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CERTIFICATE OF LIABILITY INSURANCE DATB( Oe1M2//2018 °' 018 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(ies) 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 endomement(s). PRODUCER Ann Risk services Northeast, Inc. York NY Office CONTACT NAME' PHONew (MC No. Sam: (866) 283-7122 Fp C, No.: (800) 363-0105 E-MAIL ADDRESS: 199 Water street New York NY 10038-3551 USA INSURER(S) AFFORDING COVERAGE NAICN INSURED INSURERA: Everest National Insurance CO 10120 Serco Inc., Its subsidiaries and Affiliates INSURER B: INSURER C: C/O Risk Management Department INSURER D: 12930 Worldgate Drive suite 600 INSURER E: Herndon VA 20170 USA INSURER F: COVERAGES CERTIFICATE NUMBER: 570072064632 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. Limits shown are as requested LTR TYPE OF INSURANCE IN&D WVD POLICY NUMBER QIQY LEE IDIVY)"Irrh IFMMOMIDD�)LIMITSLIMITS COMMERCIAL GENERAL LIABILITY CCURRENCECLAIMS-MADE ❑ OCCUR ES Ea occurrenceP (Any one person)AL& ADV INJURYGEN'LAGGREGATE LIMITAPPLIES PER: L AGGREGATEPOLICY ❑ PRO ❑LOCJECT TS-COMPIOP AGGOTHERAAUTOMOBILE LIABILITY RMSCA00015 - 171 (ADS) 10/31/2017ED SINGLE LIMIT Ea accident $1, 000,000 BODILY WJuav(Per person) A X ANVAUTO RMSCA00016 - 171 10/31/201710/31/2018 OWNED SCHEDULED (MA) BODILY INJURY (Per eccitlan0 AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident X $2,5Dq Call Detl X $2,500 Good Dad UMBRELIALIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAR CLAIMS -MADE DED RETENTION WORKERS COMPENSATION AND EMPLOYERs' LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE I Mandatory in NH) f yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional insured under the Automobile Liability policy where required by written contract. CERTIFICATE HOLDER CANCELLATION 0. 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 AUTHORIZED REPRESENTATIVE 60 Civic Center Plaza Santa Ana CA 92701 USA (�y//� L/%�7/r��/y'/'� y�/+ y//" eYJOA c./LYaG VICP.14:iLtGd V / Ji ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD