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CALIFORPRO KEVINT
<br /> CERTIFICATE OF LIABILITY INSURANCE FE(MM1DDlYYYYI DAT
<br /> 5)3012025
<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#0252636 CONTACT
<br /> AME CT George Duran
<br /> Duran Risk&Insurance Services PHONE FAX
<br /> 3257 E.Guasti Ave,Suite 100 (AIC,No,Ext):(949)933-2845 (A/C,No);
<br /> Ontario,CA 91761 ADDRIESS,george@drisinc.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INsuRERA:Homesite Insurance Company of California 11005
<br /> INSURED INSURER B;MS Transverse Specialty Insurance Company 141807
<br /> California Professional Engineering Inc. INSURER C:RSUI Indemnity Com 22314
<br /> 19062 San Jose Avenue INSURER D:ACE American Insurance Company 22667
<br /> La Puente,CA 91748 INSURER E:Admiral Insurance Company 24856
<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 /> INSIR ADDL SUBR POLICY EFF POLICY EXP
<br /> L R TYPE OF INSURANCE IN D WVD POLICY NUMBER p MM DD YYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR CPP01924602 5/19/2025 5/19/2026 DAMAGE TO RENTED 104,000
<br /> X X PREMISES E ccurrence $
<br /> X Owner's&Contractor MED EXP(Any one person) $ 5,000
<br /> PERSONAL 8 ADV INJURY $ 1,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICYOTIR° D LOC PRODUCTS-COMPIOPA_GG $ 2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY W aBINEDSidenjINGLE LIMIT $ 1,000,000
<br /> X ANY AUTO TSRSCA000027800 5119/2025 5119/2026 BODILY INJURY Per erson $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X A T DS ONLY X AUTO ONLY P 0accf I tDAMAGE $
<br /> $
<br /> C UMBRELLA LIAB X OCCUR I EACH OCCURRENCE $ 5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE NHA606723 511912025 5/19/2020 . AGGREGATE $ 5,000,000
<br /> LED RETENTION$ $
<br /> D WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y J N STATUTE ER __._
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE ❑ 912981 5/19/2025 5119)2026 1,D04,000
<br /> WE.L.PiCERIMEMBER EXCLUDED? NIA
<br /> EACH ACCIDENT $
<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 /> E Excess-5M xs 5M UX000000O1903 5/19/2025 5119/2026 Aggregate 5,000,000
<br /> E Excess-5M xs 5M UX00000001903 5119/2025 5119/2026 Each Occurrence 5,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Santa Ana,its officers,employees,agents,and volunteers are additional insureds with regard to liability and defense of suits arising from the
<br /> operations and uses performed by on or behalf of the named insured per attached forms CG20100413&CG20370413.With respect to claims arising out of the
<br /> operations and uses performed by on or behalf of the named insured,such insurance as is afforded by this policy is primary and is not additional to or
<br /> contributing with any other insurance carried by or for the benefit of the additional insureds per attached form CG20011219.This insurance applies separately
<br /> to each insured againstwhom claim is made or suit is brought except with respect to the company's limits of liability.Waiver of Subrogation with respects to
<br /> General Liability. Dlgitallyslgned
<br /> Tu Tran by Tu Trap
<br /> SEE ATTACHED ACORD 101 Dace zazsav15 �{
<br /> Nguyen 19:50:5s 07,00, APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION ByTu Fran Nguyen at 10.,58 am,Jun 25,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza
<br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE
<br /> �y
<br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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