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<br />City of Santa Ana <br />Binding Requirements <br />Coverage (Issuing Carrier)Binding Requirements <br />Subject To: <br />D-1 (Effective January 1, 2020) <br />Signed TRIA Form.Excess Liability Buffer - $1M xs <br />$2M SIR <br />General Star Indemnity Company Confirmation of Binding Coverage must be signed at Binding <br />Copy of signed E&S due diligence affidavit from retail agent must accompany any <br />request to bind coverage. <br />Subject To: <br />D-1 (Effective January 1, 2020) <br />Signed TRIA Form <br />Excess Liability Buffer - $1M xs <br />$2M SIR <br />Princeton Excess & Surplus Lines <br />Ins Co Prior to binding, the Insurer requires a completed, signed, and dated UM/UIM <br />acceptance/rejection form. <br />Confirmation of Binding Coverage must be signed at Binding <br />Excess Workers' Compensation <br />Response Indemnity Company of <br />California <br />N/A <br />DIC - $5M Part of $10M <br />Endurance American Specialty Ins <br />Co <br />Signed Terrorism Disclosure Form prior to binding <br />D-1 (Effective January 1, 2020) <br />Subject to - requested information is received within 30 days, automatic NOC must be <br />sent contingent upon receipt of information <br />D-1 (Effective January 1, 2020)DIC - $2.5M Part of $10M <br />Palms Insurance Company, Limited Signed TRIA Disclosure Notice(s) (required at binding) <br />The complete Named Insured listing (if any) is per schedule on file with the Program <br />Manager <br />DIC - $2.5M Part of $10M <br />Landmark American Insurance <br />Company <br />D-1 (Effective January 1, 2020) <br />Subject to <br />D-1 (Effective January 1, 2020) <br />Excess DIC - $5M xs $10M <br />Mt Hawley Insurance Company <br />Please include up-to-date additional interest information such as Additional Named <br />Insureds, Additional Insureds, Mortgagees and Loss Payees with the bind request, if <br />Lloyd's Synd 1458 (RenaissanceRe applicable. <br />Synd)Conditional binding subject to receipt and review of primary binder within 5 days. Any <br />changes or discrepancies may invalidate this binder <br />Subject to receipt of the primary policy within 45 days of binding. <br />Subject toExcess DIC - $10M Excess $15M <br />Palomar Excess and Surplus <br />Insurance Company <br />Princeton Excess & Surplus Lines <br />Ins Co <br />D-1 (Effective January 1, 2020) <br />Signed Insurance Applications and Acknowledgement of State Fraud Warnings. <br />Notice Regarding Surplus Lines Filing Confirmation and TRIPRA Rejection Forms <br />51 <br />  <br />  <br />City Council 15 – 57 8/5/2025