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ADMIINC-01 PFEMI1
<br /> .4CORa0` CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDNYYY)
<br /> `..'ram 1212312024
<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 NAM
<br /> Di ital Insurance LLC-Clayton,MO gg PHONEFAX
<br /> 8235 Forsyth Blvd#1200 (Arc,No,EM):(314)746-4700 (AfCC,No):(314)889-3700
<br /> Clayton,MID 63105 ADDRESS:
<br /> INSURERS AFFORDING COVERAGE NAIL#
<br /> INSURER A.National Fire Ins Co Of Hartford 20478
<br /> INSURED INSURER B:Continental Insurance Company 35289
<br /> AdminSure, Inc. INSURER C:Hartford Fire Insurance Co 19682
<br /> 3380 Shelby St INSURER D:Evanston Insurance Company 35378
<br /> Ontario,CA 91764
<br /> INSURER E:At Bay Specialty Ins Co, 19607
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: 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 PERIOU
<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 IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSIR TYPE OF INSURANCE j DSDL SUER WVD PODGY NUMBER POLICY EFF POLICY EXPLTR awmloyrrml LIMITS
<br /> • X COMMERCIAL GENERAL LIABILITY 1,000,000
<br /> EACI-{OCCURRENCE
<br /> CLAIM'S-MADE OCCUR 7036373730 1/112025 11112026 DAMAGE TO RENTED 100,000
<br /> MEDEXP(Any one rson 5,000
<br /> PERSONAL&ADV INJURY 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000
<br /> POLICY 1XI jE 0 F-xl LOC PRODUCTS-COMPIOP AGG 2,000,000
<br /> OTHER:
<br /> A AUTOMOBILE LIABILITY E?1.1.1N eDISINGLE LIMIT 11000,000
<br /> ANY AUTO 7036373744 111/2025 1/112026 BODILY INJURY Per arson S
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident
<br /> X HIRED XNON-OWNE❑❑ PRaO ct1e DAMAGE $
<br /> AUTOS ONLY AUT
<br /> DS ONLY
<br /> * X UMBRELLA DAB OCCUR EACH OCCURRENCE $ 61000,000
<br /> EXCESS LIAR CLAIMS-MADE 7036373761 111/2025 1/1/2026 AGGREGATE $ 6,000,000.
<br /> DED I X I RETENTION$ 10,000
<br /> C WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y r N 84WEBC$WUM 111/2025 1/112026 1,000,000
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $
<br /> OFFICERIMEMBER EXCLUDED? ❑ NIA
<br /> (Mandatary In NH) E.L DISEASE-EA EMPLOYEE $ 1,(100,000
<br /> If yes,describe under 1.000,000
<br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT
<br /> D Professional Llablli MKLV7PE0003871 11112025 111/2026 ClaimfAgg 5,000,000
<br /> E Cyber AB675971901 1/112025 11112D26 Aggregate 4,000,000
<br /> DESCRIPTION OF OPERATIONS r LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required)
<br /> City of Santa Ana is named additional insured as respects General Liability.Waiver of Subrogation is applicable as respects General Liability.
<br /> APPROVED
<br /> By Cynthia Mora at 10:32 am, Jan 14, 2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> $P ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center Plaza
<br /> Santa Ana,CA 92701
<br /> AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016103) O 1988-21115 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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