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<br />ACOROY' CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />11/18/2024
<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 lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT Willis Towers Watson Certificate Center
<br />NAME:
<br />Willis Towers Watson Southeast, Inc.
<br />PHONE FAX
<br />c/o 26 Century Blvd
<br />1-877-945-7378 1-888-467-2378
<br />A o Ext : A/C No
<br />E-MAIL
<br />ADDRESS:
<br />P.O. Box 305191
<br />Nashville, TN 372305191 USA
<br />INSURERS AFFORDING COVERAGE
<br />NgIC #
<br />INSURERA: Hartford Fire Insurance Company
<br />19682
<br />INSURED
<br />Chicago Title Company
<br />INSURERS: Navigators Insurance Company
<br />42307
<br />INSURER C : Hartford Accident and Indemnity Company
<br />22357
<br />Attn: Fidelity National Financial Inc. Risk Mgmt
<br />INSURERD; Twin City Fire Insurance Company
<br />29459
<br />601 Riverside Ave, Bldg 5
<br />Jacksonville, FL 32204
<br />Allianz Global Risks US Insurance company
<br />INSURER E : p y
<br />35300
<br />INSURER F :
<br />I.IJVGRNI]rl l.FK I1F11.n I1 NI lm . wjoznn1b1 mmlllC. _
<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 />ADDL
<br />SUBR
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />X
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />CLAIMS -MADE OCCUR
<br />PREMISES Ea occurrence
<br />$ 1, 000 , 000
<br />X
<br />A
<br />Host Liquor Liability
<br />MED EXP (Any one person)
<br />$ 0
<br />PERSONAL 8 ADV INJURY
<br />$ 1,000,000
<br />y
<br />20CSEC90929
<br />11/15/2024
<br />11/15/2025
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 10,000,000
<br />GEN'L
<br />X
<br />PRO-
<br />POLICY M LOC
<br />JECT
<br />PRODUCTS - COMPlOP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />Y
<br />20CSEC90930
<br />11/15/2024
<br />11/15/2025
<br />BODILY INJURY Per accident)
<br />$
<br />HIRED NON -OWNED
<br />D
<br />PROPERTYtAMAGE
<br />$
<br />I�yTOQNLY �UTi0ONLY
<br />1nsured
<br />Pr den
<br />X
<br />X
<br />Damage is
<br />$
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />FACH OCCURRENCE
<br />$ 50,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />Y
<br />GA23UMRZ03TARIV
<br />11/15/2024
<br />11/15/2025
<br />DED I X I RETENTION $ 0
<br />$
<br />WORKERS COMPENSATION
<br />X PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />C
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE No
<br />NIA
<br />OFFICERIMEMBEREXCLUDEI
<br />20WNC90926
<br />11/15/2024
<br />11/15/2025
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />D
<br />Workers Compensation and
<br />20WERC90927
<br />11/15/2024
<br />11/15/2025
<br />E.L. Each Accident
<br />$1,000,000
<br />Employers Liability - WI 6 MA
<br />E.L. Disease- Ea Emp
<br />$1,000,000
<br />Per Statute
<br />E.L.Disease-Pol Limi
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />SEE ATTACHED
<br />APPROVED
<br />By Cynthia Mora at 9:47 am, Jan 16, 2025
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th floor
<br />Santa Ana, CA 92701
<br />�.F11V l.CLLF� 1 IVIV
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />U 1988-2U16 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />SR ID: 26782769 BATCH: 3708681
<br />
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