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<br /> ,a ��zo� CERTIFICATE aF LIABILITY INSURANCE DATE(MM) Yy
<br /> 11/17/20252025
<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 INSURER(S), 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 or 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 - CONTACT WTW Certificate Center
<br /> NAME:
<br /> Willis Towers Watson Midwest, Inc. PHONE g_877_999_7978 FAX 1-886-467-2378
<br /> c/o 26 Century Blvd C N AfC No):
<br /> P.O. Box 305191 E-MAADDRESS: certificates@wtwco.com
<br /> Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIL#
<br /> INSURER A: Travelers Property Casualty Company of Ame 25674
<br /> INSURED INSURER B: Hanover Insurance Company 22292
<br /> Johnson Aviation, Inc.
<br /> 30141 Agoura Road INSURER C:
<br /> Suite 104
<br /> INSURER Q
<br /> Agoura Hills, CA 91301
<br /> INSURER E
<br /> _ INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:W41831380 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 POLICILS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCEINSD WVDPOLICY NUMBER MMIDryYYYJ fM"IDDIYYY)O LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY
<br /> EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE TO RENTED 30p,000
<br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence
<br /> A
<br /> y y MED EXP(Anyone person) $ 5,000
<br /> 6802JS24214 07/07/2025 07/07/2026 PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,00C
<br /> POLICY� PRO ❑ LOC 4,000,DCC
<br /> JECT PRODUCTS $
<br /> OTHER:
<br /> AUTOMOBILE LIABILITY Ea aBI EDtSINGLE LIMIT S 2,000,000
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED y y 6802JB24214 07/07/2025 07/07/2026 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY per accident
<br /> $
<br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE g
<br /> EXCESS LIAR CLAIMS-MADE AGGREGATE 5
<br /> DED RETENTION$ 5
<br /> WORKERS COMPENSATION X STATUTE ERH
<br /> AND EMPLOYERS'LIABILITY Y I N
<br /> A ANYPROPRIETORIPARTNERIEXECUTIVE 1,000,000
<br /> E.L.EACH ACCIDENT $
<br /> OFFICERIMEMBEREXCWDFD7 N1A y UBB4987066 07/07/2025 07/07/2026
<br /> (Mandatory in NH)If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> DESCRIPTION OF OPERATIONS below EL_DISEASE-POLICY LIMIT $ 1,000,000
<br /> B Professional Liability y LHC M077884 00 07/14/2025 07/14/2026 Per Claim $2,000,000
<br /> Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> This Voids and Replaces Previously Issued Certificate Dated 11/12/2025 WITH ID: W41751321.
<br /> Re: Consulting services for the City of Santa Ana.
<br /> The City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are included as
<br /> Additional Insureds as respects to General Liability and Auto Liability.
<br /> CERTIFICATE HOLDER APPROVED FANCIELLATION
<br /> By Tu Tran Nguyen of 2:34 pm, Nov 97,202LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE ❑ELIVERED IN
<br /> RDANCE WITH THE POLICY PROVISIONS.
<br /> T T Digiyne d
<br /> City of Santa Ana I U 1 ran hyTtall uTranslg
<br /> Nguyen AUTHORIZED REPRESENTATIVE
<br /> Planning and Building Agency Ngu1/ewate:=5.T1.T7
<br /> 20 Civic Center Plaza 7T 14:35:13-08°oa'
<br /> Santa Ana, CA 92702 /a aeI&I-i
<br /> O 1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br /> SR TD: 28876731 13ATCH: 4210114
<br />
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