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<br />City of Santa Ana <br />Client Authorization to Bind Coverage <br />After careful consideration of Gallagher's proposal dated 6/1/2025, we accept the following coverage(s). Please check the <br />desired coverage(s) and note any coverage amendments below: <br />Coverage/Carrier Description/Major Differences <br />☐ Accept ☐ Reject <br />☐ Option # 1 <br />Excess Liability Buffer - $1M xs $2M SIR <br />General Star Indemnity Company <br />☐ Option # 2 Princeton Excess & Surplus Lines Ins Co <br />TRIA - Excess Liability Buffer - $1M xs $2M <br />SIR☐ Accept ☐ Reject <br />☐ Accept ☐ Reject <br />☐ Option # 1 <br />Excess Workers' Compensation <br />$500K xs $1,500,000 SIR – Premium: <br />$327,547Response Indemnity Company of California <br />$750K xs $1,250,000 SIR - Premium: <br />$475,721☐ Option # 2 Response Indemnity Company of California <br />☐ Option # 3 Response Indemnity Company of Californi $1M xs $1M SIR - Premium: $735,719 <br />Included*TRIA - Excess Workers' Compensation <br />☐ Accept ☐ Reject <br />☐ Accept ☐ Reject <br />☐ Accept ☐ Reject <br />☐ Accept ☐ Reject <br />DIC - $5M Part of $10M <br />Endurance American Specialty Ins Co <br />DIC - $2.5M Part of $10M <br />Palms Insurance Company, Limited <br />DIC - $2.5M Part of $10M <br />Landmark American Insurance Company <br />Excess DIC - $5M xs $10M <br />Mt Hawley Insurance Company, Lloyd's Synd <br />1458 (RenaissanceRe Synd) <br />☐ Accept ☐ Reject <br />☐ Accept ☐ Reject <br />TRIA - Excess DIC - $5M xs $10M <br />Excess DIC - $10M Excess $15M <br />Palomar Excess and Surplus Insurance <br />Company, Princeton Excess & Surplus Lines Ins <br />Co <br />☐ Accept ☐ Reject Excess DIC - $5M Excess $25M <br />An additional $5M in limits for an additional <br />$92,862.00 in premiumPalomar Excess and Surplus Insurance <br />Company, Princeton Excess & Surplus Lines Ins <br />Co <br />45 <br />  <br />  <br />City Council 15 – 49 8/5/2025