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A� �® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDP>
<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 />Crest Insurance Group, LLC
<br />Nobel Drive Suite 400
<br />SAN DIEGO AZ 95122
<br />CONTACT
<br />Dawn Joseph
<br />PHONE FAX
<br />. 8585471143 A/c No:520-325-3757
<br />EDORIESS: Djoseph@crestins.com
<br />INSURERS AFFORDING COVERAGE
<br />NAICN
<br />INSURER A: Radnor Specially Insurance Company
<br />15756
<br />INSURED APTUCOU-0i
<br />Aptus Court Reporting LLC
<br />401 West A Street suite 1680
<br />INSURERS: Hanover Insurance Con pan
<br />22292
<br />INSURERC : Scottsdale Insurance Company
<br />41297
<br />INSURER D : Allmerica Financial Benefit Insurance Company
<br />41840
<br />San Diego CA 92101
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 1336414955 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />ibm
<br />Wye
<br />POLICYNUMBER
<br />POLICY EFF
<br />fMMIDDryYYYl
<br />POLICY EXP
<br />IMMIDDlYNNY)LIMITS
<br />B
<br />X
<br />COMMERCIALGENERALUABILITY
<br />AIMS -MADE OCCUR
<br />CL1:1
<br />Y
<br />Y
<br />OB3H481326
<br />1/31/2024
<br />1/31/2025
<br />EACH OCCURRENCE
<br />$2,000,000
<br />P REMI E(RENTED
<br />PREMISESSEa occurrence)
<br />$1,000,000
<br />MED EXP (Any one person)
<br />$10.000
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$4,000,000
<br />X
<br />POLICY PET LOC
<br />PRODUCTS-COMPIOPAGG
<br />$4,000,000
<br />$
<br />OTHER:
<br />❑
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />AMH516177-03
<br />1/312024
<br />1/31/2025
<br />COMBINED SINGLE LIMIT
<br />Ea accident)
<br />$1,000,000
<br />BODILY INJURY(Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULEDAUTOS ONLY AUTOSBODILY
<br />I
<br />INJURY (Per aAMAGEaccident)tlaccident)$
<br />PROPERTY D
<br />Peraccldent
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />B
<br />X
<br />UMBRELLA LIAR
<br />OCCUR
<br />OB3H481326
<br />1/31/2024
<br />1/31/2025
<br />EACH OCCURRENCE
<br />$4,000.000
<br />AGGREGATE
<br />$4,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION$
<br />1
<br />$
<br />1
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />Y
<br />WZ3H899581
<br />1/31/2024
<br />1/31/2025
<br />X STATUTE TRH
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />ANYPROPRIETORIPARTNEWEXECUTIVE
<br />OFFICER/MEMBEREXCLUDED9 ❑
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory In NH)
<br />If yes, dsscribe under
<br />DESCRIPTION OF OPERATIONS be.
<br />EL.DISEASE - POLICY LIMIT
<br />$1,000,000
<br />A
<br />Professional/Cyber
<br />DPS5001274D
<br />1/31/2024
<br />1/31/2025
<br />$2,00y000 dedlok
<br />Full Prior Acts
<br />C
<br />D&OIEPH Re[25k
<br />EKS3511355
<br />1/31/2024
<br />1/31/2025
<br />$1M/$2M
<br />02-18-2011
<br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACDRD 101, Additional Remarks Schedule, may be a0ached if more space is required)
<br />Certificate holder and others when required in a written contract or agreement are Additional Insured (General Liability & Automobile Liability). Coverage is
<br />Primary & Non -Contributory (General Liability & Automobile Liability). Waiver of Subrogation (General Liability, Automobile Liability & Workers Compensation)
<br />applies. This form is subject to all policy forms, terms, endorsements, conditions definitions & exclusions.
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract,
<br />agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess
<br />and noncontributory.
<br />30 DAY NOC
<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 ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City Attorney's Office
<br />20 Civic Center Plaza Division AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 97202 it _ lft
<br />('(��, /� ©1988-2015 A
<br />ACDRD 25 (2016/03) The ACORD name and logo are registered marks of AC04 APPROVED
<br />By Cynthia Mora at 12:26 pm, Oct 28, 2024
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