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___aa A� ®. RICHWAT-01 CERTIFICATE OF LIABILITY INSURANCE HRAMIREZ DATE (MMIDDbyYYY) 09/28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0814758 _ Hoffman Brown Company 5000 Van Nuys Blvd. 6th Floor .Sherman Oaks, CA 91403 c %TACT _ E: PHONE FAX AIC, No, Est): (818) 986.8200 (A/C, N.):(818) 986-8510 MOLES INSURERS AFFORDING COVERAGE NAIC H X INSURER A: Vigilant Ins. Company 20397 10101/2017 INSURED INSURER B: Federal Insurance Co. 20281 INSURER C: Richards, Watson & Gershon INSURER D: 355 South Grand Ave 40th Fir Los Angeles, CA 90071.3101 INSURER E: INSURER F: PROOUCTS-COMP/OPAGG Included COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR TYPE OF INSURANCE INSDADDLSUS'1 MID POLICY NUMBER POLICY EFF POLICY EXPITS LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE®OCCUR X X 35293250 10101/2017 10/01/2018 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED 1,00000 PREMISES (Ea oce,veree) MED EXP (Any oneperson) 10'000 PERSONAL &ADV INJURY 1'000'000 GENT AGGREGATE LIMIT APPLIES PER: POLICY ❑ YRaT ❑X LOC 0 HE GENERAL AGGREGATE 2'000'000 PROOUCTS-COMP/OPAGG Included B POMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS ALTOS ONLY X AUTOS ONLY 74967929 10/01/2017 10/0112018 CEOMaBINED SINGLE LIMIT 1000,000 BODILY INJURY Per erson BODILY INJURY Per aodld.nt PeOacc Y AMAGE $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 79611586 10/01/2017 10/01/2018 EACH OCCURRENCE 9'000'000 AGGREGATE 9,000'000 DED I I RETENTION$ IS B WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY YIN ANY PROPRIETgORIPARTNERIEXECUTIVE ❑ (Mandato/ry in NER EXCLUDED? H) If yes, describe under DESCRIPTION OF OPERATIONS below [NI 71726476 10/0112017 10/01/2018 X PTAT TE 0TH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schad ule, may be attached If more space is required) City of Santa Ana, its employees, officers and agents are named as an Additional Insured as required by written contract per Endorsement Form #80.02.2367 attached. Coverage subject to policy terms, conditions and exclusions. CFRTIFICATF HOI nFR rtANCFI I ATION ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana, Santa Ana City Attorney's Office AUTHORIZED REPRESENTATIVE Attn: Tamara Bogosian 20 Civic Center Plazam M-29 ISanta Ana CA 92701 ,�` //�// 1` /G^` ti.... +" d ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD