />EXCESS LIAR ll.—o., <br />q �WORKERS <br />COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETOR/PARTNERIE <br />OFFICERIMEMBEREXC WDEr <br />(Mandatom In NH) <br />B I Professional Uab;Claims Made <br />Y❑ N <br />Y I Y I BA8R626254 <br />UB5J743745 <br />PRB0619119014 <br />6/1/2024 1 6/1/2025 <br />8 <br />6/1/2024 I 6/1/2025 <br />BODILY INJURY(Perpeman) $ <br />BODILY INJURY (Per acadent) $ <br />PROPERTY DAMAGE ItPeracoi4ent <br />6/1/2024 I 6/1/2025 <br />6/1/2024 1 6/1/2025 iPer Claim <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe allached N more space Is requimd) <br />The City of Santa Ana, It's Officers, Employees, Agents and Representatives are named as Additional Insured on the Commercial General Liability and Auto <br />Liability when required by written contract regarding activities by or on behalf of the Named Insured. The Commercial General Liability insurance is primary <br />insurance and any other insurance maintained by the Additional Insured shall be excess only and non-contdbuting with this insurance. A waiver of subrogation <br />applies to the Commercial General Liability, Auto Liability and Workers Compensation / Employers Liability in favor of the Additional Insured. <br />APPROVED <br />By Cynthia Mora at 12:22 pm, Dec 18, 2024 <br />CFRTIFICATF Hint r1FR reur _ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />