Laserfiche WebLink
ACC)R" CERTIFICATE OF LIABILITY INSURANCE DAT7�1or2azsYY) <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 <br /> AssuredPartners Design Professionals insurance Services, LLC PHONE Allison Bar a FAx <br /> 3697 Mt. Diablo Blvd, Suite 230 , 360-626-2007 sJc No:360-626-2007 <br /> Lafayette CA 94549 ADDRESS: Allison.Bar-qa@AssuredPartners.com <br /> INSURERJSI AFFORDING COVERAGE NAEC# <br /> Licensek 6003745 INSURER A:Travelers Property Casualty Company of America 25674 <br /> INSURED SAGEPLA-01 INSURERS:Hudson Insurance Company 25054 <br /> Sagecrest Planning+Environmental <br /> 27128 Paseo Espada Suite 1524 INSURERC: <br /> San Juan Capistrano CA 92675 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1482776589 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 IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ILTR ADOL 5UBR POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE POLICY NUMBER fMMIDDfYYYYI (MMIDDfYYYY`) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 6805J742889 6/1/2025 6/1/2026 EACH OCCURRENCE S2,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $1,000,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $2,000,000 <br /> G_EN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000.000 <br /> POLICY[Xfl ECT 7 LOC PRODUCTS-COMPIOP AGG $4,000.000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY Y Y BABR626254 6/1/2025 6/1/2026 COMBcident1NED SINGLE LIMIT $.1,000,000 <br /> Ea ac _ <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE 8 <br /> DED RETENTION$ g <br /> A WORKERS COMPENSATION U135J743745 611/2025 611/2026 X i PER OTH- <br /> AND EMPLOYERS'LIABILITY Y f N STATUTE ER <br /> ANYPROPRIETORIPARTNEMEXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICFRiMEMBEREXCLUDED? N 1 A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 51,000.000 <br /> If yes,describe under <br /> OESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> B Professional Liab;Claims Made PRB0619120805 6I112025 6/1/2026 Per Claim $2,000,000 <br /> Aggregate $4,000,000 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The City of Santa Ana,It's Officers,Employees,Agents and Representatives are named as Additional Insured on the Commercial General Liability and Auto <br /> Liability when required by written contract regarding activities by or on behalf of the Named Insured.The Commercial General Liability insurance is primary <br /> insurance and any other insurance maintained by the Additional Insured shall be excess only and non-contributing with this insurance.Insurance coverage <br /> includes waiver of subrogation per the attached endorsemeni(s). <br /> Digiasigned <br /> Tu Tran TuTralnyNguyen6y <br /> Date:2025.07.10 [APPROVED <br /> Nguyen 11:50:26-07'00' Sy Tu?ran Nguyen at 11:50 am,Jul 10,2U25 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Planning and Building <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92702 24 Z <br /> (� O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />