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DATE(MMIDDIYYYY)
<br /> ACORO° CERTIFICATE OF LIABILITY INSURANCE
<br /> 5/l/2027 5/1/2026
<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 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 Lockton Companies,LLC CONTACT
<br /> NAME:
<br /> DBA Lockton Insurance Brokers,LLC in CA PHONE FAX
<br /> CA license#0F15767 AIC No Ext: A/C,No
<br /> E-MAIL
<br /> 8110 E Union Ave.,Ste.100 ADDRESS:
<br /> Denver CO 80237 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> denver-tens@lockton.com INSURER A:Hartford Fire Insurance Company 19682
<br /> INSURED Meyers Nave,a Professional Corporation INSURER B:Trumbull Insurance Company 27120
<br /> 1491388 1999 Harrison St.,9th Floor INSURER C:ACE American Insurance Company 22667
<br /> Oakland CA 94612 INSURER D:Hartford Casualty Insurance Company 29424
<br /> INSURER E:--- SEE ATTACHMENT ---
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: 23098332 REVISION NUMBER: XXXXXXX
<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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DDIYYW W MMIDD/ YY
<br /> A X COMMERCIAL GENERAL LIABILITY y y 72UUNBL5S4E 5/l/2026 5/1/2027 EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $ 1 000 000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY JE� � LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY y y 72UENBXITZ2 5/1/2026 5/1/2027 COMBINED SINGLE LIMIT $
<br /> Ea accident 1,000,000
<br /> ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS XXXXXXX
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ XXXXXXX
<br /> ONLY AUTOS ONLY Per accident
<br /> Con /Coll Ded. $ 1,000
<br /> D X UMBRELLA LIAB X OCCUR N N 72RHUBNIWN6 5/1/2026 5/1/2027 EACH OCCURRENCE $ 10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000
<br /> DED I I RETENTION$ SIR $ 10,000
<br /> WORKERS COMPENSATION PER OTH-
<br /> E AND EMPLOYERS'LIABILITY YIN Y 72 WE AR7AWY 5/l/2026 5/1/2027 X STATUTE I I ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1000 000
<br /> OFFICER/MEMBER EXCLUDED? y I N I A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> C Cyber N N D03724608 5/1/2026 5/1/2027 $4M Single Limit,$4M Aggregate
<br /> Retention:$25K
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Additional Named Insured:Meyers Nave Riback Silver&Wilson A Professional Corp.The City of Santa Ana,its officers,officials,employees,and volunteers an Additional Insured on the General
<br /> Liability and Auto Liability policiea to the extent provided by the policy language or endorsement issued or approved by the insurance cannier. Waiver of Subrogation on the General Liability,Auto
<br /> Liability and Workers;Comp policies applies per attached endorsement(.,)or policy language_ Insurance provided to Additional Insured(.,)is primary and non-contributory on the General Liability and
<br /> Auto Liability policies as pet the attached endorsements or policy language.
<br /> APPROVED
<br /> By Tu Tran Nguyen at 9:18 am,May 07,2026
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 23098332 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City Clerk ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana
<br /> AUTHORIZED REPRESENTATNE
<br /> 20 Civic Center Plaza(M-30) '
<br /> P.O.Box 1988
<br /> Santa Ana,CA 92702 _
<br /> ©1988-20j ACORD CORPC,RATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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