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FrancineR. Dqftlly I udmribyrye Villareal 0100 HADRING-01 STOPPER d►Coxc� CERTIFICATE OF LIABILITY INSURANCE DATE DYVVV) 61812 s/8/zozo 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 endorsement(s). PRODUCER License # OC36861 CONTACT Susan F Topper NAME: PHONE FAX (A/C, No, Ext): (760) 304-7120 (A/C, Ni 304-7360 San Marcos - Escondido Alliant Insurance Services, Inc 570 Rancheros Dr Ste 100 ADDARESS. STopper@alliant.com San Marcos, CA 92069 INSURER(S)AFFORDING COVERAGE NAIC9 INSURERA: West American Insurance Company 44393 INSURED INSURER B:Ohio Security Insurance Company 24082 INSURER C: Hadronex, Inc. dba: SmartCover Systems INSURER D: 2110 Enterprise Escondido, CA 92029 INSURER E INSURER F 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. N OTVVITH STANDING 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. INSR LTR TYPE OF INSURANCE ADDL SUBR pOLICV NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X BKW57741748 2/2/2020 2/2/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 300,000 $ MED EXP (Any one arson $ 15,000 PERSONAL & ADS INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER POLICY jE0 LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOSONLYAUTOS HIRED AUTOSONLY X BAS57741748 2/2/2020 2/2/2021 CO M BIN ED SINGLE LIMIT Ea accident 1,000,000 $ X BODILY INJURY Per arson $ BODILY INJURY (Per accident) $ PROPERTY accidenDAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOVERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE [::] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYEE $ EL.DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is amended to read: City of Santa Ana, its officers, agents, employees, and volunteers and are named as additional insured as respects to General Liability when required by written contract or agreement, for services provided by the named insured for the certificate holder per the attached endorsement. Coverage shall not be canceled or reduced in coverage or changed in any other material aspect without 30 days prior written notice to City, per the attached endorsement. This insurance is primary and non-contributory, per the attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Rime Managxrvlent Diuisian .�r�� ';Iri REVIEWED& APPROVED BY: Z V` mAd ACORD 25 (2016/03) © 1988-2015 ACORD Cla The ACORD name and logo are registered marks of ACORD Risk Management Analyst