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AID h® CERTIFICATE OF LIABILITY INSURANCE
<br />03/0 DDN OATE(MM12025 YY)
<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($), 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. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />AOn Risk services Central, Inc.
<br />Chicago IL Office
<br />CONTACT
<br />PHONE (g66) 283-7122 FAX (800) 363-0105
<br />INC. No. ExU:INC. No.):
<br />200 East Randolph
<br />Chicago It 60601 USA
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAICR
<br />INSURED
<br />INSURER A: AllianZ Global Risks us Insurance CO.
<br />35300
<br />Anger Advisory, LLC
<br />529 E Crown Point Rd., Suite 170
<br />Ocoee FL 34761 USA
<br />INSURER B: Zurich American Ins CO
<br />16535
<br />INSURER C: National Union Fire Ins Co of Pittsburgh
<br />19445
<br />INSURER D: The Continental Insurance Company
<br />35289
<br />INSURER E: Valley Forge Insurance CO
<br />20508
<br />NSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570111200478 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. Limits shown are as requested
<br />LTq
<br />TYPE OF INSURANCE
<br />INBO
<br />WVO
<br />POLICY NUMBER
<br />FULIUY LEE
<br />MPOLIGY
<br />IMIDDN
<br />UP
<br />MMID11YYYYt
<br />LIMITS
<br />E
<br />X
<br />COMMERCIALGENERALLIABILITY
<br />7 5
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE 1fl OCCUR
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />MED UP (Any one parson)
<br />$15,000
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />GENLAGGREGATE LIMITAPPLIES PER:
<br />GENERALAGGREGATE
<br />$2,000,000
<br />X POLICY 0 PRO LOD
<br />JECT
<br />PRODUCTS - COMP/OP AGO
<br />$2,000,000
<br />OTHER:
<br />o
<br />n
<br />O
<br />LIABILITY
<br />801$367435
<br />01/17/202501/17/2026
<br />COMBINED SINGLE LIMIT
<br />$1,000,000
<br />m
<br />B
<br />BAP 9376191 21
<br />11/15/2024
<br />11/15/2025
<br />Eaaceiden
<br />NYAUTO5M
<br />Xs 1M
<br />BODILY INJURY(Per person)
<br />0SCHEDULEDOWNEDAUTOSBODILY
<br />INJURY (PeramideniJIREDUDINOSY
<br />FMOBIALE
<br />NON-0WNED
<br />PROPERTY DAMAGENLY
<br />AUTOS ONLY
<br />Per accident)_
<br />1=
<br />N
<br />C
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />BE017247267
<br />11/15/2024
<br />11/15/2025
<br />EACH OCCURRENCE
<br />$1, 000, 000
<br />O
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$1,000,000
<br />DEC I
<br />RETENTION
<br />O
<br />WORKERS COMPENSATION AND
<br />8018265617
<br />Ol/17/2625
<br />01 17 2026
<br />X PER STATUTE
<br />OH_
<br />ER
<br />EMPLOYERS, LIABILITY YIN
<br />WC - ADS
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICEPIMEMBER EXCLUDED}
<br />N/A
<br />8018266685
<br />O1/17/2025
<br />O1/17/2026
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory In NH)
<br />WC - CA
<br />describe under
<br />E.L. DISEASE -POLICY LIMR
<br />$1,000,000—_
<br />Use,
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />E&O - Professional Liability
<br />USZ000017240M
<br />01/01/2024
<br />06/01/1025
<br />Eachclaim/Aggregate
<br />$20,000,000
<br />- Primary
<br />SIR applies per policy ter
<br />s & condi
<br />ions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddBlonal Remarks Schedule, may be aeached It more space is required)
<br />The City of Santa Ana, its officers, officials, employees and volunteers are included as Additional Insured in accordance with
<br />the policy provisions Of the General Liability policy. General Liability policy evidenced herein is Primary and
<br />Non -Contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. A
<br />Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General
<br />Liability, Automobile Liability and Workers Compensation policies.
<br />ki
<br />olguany ag"d
<br />Tu TTan
<br />Nguyeten APPROVED
<br />.
<br />wte.2te:zpzsga.aa
<br />By TU Iran Nguyen aC""iP.06am-Mar 06,-Z025
<br />CRA
<br />FTIFICATF Hrll OFR CNCFI I e-rinN
<br />0
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City Of Santa Ana AUTHORIZED REPRESENTATIVE
<br />Attn: Public Works Agency
<br />20 Civic center Plaza, M-22 US
<br />Santa Ana CA 92701 USA
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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