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CERTIFICATE OF LIABILITY INSURANCE DATE{MEr11dDrYYYY)
<br /> 02/28/2026
<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 INSURERS),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLMR,
<br /> IMPORTANT: IF the certiflcate holder Is an ADDITIONAL INSURED,the policy(lea)must have ADDITIONAL INSURED provislons or be endorsed.
<br /> If SUBROGATION IS WAIVED,subject to the terms and oonditions of the policy,certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certiflcate holder In Ileu of such endorsement s.
<br /> PRODUCER Mg
<br /> Paych0X Ine"noe Agemy Ina
<br /> PAYCHEX INSURANCE AGENCY,INC. O S 877-28S68fS0 FAAX 585-3W-7426
<br /> 226 KENNETH DRIVE M
<br /> ROCHESTER,NY 14623 ApgAR s: oetaGPaySh0%,00rn
<br /> INSURERS AFFORDING COVERAGE NAICR
<br /> INSuRE0.A:Sentlnel Insurance Company,LTD
<br /> PROUINSURED INSURP ii: Sequoia Insurance Com an
<br /> DBA P R4UpCITY CITY iNsuFt o;Hartford Fire Insurance Company
<br /> E3A
<br /> 2219 DAMUTH ST ENsuRE p:INSURKRE:
<br /> OAKLAN©, CA-94602 INSURER P: ELLEIEHIJ I
<br /> COVERAGES CERTIFICATE NUMBER; !
<br /> 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 I$ SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br /> Ip8R TYPEOFINSURANCE AOD SUHR POLlC EFP POLICYLxP
<br /> �T POLIOYNUM812R LIMITS
<br /> X OOMMERCIALGEN€RALLIAMILn'Y EACHOCOURRENCE $ 1,000,Q00
<br /> CLAIMS-MADE EI OCCUR NTED
<br /> PREMISCs�• g g 3,400,006
<br /> A — x x '� + p MEDEXP"oneGoroon $ 10,000
<br /> 16SB f, -- _ MBC3R0R 07106/202 07/45/2426 PERSONAL$ADVINJURY $ "I,000,000
<br /> OEN'LABOREGATE LIMIT APPLIES PER GCNEfiA4AGGREOATE $ ,44Q,044
<br /> X POLICY JEIrT 0 LOG
<br /> PRODUCTS-COMPIOPAGG $ 2,QOQ,QOQ
<br /> OTHER:
<br /> AUTOMOBILE LIABILITY $
<br /> BINEn BINDLE D
<br /> ar.ki� $ 1,000,000
<br /> ANYAVr0 L+C}it t1/'� E�i►p BODILY INJURY(Per pe:aw) $
<br /> OWNEv scHEDUIFD 76SBIVICPV31'OR
<br /> AUI DS ONLY Al7TQS Q7/Q512Q24 47/0512Q25 BODILY INJURY(Per aocldenl) $
<br /> R WIRED X NON WNED PPAgC]PERTYIIAMAGE $
<br /> AUTOS ONLY AUTOS ONLY
<br /> $
<br /> VArt3RELLALIAl9 OCCUR EACWOCCURRENGE $
<br /> EXCeSs LIAR OIAlId MS-MARE
<br /> AGGREGATE $
<br /> OED RETENTION$ $
<br /> WOItKKRS COMPENSATION
<br /> AND EMPLOYERWLiAFIWTY YIN /-� r� X &F UM ER"
<br /> nNYICERIM MBErU m UOEDxEcuTlvc �C1 n I rt L �! �C Q1f 151202d 4t 11 fiJ2025 $ 1,000,000
<br /> B OFFICERI#vtEMBErtI=XG UOED? N NIA V Y 1 '�h iJ F,L EA✓R Ac t tDENr
<br /> iMnndBtory in NF1) E.L.DISEASE:,EA EMPLOYE $ 1,100 0QQ
<br /> IryYeea, IPTIlNOFO
<br /> DESCRIPTION OFOPERATIDNSp0la+nr EA_DISWE-POU0YUAElT S 1,000,000
<br /> C FailSafe Technology Errors 76SBMBC3R0R 0710b12424 0710W2025 Each Wrongful Act $'1,000,000
<br /> Or Omissions Liability Aggregate Limit $1,000,0pp
<br /> RESORIPTION OF OPERATIONS/LOCATIONSI VEHICLES(ACORD 101,Additional Remarks 9ahadule,may he atlnchaditmore space Is raqulmd)
<br /> City of Santa Ana,officers, agents,employees, and volunteers are additional insured per Additional Insured: Owners,
<br /> Lessees, or Contractors; Scheduled Person or organization form SS4170 attached to this policy.WaiVer of Subrogation
<br /> applies in favor of the Certificate Holder per the Business Liability Coverage Form SL 00 00,attached to this policy and the
<br /> Hired Auto and Non Owned Auto Endorsement S80438 attached to this policy. Coverage is primary and noncontributory
<br /> per the Business Liability Coverage Form SL 00 00, attached to this policy. Notice of Cancellation will be provided in
<br /> accordance with Form SL9013 attached to this policy."
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Santa Ana
<br /> SHOULD A14YY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE,
<br /> Attn: Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BB DELIVERED IN
<br /> 20 Civic Center PLZ ACCQRnANCE WITH THE POLICY PROVISIONS,
<br /> Santa Ana, 92701-4058 AUTHORIZEDREPRCSPNTATEVE
<br /> , NOT".
<br /> _..... - �-... TU Tran�In,,,,�
<br /> �
<br /> Nguyen n,em'a�°1
<br /> 1D88.2p16 ACORD CORPORATION. All rights reserved. i
<br /> 13y Ty Iran tllgyygn at 11.48 am,Mar 0q�,�t2 6, RD name and lags are registered marks of ACORD
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