|
Page 1 of 2
<br /> A`O0KO DATE{MMl/2fY25
<br /> f� CERTIFICATE OF LIABILITY INSURANCE 11,17,2�25
<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 Willis Towers Watson Certificate Center
<br /> NAME:
<br /> Willis Towers Watson Southeast, Inc. PHONE
<br /> C/o 26 Century Blvd (ALC,No Ext): 1-677-945-7378 (AIC No; 1-888-467-2378
<br /> E-MAIL
<br /> P.O. Box 303191 ADDRESS:
<br /> Nashville, TN 372303191 USA INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: Hartford Fire insurance Company 19682
<br /> INSURED INSURERB: Twin City Fire Insurance Company 29459
<br /> Commonwealth Land Title Company and its Subsidiaries -- - — - -
<br /> Attn: Fidelity National Financial Inc. Risk Mgrnt
<br /> INSURERC: Hartford Accident and Indemnity Company 22357
<br /> 601 Riverside Ave, Bldg 5 INSURERD: Allianz Global Risks US Insurance Company 35300
<br /> Jacksonville, FL 32204
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:W41833077 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 TFRMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BI EN REDUCED BY PAID CLAIMS.
<br /> INSR ADDLISUBRI POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE I POLICY NUMBER MMIDDIYYYYI (MMIDDfYYYYI LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED 1,000,000
<br /> PREMISES Ea occurrence $
<br /> A X Host Liquor Liability MED EXP(Any one person) $ 0
<br /> Y 20 CSE C90929 11/15/2025 11/15/2026 PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 10,000,000
<br /> JECT
<br /> X POLICY PRO LOC PRODUCTS-COMPIDPAGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED 20 CSE C90930 11/15/2025 11/15/2026 BODILY INJURY(Per accident) S
<br /> AUTOS ONLY AUTOS _
<br /> HIRED NON-OWNED PROPERTYDAMAGE�
<br /> UTOSa T�Y 9N LY s�'LJnsured ONLY P a .)
<br /> er ccident
<br /> X �amagei /� a i �.�__�_._.. _ �S
<br /> B
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000
<br /> EXCESS LIAB CLAWS-MA_DE 206V6BII5JL2 11/15/2025 11/15/2026 AGGREGATE y 10,000,000
<br /> [)--XI[)--FXI RETENTION$ 0 S
<br /> WORKERS COMPENSATION X PER I I OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> C ANYPROPRIETORIPARTNEPJEXECJTIVE YIN EL_EACH ACCIDENT S 1,000,000
<br /> OFFICERIMEMBER EXCLUDED? Na NIA 20 WN C90926 11/15/2025I11/15/2026'---------- _--
<br /> (Mandatory inNH) EL_DISEASE-EA EMPLOYEE'S 1,000,C00
<br /> It yes,describe under I,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S _
<br /> D Bldgs/BPP/BI USP00064125 11/15/2025111/15/2026'iL=t: $200,0DC,000
<br /> Special with Quake/Flood 'Replacement Cost
<br /> Property Quota Share
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> D sig ne d
<br /> Tu Tran byigitally Tu Tran
<br /> SEE ATTACHED Nguyen
<br /> N Uye n©8 32 04Zp8'009
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By TO ?ran Nguyen of 8:39 am,Nov 79,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br /> City of Santa Ana
<br /> 20 Civic Center Plaza
<br /> Santa Ana, CA 92702
<br /> p 1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br /> SR m, 28BB5785 BATCH' 4210486
<br />
|