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VCACONS-01 MCCOWANA
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 1
<br />6128/228/2024
<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'it u uph enp rse t(s).
<br />PRODUCER LIc se # OE67768 •
<br />IDA Insuran& bvna1r
<br />3636 Nobel , Na, Ert : 61 788-57 50206 ac, No :(619) 574-6288
<br />Suite 410 I A E- AIL (6 it u
<br />San Diego, A 9 H S ERAGE NAIC N
<br />INSURER A: Travelers Property Casualty Company of America 25674
<br />INSURED A.T I s r nC C an
<br />C sc. �laf�l am sur r .': F F nti errfm or oration
<br />Or ew o e, uit Orange, 9 Oa
<br />rINSUR
<br />29459
<br />11380
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER- RFIrICInN 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 />rypE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />X
<br />6801R291569
<br />7/1/2024
<br />7/1/2026
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES His occunanca)
<br />1,000,000
<br />$
<br />X
<br />MEO EXP A rs one aon
<br />Cont Liab/Sev of Int
<br />$ 6,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY � J,Ra- LOC
<br />GENERAL AGGREGATE
<br />2,000,000
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />Ded
<br />$ 0
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED damnSINGLE LIMIT
<br />1�QQQ�000
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTO
<br />OpS
<br />X
<br />BA9P831412
<br />7/1/2024
<br />7/1/2026
<br />BODILY INJURY Per son
<br />BODILY INJURY Per accident
<br />$
<br />PPeO, P.E. Yt AMAGE
<br />$
<br />AUTOS ONLY AUTOS ONLY
<br />Comp.:$1,000 X Coll.:$1,000
<br />X
<br />A
<br />X
<br />UMBRELLALIAS
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />5,000,000
<br />AGGREGATE
<br />51000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />CUP1R295206
<br />7/112024
<br />7/1/2025
<br />DELI I I RETENTION$
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS LIABILITYTAIUTE
<br />ANY PROPRIEfORIPARTNERIEXECUTIVE YIN
<br />QQP�FICER EMBER EXCLUDED?
<br />Imantlatogr In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N/A
<br />X
<br />72WEGAM3JXV
<br />7/112024
<br />7/1/2025
<br />X PER OTW
<br />FIR
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />C
<br />Professional Liab.
<br />USFOO847424
<br />7/1/2024
<br />7/1/2025
<br />Per Claim
<br />2,000,000
<br />C
<br />Ded $60,000 Ech Chin
<br />USFOO847424
<br />7/1/2024
<br />7/1/2021
<br />Aggregate
<br />4,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule may be attached if more space Is mqulmd1
<br />Named Insured Includes: dba VCA Structural; d a VCA Consultants; Van Dorpe dhou Associates, Inc.; The Code Group, Inc.; dba VCA Green; dba VCA Code;
<br />dba VCA Code Group, , The Code Group, Inc. dba: Verde, The Code Group, Inc. dba: Verde, a VCA Company. The Umbrella policy is follow -form to the
<br />underlying GL, Auto and WC policies.
<br />Re: All Operations
<br />City of Santa Ana, officers, agents, employees, and volunteers are Additional Insureds with respect to General and Auto Liability per the attached
<br />SEE ATTACHED ACORD 101
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />ACORD 25 (2016103)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREO
<br />ACCORDANCE WITH THE POLICY PRI
<br />AUTHORIZED REPRESENTATIVE
<br />6L s-/ Juo
<br />RWeMaroBanadD[visIM
<br />%REVIEWED 6APPilOVEO BY:
<br />`
<br />A*fa A _ _r
<br />®
<br />Risk Management Specialist
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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