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A`"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 08/08/2024
<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 Tina o • • •
<br /> NAME: _
<br /> Cornerstone Specialty Ins ur Sere a c. PHONE (7 1 7
<br /> AIC No Ex
<br /> 14252 Culver Drive,A299 E-MAIL is@cornerstonespecialty.com
<br /> ADDRESS:
<br /> S F G E NAIC#
<br /> Irvine 9 CA 92604 INSURERA -a e n y C n 25682
<br /> INSURED INSURER : Tr, �elers Property Casualty Co 25674
<br /> JASON AAceved
<br /> MITH CONSULTING SERVICES,INC INSURF C: Tra agsl�ilt lure y ri 194
<br /> DBA:JAS
<br /> Ur_RD:P.O.BOX 2 I ,RER E
<br /> Upland SURER F: • 1 •
<br /> 1 1
<br /> COVERAGES CERTIFICATE NUMBER: 24/25 C( ✓EF,GES • I %JMVISIO14 NUM
<br /> THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BLCN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAYBE 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 UBR POLICY NUMBER MM/DD YYYYMPOLICY EFF O DD YYYY LIMITS
<br /> ICY EXP
<br /> LTR INSD WVD
<br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE T
<br /> CLAIMS-MADE ®OCCUR PREM SESOEa occurrDence $ 1,000,000
<br /> BLNKTADD'L INSURED MED EXP(Any one person) $ 10,000
<br /> A X BLNKTWVR OF SUBRO Y Y 680-1H359042 08/08/2024 08/08/2025 PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY ® PRO ❑ 4,000,000
<br /> JECT LOC PRODUCTS-COMP/OPAGG $
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> ANYAUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED BA-OS426316 08/08/2024 08/08/2025 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000
<br /> B EXCESS LIAR CLAIMS-MADE CUP-3429T370 08/08/2024 08/08/2025 AGGREGATE $ 5,000,000
<br /> DED IX RETENTION$ 0 $
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY v/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> B OFFICER/MEMBER EXCLUDED? NIA Y UB-8K37343A 08/08/2024 08/08/2025
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Professional Liability Each Claim $2,000,000
<br /> C Claims Made 107296206 08/08/2024 08/08/2025 Annual Aggregate $4,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana,its officers,officials,employees,and volunteers are Additional Insured for General Liability but only if required by written contract with the
<br /> Named Insured prior to an occurrence and as per attached endorsement.Coverage is subject to all policy terms and conditions.*30 days notice of
<br /> cancellation,except for 10 days notice for non-payment of premium.For Professional Liability coverage,the aggregate limit is the total insurance available
<br /> for all covered claims reported within the policy period.
<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 Risk Management Division ACCORDANCE WITH THE POLICY PRO)
<br /> 20 Civic Center Plaza R[eleManag>'rnentDtyrsbrt
<br /> AUTHORIZED REPRESENTATIVE REVIEWED&APPROVED BY.
<br /> Santa Ana CA 92702 ®' Risk Management Specialist
<br /> ©1988-2015 ACOF
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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