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STUDIO ONE ELEVEN (2)
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STUDIO ONE ELEVEN (2)
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Last modified
5/27/2026 12:03:35 PM
Creation date
5/27/2026 12:03:14 PM
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Contracts
Company Name
STUDIO ONE ELEVEN
Contract #
A-2023-089-09A
Agency
Public Works
Council Approval Date
5/16/2023
Expiration Date
5/15/2027
Insurance Exp Date
4/18/2027
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Ac o� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDb/YYYY) <br /> `..� 4/23/2026 <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 CONTNAME: Certificate Department <br /> Cavlgnac PHONE 619 234-6848 AIAC Ne;619-234-8601 <br /> 451 A Street, Suite 1800 MAIL <br /> San Diego CA 92101 ADDRESS: certificates cavi naC.COm <br /> INSURER S AFFORDING COVERAGE NAIC# <br /> INSURER A:Travelers Property Casualty Company of America 25674 <br /> INSURED RDCCOLL-01 INSURER B:Travelers Indemnity Cc of Amer 25666 <br /> Common Arts, Inc.245 E. 3rd Street INSURERC:Travelers Casualty and Sure Company 19038 <br /> Long Beach, CA90802 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1594199957 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 TYPE OF INSURANCE - ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MMlDDIYYYY MMIDDIYYYY <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 6800595542A 4/18/2026 4/18/2027 EACH OCCURRENCE $1,000,000 <br /> B <br /> CLAIMS-MADE �OCCUR 08005955375 4/18/2026 4/18/2027 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 PRO- <br /> JECT LOC PRODUCTS-COMPfOP AGG $2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY Y Y BAC5955492 4/18/2026 4/18/2027 COMBINED SINGLE LIMIT $1,000,000 <br /> En accident <br /> 1X ANY AUTO BODILY INJURY(Por person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Par accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> A X UMBRELLALIAB X OCCUR CUPC59555722647 4/18/2026 4/10/2027 EACH OCCURRENCE $5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 <br /> DED I X I RETENTION$() $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y r N STATUTE ER <br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ <br /> OFFICEWMEMBEREXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> (ryes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> C Professional Llabillty 107612018 4/18/2026 4/18/2027 Each Claim!Aggregate $5M1$5M <br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is requi Y ARMD. <br /> RE:On Call Services. By Tu Tran Nguyen at 8.48 am Apr 27,2626. <br /> The City of Santa Ana,its officers,officials,employees,and volunteers are named as additional insureds as respects to General Liability and Automobile <br /> Liability per policy form.Primary and Non-Contributory coverage applies to General Liability and Automobile Liability per policy form.Waiver of subrogation <br /> applies to General Liability Professional Liability,and Automobile Liability per policy form.Excess/Umbrella plicy follows form over underlying policies:General <br /> Liability&Auto Liability(additional insured and waiver of subrogation apply when afforded on underlying policies).Professional Liability-Claims made form, <br /> defense costs included within limit. If the insurance company elects to cancel or non-renew coverage for any reason other than nonpayment of premium they <br /> will provide 30 days'notice of such cancellation or nonrenewal. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attention: Public Works Agency <br /> Parks, Fleet, & Facilities Services <br /> 20 Civic Center Plaza M-11 AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE <br />
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