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<br />ACC?RD► CERTIFICATE OF LIABILITY INSURANCE
<br />DATE{MMIDDIYYYY)
<br />kr�
<br />02/25/2025
<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 endorsements).
<br />PRODUCER
<br />GUNTE CT Willis Towers Watson Certificate Center
<br />NAM
<br />Willis Towers Watson Southeast, Inc.
<br />c/o 26 Century Blvd
<br />AH�NE 1-877-995-7378 A/C No: 1-888-467-2378
<br />E-MAIL
<br />ADDRESS:
<br />P.O. Box 305191
<br />Nashville, TN 372305191 USA
<br />INSUREII AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Hartford Tire Insurance Company
<br />29682
<br />INSURED
<br />Commonwealth Land Title Company and its Subsidiaries
<br />INSURERB: Navigators Insurance Company
<br />42307
<br />INSURERC: 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, FI, 32204
<br />Allianz Global Risks US Insurance company
<br />INSURER E : p Y
<br />35300
<br />INSURER F :
<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 />$UBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM DD
<br />POLICY EXP
<br />MM DO YY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />—XI
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE I OCCUR
<br />DAMAGE TO RENI
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />X
<br />A
<br />Bost Liquor Liability
<br />MED EXP Any one person)
<br />$ 0
<br />PERSONAL&ADVINJURY
<br />$ 1,000,000
<br />Y
<br />20 CSE C90929
<br />11/15/2024
<br />11/15/2025
<br />AGGREGATELIMITAPPLIESPER:
<br />GENERAL AGGREGATE
<br />$ 10,000,D00
<br />LOCPOLICY RI-
<br />PRO-2,000,400
<br />M'OTHER:
<br />PRODUCTS-COMPIOPAGG
<br />$
<br />$
<br />1
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$ 1,000,000
<br />ANY AUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />20 CSE C90930
<br />11/15/2D24
<br />11/15/2025
<br />BODILY INJURY Per accident
<br />{ )
<br />$
<br />HIRED NON -OWNED
<br />zAUT??NLY Se1Tx IRINEed
<br />PROPERTYDAMAGE
<br />fPer accident
<br />$ 1,000,000
<br />XDa
<br />ae is X
<br />$
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />EXCESSLIA13
<br />CLAIMS -MADE
<br />GA24UMRZ03TARIV
<br />11/15/2024
<br />11/15/2025
<br />DE❑ I X I RETENTION 0
<br />WORKERS COMPENSATION
<br />X STATUTE
<br />AND EMPLOYERS' LIABILITY YIN
<br />FIR
<br />E.L. EACH ACCIDENT
<br />$ 1,000,Ooo
<br />C
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />OFFICER/MEMBEREXCLUDE09 No
<br />NIA
<br />Y
<br />20 WN C90926
<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 />Y
<br />20 WBR C90927
<br />11/15/2024
<br />11/15/2025
<br />4.L. Each Accident
<br />$1,000,OD0
<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 I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />SEE ATTACHED
<br />Ls APPROVE®
<br />Tu Tran �,�r,a�
<br />��re�
<br />Nguyen OWM5.W25 By Tu Fran Nguyen of 10.04 am, Feb 25, 2025
<br />�— LRrrkrCLL./i 1 lull
<br />City of Santa Ana
<br />Attention: Public Works Agency
<br />20 Civic Center Plaza, M-36
<br />Santa Ana, CA 92701
<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 />v 1 U188-211311 t3 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />SR rD: 27336631 sr.TCH: 3847292
<br />
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