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ACoO CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY) <br /> 1 2/1 712 0 2 4 <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 ORALTER THE COVERAGE AFFORDED BYTHE 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 of 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 _LAME Pht:na Demyon <br /> FOY and Associates PHONE (818)703-8057 FAx <br /> S <br /> 21300 Victory Blvd,Suite 700 E--M1 AIL p AlC,No <br /> ADDRESS: phena@pcfoy.com <br /> 1NSURER[S)AFFORDING COVERAGE NAIO 4 <br /> Woodland Hills CA 91367 INSURERA: Citizens Insurance Company ofAmerica 31534 <br /> INSURED INSURER B_ Allmerica Financial Benefit:Insurance Company 41840 <br /> Transportation Studies,Inc INSURER C: United States Liability Insurance Company 25895 <br /> 2640 Walnut Avenue,Suite H INSURERD: <br /> INSURER E: <br /> Tuefln CA 927BO INSURER F: <br /> E]A <br /> COVERAGES CERTIFICATE NUMBER: CL24121794623 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 CONTRACTOR 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 HY PAID CLAIMS. <br /> INSR ADULSUBRI POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE IN SD WVD POLICY NUMBER MMIDDNYYY MMILIDIYYYY LIMITS <br /> COMMERCIAL GENERALUA131LITY - EACHOCCURRl S 1,000,000 <br /> D 'r T RE TED <br /> CLAIMS-MADE ®OCCUR PREMISES Ea occurrence)5 <br /> MED ECP(Any one parson) S 10,000 <br /> A OB3J56288302 10101/2024 10/0112025 PERSONAL&AOV INJURY $ <br /> GEN'LAGGREGATE UrIITAPPLIES PER. I - GENERALAGGREGATE g 2.000,000 <br /> POLICY <br /> > L�_.J PRo- �L <br /> JECT PRODUCTS-COMPfOPAGG 5 - <br /> OTHER- Damage To Premises 5 600,000 <br /> AUTOMOBILE LIA9ILITY -LIMIT S 1,C00,D00 <br /> Ea a-rrdenl <br /> X ANYAU70 BODILY INJURY{Per person) S <br /> g OWNED SCHEDULED AW3-J562873-01 1010112024 10/01/2025 RODILY INJURY Per accident) S <br /> AUTOS ONLY AUTOS { <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per acridenr S <br /> Uninsured Motorists 5 1.000,000 <br /> UMBRELLA LLAB X OCCUR EACH OCCURRENCE S 2,000.000 <br /> A UEXCESS MBRELLA <br /> OLAIMS-MADE OB3J 552B8302 1010112024 1010112025 AGGREGATE S 2,000.000 <br /> DIED I RETENTION S - S <br /> WORKERS COMPENSATION PER CTH- <br /> AND EMPLOYERS'LIABILITY Y r N STATUTE ER <br /> B ANYPRDMEMBRIPARTNERIDXEDDTIVE �y'I NIA W23J562E8203 1010V2024 10/0112025 E.L EACH ACCIDENT S 1000000 <br /> DFFICERlMEMBER EXCLUDED? <br /> (Mandatory des In and E.L DISEASE-EA EMPLOYEE S 1000000 <br /> If yes,de5crihe Under <br /> DESCRIPTION OF OPF-RA71ONS below E.L.DISEASE-POLICY UNIT S 1000000 <br /> ErI'prs and Omissions <br /> Self Ins Retenticn <br /> C ) SP 1022743M 10101/2024 10/01/2025 E&O S1,000,000 <br /> Each Occurrence S1.000,000 <br /> DESCRIPTION OF OPERA1101,15 f LOCATIONS I VEHICLES(PCORD 101,Additional Remarks Schedule,maybe attached if more Space is required) <br /> City of Santa Ana is fisted as Additional Insured with respect to General Liability as their interests may appear <br /> subject to the conditions, limitations and exclusions of the policy for <br /> APPROVED <br /> By Cynthia Mora at 11:08 am, Jan 07, 2025 <br /> CERTIFICATE HOLDER CANCELLATION <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 PRIOVISIONS- <br /> 20 Civic-Center Plaza <br /> Santa Ana, CA 92702 AUTHORt7ED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2616103) The ACORD name and logo are registered marks of ACORD <br />