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Agenda Packet_2025-08-05
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Agenda Packet_2025-08-05
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7/30/2025 5:11:00 PM
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Agenda Packet
Agency
Clerk of the Council
Date
8/5/2025
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<br />City of Santa Ana <br />Claims Reporting By Policy <br />Immediately report all claims. Each insurer requires notice of certain types of claims depending on the potential exposure or <br />particular injury types. It is important to thoroughly review your policy to ensure you are reporting particular incidents and <br />claims, based upon the insurer's policy requirements. <br />If you are using a third party administrator ("TPA"), your TPA may or may not report claims to an insurer on your behalf. <br />Although we will assist you where requested, it is important that you understand whether your TPA will be completing this <br />notification. <br />Reporting Direct to Carrier [Only When Applicable] <br />Coverage(s): DIC - $5M Part of $10M Report To: <br />Insurer: Endurance American Specialty Ins Co <br />Policy period: 7/1/2025 to 7/1/2026 Insurer/TPA Name: Endurance American Specialty Ins Co <br />Email: insuranceclaims@sompo-intl.com <br />Coverage(s): DIC - $2.5M Part of $10M Report To: <br />Insurer: Palms Insurance Company, Limited <br />Policy period: 7/1/2025 to 7/1/2026 Insurer/TPA Name: Palms Insurance Company, Limited <br />Phone: <br />Email: <br />Web: <br />Coverage(s): DIC - $2.5M Part of $10M Report To: <br />Insurer: Landmark American Insurance Company <br />Policy period: 7/1/2025 to 7/1/2026 <br />Insurer/TPA Name: Landmark American Insurance <br />Company <br />Phone: 404-231-2366 <br />Email: reportclaims@rsui.com <br />Web: https://www.rsui.com/Pages/Claims.aspx <br />Coverage(s): Excess DIC - $5M xs $10M Report To: <br />Insurer: Mt Hawley Insurance Company <br />Policy period: 7/1/2025 to 7/1/2026 Insurer/TPA Name: Mt Hawley Insurance Company <br />Phone: 800-444-0406 <br />Email: New.Claim@rlicorp.com <br />Web: https://www.rlicorp.com/how-report-claim <br />Coverage(s): Excess DIC - $5M xs $10M Report To: <br />Insurer: Lloyd's Synd 1458 <br />Policy period : 7/1/2025 to 7/1/2026 Insurer/TPA Name: Lloyd's Synd 1458 <br />Phone: <br />Email: <br />Web: <br />53 <br /> <br /> <br />City Council 15 – 59 8/5/2025
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