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<br />DANC
<br />A� CERTIFICATE OF LIABILITY INSURANCE
<br />DAM 11/19/2024
<br />11/19/2024
<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 endomement(s).
<br />PRODUCER
<br />c ^CT Angela Dancy
<br />Acrisure Southwest Partners Insurance Services, LLC
<br />4000 Westerly Place
<br />Suite 110
<br />Newport Beach, CA 92660
<br />PHONE FAX
<br />lac, No Eae): (949) 346-2086 AIL, No:
<br />E-MAIL .andancy acrisure.com
<br />INSURERS AFFORDING COVERAGE
<br />NAICN
<br />INSURERA:Travelers Property Casualty Company of America
<br />25674
<br />INSURED
<br />Vandermost Consulting Services, Inc.
<br />30900 Rancho Viejo Rd
<br />Ste 700
<br />INSURER B: Hartford Accident and IndemnityCompany
<br />22357
<br />INSURERC: Hartford Casualty Insurance Company
<br />29424
<br />INSURER D: United Specialty Insurance Company
<br />12537
<br />INSURER E:
<br />San Juan Capistrano, CA 92675
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER- Iaclnc!O!q ullMlraco.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECTTO ALLTHETERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXPLTR
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE [X] OCCUR
<br />Contractual Liabilit
<br />6809K495663
<br />12/112024
<br />12/1/2025
<br />EACH OCCURRENCE
<br />2,000,000
<br />DAMAGE TO RENTED
<br />PREMISES (Ea occumence)X
<br />$ 1,000,000
<br />$ 5,000
<br />MED EXP (Any one Person
<br />X
<br />I XCU Included
<br />PERSONAL&ADV INJURY
<br />$ 2,000,000
<br />GEN'LAGGREGATE
<br />LIMITAPPLIES PER:
<br />POLICY JECT LOC
<br />GENERAL AGGREGATE
<br />4,000,000
<br />PRODUCTS-COMP/OP AGG
<br />4,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILELUmILITY
<br />COMBINED SINGLE LIMIT
<br />$ 1,000,000
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />72UECHB5536
<br />1211/2024
<br />12/112025
<br />BODILY INJURY Per meson)
<br />$
<br />BODILY INJURY Per accident
<br />f
<br />$
<br />WWNN
<br />AUTOS ONLY AJTOSONLV
<br />PeOi acEClROent AMAGE
<br />$
<br />A
<br />X
<br />UMBRELLA LIAR
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />CUP8R146768
<br />12/1/2024
<br />17JI12025
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />DED RETENTION$
<br />C
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'UABILITYTNERI
<br />ANY PERPM ETORIPARTNERIEXECUTIVE YIN
<br />OFFICERMIEMBER EXCLUDED? Y�
<br />(Mantlstory In NH)
<br />If ySCRIPunder
<br />ntler
<br />DESCRIPTION OPERATIONS below
<br />NIA
<br />72WECAU2YYM
<br />12/1/2024
<br />1211/2025
<br />)( PER STATUTE OTH-
<br />ER
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY UMIT
<br />$ 1,000,000
<br />D
<br />Prof Liab/Pollu Liab
<br />USS 24 35174
<br />12/112024
<br />1211/2025
<br />Each Claim
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aUachetl if more apace Is required)
<br />Certificate Holder is included as additional insured per the attached general liability and auto liability endorsements. The GL & BA policies are Primary and
<br />Non -Contributory. Blanket GL & BA WOS wordings are included in the endorsements. Ipm Umbrella does over the Hartford Auto nolory ._% Well s the
<br />Travelers General Liability coverage. APPROVED
<br />By Cynthia Mora at 12:20 pm, Dec 18, 2024
<br />City of Santa Ana Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<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 />AUTHORIZED REPRESENTATIVE
<br />AL.UKU zo (2Ulule3) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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