|
TBPENIC-02 VMURTHY
<br /> ,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 8/26/2025
<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 License#OC36861 CONTACT Eric Chi
<br /> NAME:
<br /> San Diego-Alliant Insurance Services,Inc. PHONE FAX
<br /> 701 B St 6th FI (A/C,No,Ext):(619) 849-3734 (A/C,No):
<br /> San Diego,CA 92101 E-MAIL-ADDRESS:eric.chi@alliant.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURERA:Zurich American Insurance Company 16535
<br /> INSURED INSURERB:Palomar Specialty Insurance Company 20338
<br /> TB Penick&Sons,Inc INSURERC:Endurance American Specialty Insurance Company 41718
<br /> 13280 Evening Creek Drive South,Suite 100 INSURER 7
<br /> San Diego,CA 92128
<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 MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE X OCCUR GLO 4320150-07 9/1/2025 9/1/2026 DAMAGE TO RENTED 300,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY X 71 PEA LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: EBL AGGREGATE $ 2,000,000
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> X ANY AUTO X X BAP 4328118-07 9/1/2025 9/1/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident)
<br /> ccident $
<br /> B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE X X CPLXP-00000778 9/1/2025 9/1/2026 AGGREGATE $ 5,000,000
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY X STATUTE ER
<br /> WC 4320152-07 9/1/2025 9/1/2026 1,000,000
<br /> ANY PROPRIETOR/ R/EXECUTIVE ❑ E.L.EACH ACCIDENT $
<br /> EXCLU
<br /> OFFICER/MEMBER EXCLUDED? N/A
<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 /> C Professional Liabili X PNV10015473602 9/1/2025 9/1/2026 [Ea.Claim/Aggregate 10,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> 2nd Layer EXC Liability:XSL-436371D-01 9/1/2025-9/1/2026 Occ./Agg.limit:$5,000,000 Carrier:Westfield Specialty Insurance Company
<br /> RE:Project 40435 Santa Ana Zoo Lithomosaic
<br /> City of Santa Ana is named as Additional Insured as respects to the General Liability,Automobile Liability and Umbrella Liability.Waiver of Subrogation
<br /> applies to the General Liability,Auto Liability,Workers Compensation,Umbrella Liability&Professional Liability.30 Days'Notice of Cancellation applies.
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran Nguyen at 7:27 am,Sep 03, 2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention: PRCSA-Zoo by Tu Tranlly signed
<br /> Santa Ana Zoo-M-90 TU Trdn byuy Tran
<br /> Nguyen
<br /> 1801 E Chestnut Ave. Nguyen Date:zozs.09.03 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana,CA 92701 m:za:ol-moo �Y
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
|