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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />1111.� <br />DATE(MWDD/YYYY) <br />712/2019 <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 />PG Genatt Group LLC <br />3333 NEW HYDE PARK RD <br />SUITE 409 <br />NEW HYDE PARK NY 11042 <br />CONTACT <br />PHONE FAX <br />' 516-869-8788 jAfC No): 1-616-706-2973 <br />LSS: <br />gODURE <br />INSUREFqSj AFFORDING COVERAGE <br />NAIC» <br />INSURER A: AIG Europe Limited <br />INSURED <br />SERCO INC. C/O Risk Management Dept. <br />12930 Woddgate Drive, Suite 600 <br />INSURERS: Westchester Fire Insurance Company <br />10030 <br />INSURER c: ACE American Insurance Company <br />22667 <br />INSURER D: Indemnity Insurance Company of North America <br />43575 <br />Herndon VA 20170 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1852024584 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 />TA <br />TYPE OF INSURANCE <br />ADDL <br />BR <br />POLICY NUMBER <br />POLICY EPP <br />IMMIDWYYYYI <br />POLICY EXP <br />MM1DD/YYYY <br />LIMITS <br />B <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />PMGI23866056008 <br />101312018 <br />101912019 <br />EACH OCCURRENCE <br />S1,DDO.D00 <br />DMA ET R <br />PREMISES Ea rcnArenea <br />$600,000 <br />MED EXP (Any one Person) <br />S <br />PERSONAL& ADV INJURY <br />SZOD0,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER <br />POLICY E JECT 1XI LOC <br />OTHER <br />GENERAL AGGREGATE <br />52,000000 <br />PRODUCTS - COMP/OP AGO <br />$2.000,000 <br />$ <br />C <br />AUTOMOBILELIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIREDAUT05 X AUTOSWNED <br />CALH25270651 <br />10I312018 IM12111 <br />Ce INED1 SINGLE LIMIT <br />$ 1005,1300 <br />BODILY INJURY (Per person) <br />$ <br />Ix <br />BODILY INJURY(Peracciderd) <br />$ <br />Warr da DAMAGE <br />$ <br />i <br />A <br />UMBRELLA LIAR X OCCUR <br />EXCESS LIAR I CLAIMS -MADE <br />DED I RETENTIONS <br />7110081 <br />10/312018 10/312020 <br />EACH OCCURRENCE <br />$ IDD0000 <br />X <br />AGGREGATE <br />$1,000,000 <br />Is <br />0 <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' UABIUTY YIN <br />ANY PROPRIETORIPARTNER/ ECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />If Yes, descdEe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WLRC65891153 <br />WCUC5589127A <br />613012019 WOW20 <br />5 2019 6IJ02020 <br />P R <br />STATUTE 1 1 ER <br />E.L EACH ACCIDENT <br />$1.000,000 <br />E.L. DISEASE -EA EMPLOYE <br />$1,000,000 <br />E.L. DISEASE -POLICY UNIT <br />$1000000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLE$ (ACORD 101, AddMomi Remarks Schedule, may he attached N m m specs Is required) <br />The City, its officers, employees, agents, volunteers and representatives are included as Additional Insured under the General Liability and Auto Liability <br />policies where required by written contract. Coverage is Primary and Non -Contributory. 30 Days Notice of Cancellation and Notice o Material Change applies. <br />REVIEWED & APPROVED <br />EW RIS ANAgEMENT DIVISION <br />City of Santa Ana <br />Risk Management Division <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 />M. LAMBE ACCORDANCE WITH THE POLICY PROVISIONS. <br />REPRESENTATIVE <br />Oo 1988-2014 <br />All rights reserved. <br />ACORD 25 (2014/01) <br />The ACORD name and logo are registered marks of ACORD <br />