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JPWCOMM-01 BRITTANY
<br /> ACORO CERTIFICATE OF LIABILITY INSURANCE FIDAT,
<br /> (MMIDDIYYYY)
<br /> 4/23/2025
<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 CONTACT
<br /> NAME:
<br /> Culture Insurance Services,LLC PHONE FAX
<br /> 140 West 3rd Avenue (A/C,No,Ext): (619)346-9553 (A/C,No):(619)324-7035
<br /> Escondido,CA 92026 ADD"RIESS:accounting@cultureinsurance.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Hanover Insurance Company NAIC#22292 22292
<br /> INSURED INSURER B:United Specialty Insurance Company
<br /> JPW Communications Inc. INSURER C:Trisura Specialty Insurance 16188
<br /> 2710 Loker Ave W Suite 300 INSURER D
<br /> Carlsbad,CA 92010
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MMIDDIYYYY MMIDDIYYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE X OCCUR OBF J373720 02 4/4/2025 4/4/2026 DAMAGE TO RENTED 300,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 5,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY ] JEC T TLOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> X OTHER:HNOA INCLUDED
<br /> $
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident)
<br /> ccident $
<br /> ANY AUTO OBF J373720 02 4/4/2025 4/4/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident)
<br /> ccident $
<br /> X HNOA
<br /> COVERAGE ONL $
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
<br /> EXCESS LIAB CLAIMS-MADE OBF J373720 02 4/4/2025 4/4/2026 AGGREGATE $ 1,000,000
<br /> DED X RETENTION$ 0 $
<br /> A WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN W2F-J373715-02 4/4/2025 4/4/2026 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? NIA
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1 000 000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> B Professional Liab GCT-1847134-03 4/4/2025 4/4/2026 Policy Aggregate 2,000,000
<br /> C Cyber Liability AB-6609930-06 4/4/2025 4/4/2026 Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers are named as additional insured per the attached endorsement.
<br /> This insurance is primary.Waiver of Subrogation applies.
<br /> Digitally signed
<br /> Tu Tran byTuTran
<br /> Nguyen
<br /> Date:e2025.04.24 F�P!
<br /> ROVED
<br /> 16:10:14-07'00' Tran Nguyen at 4:09 pm,Apr 24, 2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn:City Manager's Office
<br /> 20 Civic Center Plaza, M-31
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) f ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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