Laserfiche WebLink
Page 1 of 2 <br />A� �� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(M1/2025 <br />Ol/31/2025 <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 <br />CONTACT Willis Towera Watson Certificate Center <br />NAME: <br />Willis Towers Watson Southeast, Inc. <br />PHON <br />c/o 26 Century Blvd <br />o Ezt 1-877-945-7378 aC No: 1-888-467-2378 <br />EMAIL <br />ADDRESS: <br />P.O. Box 305191 <br />INSURER S AFFORDING COVERAGE <br />NAIC # <br />Nashville, TN 372305191 USA <br />INSURERA: Hartford Fire Insurance Company <br />19682 <br />INSURED <br />INSURER B: Navigator. Insurance Company <br />42307 <br />Fidelity National Title Company and its Subsidiaries <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, FL 32204 <br />Allianz Global 12iaka US Insurance company <br />INSURER E: P Y <br />35300 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: W37628527 RFVIRION MIIMRFR- <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 />rypE OF INSURANCE <br />ADDLSUBR <br />POLICYNUMBER <br />POLICY EFF <br />MM/DDNYYY <br />POLICY EXP <br />MM/DD <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Cl-AIMS-MADE <br />AIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />EED <br />PREMI <br />PREMISESS Ea occurrence <br />$ 1,000,000 <br />X <br />MED EXP LAry one person) <br />$ 0 <br />A <br />Hest Liguor Liability <br />PERSONALSADV INJURY <br />$ 1,000,000 <br />y <br />y <br />20 CSE C90929 <br />11/15/2024 <br />11/15/2025 <br />GEN'L <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY 0 jE 7 LOG <br />GENERAL AGGREGATE <br />$ 10,000,000 <br />PRODUCTS - COMPIOP AGO <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 />BODILY INJURY (Per Person) <br />$ <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />r <br />y <br />20 CSE C90930 <br />11/15/2024 <br />11/15/2025 <br />BODILY INJURY (Per aeddem) <br />$ <br />X <br />HIRED NON -OWNED <br />yaicgOS�NLV gljT_L ON <br />ad <br />Damaae is X <br />PROPERTY DAMAGE <br />Perscudant <br />$ <br />$ <br />R <br />X <br />UMBRELLALIAS X <br />OCCUR <br />EACH OCCURRENCE <br />$ 10,000,000 <br />AGGREGATE <br />$ 10,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />GA2401&RZ03TARIV <br />11/15/2024 <br />11/15/2025 <br />DED I X I RETENTION$ 0 <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBERI:XLLDDED7 No <br />N/A <br />y <br />20 NN C90926 <br />11/15/2024 <br />11/15/2025 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,D00,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ 1,000, 000 <br />D <br />Workers Compensation and <br />y <br />20 WBR C90927 <br />11/15/2024 <br />11/15/2025 <br />E.L. Each Accident <br />$1,000,000 <br />Employers Liability - W1 6 Ina <br />E.L. Disease- Ea Hap <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 Tu Tian Nguyen of 10:03 am, Feb 03, 2025 <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 />City of Santa Ana <br />Risk Management Division AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92701 <br />196R.201BACORDC0RP0RATI0N. Allrinhfe <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />SR ID: 27221956 .ATcH: 3811539 <br />