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AcoRbP CERTIFICATE OF LIABILITY INSURANCE <br />DATE iMMIODIYYYY) <br />ilw <br />11/29/2018 <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(les) must be endorsed. If SUBROGATION IB 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 endorsements). <br />PRODUCER <br />CONTANAME: ANA LEE <br />INSURANCE LAND INSURANCE SERVICES <br />PHONE 213-388-5505 ILAc,.ee):213_388-7148 <br />_ <br />4032 WILSHIRE HLVD <br />ADDRIESS: INSURANCELAND@GMAIL.COM <br />SUITE 309 <br />MEURERSJ AFFORDING COVERAGE <br />NAICMLOS <br />— ES CA 90010 <br />INSURER A:EVANSTON INSURANCE COMPANY <br />_ <br />35378 <br />_ <br />INSURED <br />INSURER0; UNITED FINANCIAL_ CASUALTY CO. <br />11770 <br />VALLEY MAINTENANCE CORPORATION <br />INSURER C; UNITED STATES LIABILITY INS. CO .I <br />_ <br />25895 <br />INSURERDICW GROUP <br />27847 <br />INSURER E:TRAVELERS CASUALTY AND BURETX COMPANY ANY <br />10002 PIONEER BLVD. SUITE 101 <br />SANTA FE SPRINGS CA 90670 <br />INSURER F: <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 />WWRT <br />LTR <br />A OL�UBft <br />TYPE OFINSURANCE <br />... <br />POLICY NUMBER <br />NOLICTEFF— <br />POLICY E%P <br />(MMIOOf MMMD <br />--' <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY I <br />J CLAIMS MADE OCCUR <br />69 <br />08/13/2018, 108/13/2019 <br />EACHOCCURRENCE $ 11000,000 <br />hAMAiiE TO RENTS ---- <br />PREMISFS(Eaowurrencel $ 100,000 <br />MEDEXP(Anyonepereon) $ 51000 <br />- <br />__ <br />X <br />iPERSONAL&ADV INJURY $ 11000,000 <br />A <br />GEN'L <br />( <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY jE ��_ _ LOC <br />OTHER <br />AGGREGATE $ 2,000,000 <br />_GENERAL <br />PRODUCTS-COMP/OP AGG $ INCL_U_DED_ <br />[CORTRL.PROPRRTY OTHSABI $ 25, 000 <br />AUTOMOBILE <br />LIABILITY <br />:062921851 <br />11/02/20101, 11/02/2019I <br />EeaBBINEDJSING LE LIMIT $ 2,000,000 <br />BODILYINJURY(Perperson) S <br />H <br />_ <br />- <br />! <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS R <br />HIRED AUTOS I NON -OWNED <br />AUTOS <br />!' <br />--'—'-- <br />BODILY INJURY (Per accident)$ <br />—PI <br />PRO <br />Per <br />rAGGREGATE is 1,000,000 <br />C <br />UMSRSLLA LIAR II OCCUR <br />EXCESS DAe l CLAIMS -MADE <br />XL1578400A <br />-D5/02/2018 05/02/20191 <br />EACH OCCURRENCE � S 5, 000, OOD <br />—.— _—"'-t"--------' <br />AGGREGATE 1 $ 51000, OOO <br />DeD <br />RETENTIONS <br />PRODUCTS $ 51000,000 <br />D(MandatoryFEF <br />WORKERS COMPENSATION r <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE ❑i <br />Y INIA� <br />MIn NH) <br />DESCRIPTION Under <br />DIf yes, RIPTICe OF O <br />OPERATIONS below <br />( <br />WSA5037498 01 <br />00/13/201808/13/2019��-B^2TA_T.(JrE�'. <br />( <br />_ERH <br />E, L. EACH ACCIDENT $ 11000,000 <br />_. <br />E.L. DISEASE -EA EMPLOYE $ 11000,000 <br />EL DISEASE -POLICY LIMIT $ 11000,000 <br />III <br />E <br />(CRIME <br />1105620659 <br />05/24/2018I05/24/2019�1 <br />i <br />THIRD PARTY $1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe allachad It more apace Is required) <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, APRESENTATIT7ES ARE <br />NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIA&I <br />,uev 1AIR <br />CITY OF SANTA ANA I �9, `BIE <br />SHOULD ANY OF THE ABOVE Dpa IBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA CA 10163-4668I-4*11'.L" <br />All rights reserved. <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />