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78/14/2024
<br />MM/DD/YYYY)A`oRo° CERTIFICATE OF LIABILITY INSURANCE
<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 endor—ment(s).
<br />PRODUCER CONTACT
<br />McGriff Insurance Se s L PHONE
<br />Susie Gu
<br />150 S. Warner Road, ui 4 A/c No E: .1 61 - 3 - No):
<br />King Of Prussia PA 1 tig i e ADDRESS: usa uarino@ griff.co
<br />S IN X tj NAIC#
<br />INSURER : N Onal nI ire ns o ol P151TA 19445
<br />INSURED 151LAZKARP
<br />INSUREr a:AILr'&Auranc Compa 19399
<br />LAZ Parking
<br />CalifornAcevedo -'--URERE:
<br />1200 Wilshire Bld., S INSUR rtc:Alli z US r n 35300
<br />Los Angeles CA 900I <ee.u:
<br />ASURER F
<br />COVERAGES CERTIFICATE NUMBER:118681 E 5c, 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 />TYPE OF INSURANCE
<br />ADDL SUBR POLICY EFF POLICY EXP
<br />LIMITSLTRINSDWVDPOLICYNUMBERMM/DD MM/DD
<br />A X COMMERCIAL GENERAL LIABILITY Y Y 3609369 7/31/2024 7/31/2025 EACH OCCURRENCE 1,000,000
<br />CLAIMS-MADE OCCUR PREMISES
<br />DAMAGE TO
<br />PREMISES Ea occurrence)ccurrence $1,000,000
<br />X 1,500,000 MED EXP(Any one person) $10,000
<br />PERSONAL&ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br />POLICY
<br />PRO-
<br />LOC PRODUCTS-COMP/OP AGG $2,000,000
<br />OTHER:
<br />A AUTOMOBILE LIABILITY Y Y 3135687 7/31/2024 7/31/2025 COMBINED SINGLE LIMIT $5,000,000Eaaccident
<br />X ANY AUTO BODILY INJURY(Per person) $
<br />OWNED SCHEDULED BODILY INJURY(Per accident) $AUTOS ONLY AUTOS
<br />HIRED NON-OWNED FIR ER DAMAGE
<br />AUTOS ONLY AUTOS ONLY Per accidentL
<br />C X UMBRELLALIAB X OCCUR SEE SCHEDULE 7/31/2024 7/31/2025 EACH OCCURRENCE 100,000,000
<br />X EXCESS LIAB CLAIMS-MADE AGGREGATE 100,000,000
<br />DED RETENTION$
<br />B WORKERS COMPENSATION Y 14111734 7/31/2024 7/31/2025 X PER OTH-
<br />AND EMPLOYERS'LIABILITY Y/N
<br />STATUTE ER
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />N/A
<br />E.L.EACH ACCIDENT 1,000,000
<br />OFFICER/MEMBER EXCLUDED?
<br />Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br />If yes,describe under
<br />DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br />A Garage keepers Liability Y Y 3135687 7/31/2024 7/31/2025 11000,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br />If agreed upon in a written contract or agreement,City,its officers,employees,agents and representatives are included as an additional insured for general
<br />liability, but only with respect to the operations of the named insured. This insurance is primary and non-contributory to the additional insureds if agreed upon in
<br />a written contract or agreement. Re: City of Santa Ana Parking Enforcement Services
<br />CERTIFICATE HOLDER CANCELLATION
<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, Risk Management Division ACCORDANCE WITH THE POLICY PRC
<br />20 Civic Center Plaza orz,
<br />F
<br />RAMampmentDMs[an
<br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE x
<br />R EWED&APPROVED
<br />USA 1 HILL: A AaN44
<br />Risk Management Specialist
<br />1988-2015 ACORD
<br />ACORD 25(2016/03)The ACORD name and logo are registered marks of ACORD
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