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AC R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
<br /> `..�� 5/1/2026 3/2/2026
<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(les)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 endorsements.
<br /> PRODUCER Lockton Companies,LLC CONTACT
<br /> NAME:
<br /> DBA Lockton Iusurance Brokers,LLC in CA PHONE FAX
<br /> CA license40F E-MAIL
<br /> 15767 A!C No
<br /> 81 10 E Union Ave.,Ste.100 ADDRESS:
<br /> Donor CO 80237 INSURERS AFFORDING COVERAGE NAIC#
<br /> denver-certs@lockton,com INSURER A:Hartford Fire Insurance Company 19682
<br /> INSURED Meyers Nave a Professional Corporation INSURER 8:Trtlmbull Insurance CoMmy 27120
<br /> 149138$ 1999 Harrison St.,9th Floor INSURER C:Arch Specialty Irsurance Company 21199
<br /> Oakland CA 94612 imsuREn 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 /> IY EXP
<br /> LTR TYPE OF INSURANCE AD p SUBDR POLPOLICY NUMHER MMIDIDlYYCY YY MMInU LIMITS
<br /> COMMERCIAL GENERAL LIABILITY I' I' $ ]
<br /> A X 72lJIJNBL5S4E SI1/2025 5/1/2026 EACH OCCURRENCE 000000
<br /> DAMAGE TO RENTE
<br /> CLAIMS-MADE N OCCUR PREM SES Ea occurrence $ 1,000,000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY IRI JECT FX LOC PRODUCTS-COMPIOP AGG $ 2,000,000
<br /> OTHER: $
<br /> 13 AUTOMOBILE LIABILITY y y 72 UEN CG6791 5/1/2025 5/1/2026 COMBINED SINGLE LIMIT $
<br /> Ea accident 11000,000
<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 $
<br /> AUTOS ONLY AUTOS ONLY Per accident XXXXXXX
<br /> Com /Coll Ded $ 1,000
<br /> D X UMBRELLA LIAB X OCCUR N N IIMUBN1 WN6 5/1/2025 5/1/2026 EACH OCCURRENCE $ 10,000,000
<br /> EXCESS LIA6 CLAIMS-MADE AGGREGATE $ 10,000,000
<br /> DED I I RETENTION$ SIR $ 10,000
<br /> WORKERS COMPENSATION Y 72 WE AR7AWY 5/1/2025 5/1/2026 X STATUTE
<br /> E AND EMPLOYERS'LIABILITY YIN ERTH-
<br /> ANY PROPRIETOWPARTNERIEXECUTIVE N!A E.L.EACH ACCIDENT $ 1,000000
<br /> CFFICERIMEMBER EXCLUDED?
<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 C-4LRK-047359-CYBER-2025 5/1/2025 51l/2026 $3,000,000;$10,000 Deductible
<br /> DESCRIPTION OF OPERATIONS I 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 policies to the extent provided by the policy language or endorsement issued or approved by the insurance carrier. Waiver of Subrogation on the General Liability,Auto
<br /> Liability and Workers;Comp policies applies per attached endDisement(s)of policy language. Insurance provided to Additional Insured(s)is primary and non-contributory an the General Liability and
<br /> Auto Liability policies as per the attached endorsements or policy language.
<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 AUTHORIZED REPRESENTATIVE.
<br /> 20 Civic Center Plaza{M-30} '
<br /> P.O.Box 1988
<br /> Santa Ana,CA 92702
<br /> 61988-20 ACORD CORPd TION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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