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�►�® CERTIFICATE OF LIABILITY INSURANCE E°Ax�'z��2o26'
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER NAME: Mary StrOhmari
<br /> Kessler Alair Insurance Services, Inc PHONE (949)931-1500 FAAX No: (909)932-2133
<br /> IAIC,No
<br /> License # OA 91387 E-MAIL DDRESS: m mstrohan@kessleralair.com
<br /> A
<br /> 12487 N. Mainstreet, Ste. 240 INSURERS AFFORDING COVERAGE NA1C9
<br /> Rancho Cucamonga CA. 91739 INSURERA:Philadelphia Insurance 18058
<br /> INSURED INSURER B:Employers Preferred Ins Co 11512
<br /> Revenue & Cost Specialists, LLC INSURERC:
<br /> 1519 E. Chapman Ave., Suite C INSURER D:
<br /> INSURER E:
<br /> Fullerton CA 92831-4013 INSURERF:
<br /> COVERAGES CERTIFICATE NUMBER:2025-2026 GL, XS, WC 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 /> TR TYPE OFINSURANCE ALI SUBR POLICY NUMBER MM1DDfYYYY MMIDDnYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,Doe
<br /> A CLAIMS-MADE M OCCUR DAMAGE TO RENTED PREMISES 500,000
<br /> Ea occurrence $
<br /> X X PMLX20001810-05 12/31/2025 12/31/2026 MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,00
<br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 3,000,000
<br /> R POLICY JET LOC PRODUCTS-COMPIOPAGG $ 2,000,000
<br /> OTHER $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> ANYAUTO BODILY INJURY(Per person) $
<br /> A ALL OWNED SCHEDULED
<br /> AUTOS AUTOS eHHx20001010-05 12/33/2025 12/31/2026 e001LY INJURY(Per accident) $
<br /> H[REDAUTOS Ix
<br /> NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS Par accident
<br /> x UMSRELLALIAB OCCUR EACH OCCURRENCE $ 1,000,000
<br /> A EXCESSLIA13 X CLAIMS-MADE AGGREGATE $ 1,000,000
<br /> DFD X RETENTION$ 10,000 PHUB987768-017 12/31/2025 12/31/2026 $
<br /> WORKERS COMPENSATION STATUTE ERH
<br /> AND EMPLOYERS'LIABILITY Y i N
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE ❑NIA
<br /> E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICERIMEM8 (Mandatory
<br /> EREXCLUDED7 E1G2980142-06 12/31/2025 12/31/2026 E,L,DISEASE-EA EMPLOYEE $ 1,000,000
<br /> {Mandatory in NH)
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> A Professional Liability PHSD1B49273-023 12/31/2025 12/31/2026 PerClalmLlmlt $1,000,000
<br /> $2,500 Deductible AggregateLimii $2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES{ACORD 101,Additional Remarks Schedule,maybe akached it more space Is required)
<br /> Additional Insured is City of Santa Ana Human Resources Department, its officers, officials, employees,
<br /> or volunteers, per endorsement attached, waiver of subrogation and primary & non-contributory applies per
<br /> endorsements attached.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION [By Tu Tran Nguyen at,3:32pm,Jan29,2026
<br /> TJacobs@santa-ana.org
<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 /> Human Resources Department ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> ATTN: Emily He
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br /> Santa Ana, CA 92701
<br /> Mary Strohman/MARY C.ugnA,,
<br /> O 1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
<br /> 1NS026{201401)
<br />
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