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ACill CERTIFICATE OF LIABILITY INSURANCE <br />`i <br />DATE(MM/DDNYYY) <br />11/28/2017 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />PHONE (888) 202-3007 FAX No <br />Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA <br />AooAIL <br />aess: contact@hiscox.com <br />520 Madison Avenue <br />INSURERS AFFORDING COVERAGE NAIL q <br />32nd Floor <br />INSURER A: Hiscox Insurance Company Inc 10200 <br />New York, NY 10022 <br />INSURED <br />INSURER B; <br />INSURERC: <br />STRAIGHTLINE COMMUNICATIONS <br />INSURER D: <br />14930 Greenleaf Street <br />INSURER E: <br />INSURER F: <br />Sherman Oaks CA 91403 <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 <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />MMIDD� <br />MMIDD� <br />LIMITS <br />X I COMMERCIAL GENERAL LIABILITY <br />EACHOCCURRENCE $ 1,000,000 <br />'X'OCCUR <br />CLAIMS MADE <br />DAMAGE TO RENTED <br />PREMISES 'Eaoccunnence $ 100,000 <br />MED EXP (Any one parson) $ 5,000 <br />PERSONAL$ADV INJURY $ 0 <br />A <br />Y <br />UDC -1531232 -CGL -18 <br />01/12/2018 <br />01/12/2019 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $ 2,000,000 <br />X POLICY ECT LOC <br />PRODUCTS - COMP/OP AGO s SIT Gen. Agg. <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident) <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accitlent <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />UMBRELLA LIAB <br />OCCUR <br />EACHOCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />I $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER <br />ER <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />E.L. EACH ACCIDENT $ <br />OFFCER/MEMB ❑ <br />NIA <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />If yes, tlescribe under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space isrequired) <br />The City of Santa Ana and its officers, employees, agents, volunteers and representatives each while acting under the direction of The City of Santa Ana are <br />named as additional insureds. <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />$��A . <br />ORD CORPORATION. All rights reserved. <br />1/l8 C9G <br />