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___181 CSGCONS-01 NCHANNAPPA
<br /> AiiC"R[7 CERTIFICATE OF LIABILITY INSURANCE DATE 12124/2 0 2YY)
<br /> 1 212 412 0 2 5
<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 License#OC36861 COINTACT Christine Spangler
<br /> NA
<br /> Alliant Insurance Services,Inc. PHONE FAX
<br /> 560 Mission St 6th FI (Al:.No,Ext):(628)502-2841 (AIC,No):
<br /> San Francisco,CA 94105 ADE-MAIL alliant.co
<br /> christine.s an ler m
<br /> DRE s: P J �
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Travelers IndemnityCompany of Connecticut 25682
<br /> INSURED INSURER B:Travelers Property Casualty Company of America 25674
<br /> CSG Consultants,Inc. INSURER C:Pacific Insurance Company, Limited 10046
<br /> 550 Pilgrim Drive INSURER D
<br /> Foster City,CA 94404
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 /> INSR LTR TYPE OF INSURANCE AOOL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,400
<br /> CLAIMS-MADE [X]OCCUR X 660-C1303879 1211012025 1211012026 DAMAGETORENT DnCe $ 300,004
<br /> MED EXP(Any oneperson) $ 5,440
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000
<br /> POLICY JECT E LOG PRODUCTS-COMPIOP AGG 2,000,444
<br /> OTHER
<br /> $
<br /> B AUTOMOBILE LIABILITY EOMBINEFSINGLE LIMIT $ 1,000,000
<br /> a accident)X ANY AUTO X 810-C 1306581 1211012025 12110/2026 BODILY INJURY Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS
<br /> AUTOS ONLY AUTOS
<br /> BODfLYINJURY Peraccident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accidortl $
<br /> 1
<br /> B X UMBRELLA LIAS X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE CUP-C1390577 12110/2025 12/1012026 AGGREGATE $ 5,000,000
<br /> DED I X I RETENTION$ 0
<br /> B WORKERS AND EMPLOYEMPENSATION RS'L ABILIITY YIN X STATUTE EERH
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE UB-C138878A 12/1012025 12/1012026 1,000,000
<br /> E.L.EACH ACCIDENT
<br /> Mandatory In ER EXCLUDED? N/A 1,004 000
<br /> (Mandakory in NH)
<br /> f yes,describe under E.L.DISEASE-EA EMPLOYE $
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> C Professional Liabili 830H0489503-25 12/10/2025 12/1012026 Ea ClaimlAgg 5,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> City of Santa Ana,officers,agents,employees,and volunteers are named as additionally insured on this policy pursuant to written contract,agreement,or
<br /> memorandum of understanding.Such insurance as is afforded by this policy shall be primary,and any insurance carried by City shall be excess and
<br /> noncontributory per general liability and automobile liability per attached endorsements.30 Day Notice of Cancellation applies.
<br /> Tu Tran I Digitally signed by
<br /> Tu Tran Nguyen
<br /> Nguyen �0:4320Z ate:2026.0 S 08'OD'
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 10.42 am,Jan 05,2026
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Planning and Building Agency
<br /> 20 Civic Center Plaza,M-20
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> i
<br /> ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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