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COMMLEG-01 VPAINT <br />CERTIFICATE OF LIABILITY INSURANCE DA812712019 <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 />PORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must have ADDITIONAL INSURED provisions or be endorsed. <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />PRODUCER <br />INSURED <br />:a Insurance Services, Inc. <br />?w Parkway <br />92071 <br />Community Legal Aid SoCal <br />2101 North Tustin Avenue <br />Santa Ana, CA 92705 <br />CONTACT <br />NAME: <br />(HONE <br />AX,,, No, E.q: (619) 937-0164 <br />(FAA1c, Ne):(619) 937-0168 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAICI <br />INSURER A: New York Marine & Gen'I Ins CID <br />78608 <br />INSURER B : <br />INSURER C : <br />INSURER D. <br />INSURER E : <br />rnVCOAnCQ rCOTICIrATC All HUIR=0. 9 ONICInu AN 1Y000. <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 SUBJECTTOALLTHE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE 'IIDOL INSO SUER POUCYNUMBER POLICY EFF PLTR OUCYEXP <br />_ <br />LIMITS <br />COMMERCIAL GENERAL UABIDTY <br />EACH OCCURRENCE _$ <br />CLAIMS .MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea oaV_ 8 <br />MED EXP (Any one perms $ <br />PERSONAL$ AOV INJURY_ 9 <br />GENL AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ <br />POLICY I MET LOC <br />PRODUCTS - COMP/OP AGG _5 <br />OTHER <br />$ <br />AUTOMOBILE LIABILITY REVIEWED A <br />COMfEa �BBIINEEDDISINGLE LIMIT $ <br />ANY AUTO By RISK MANAGEMENT DIVISION <br />BODILY INJURY (Per person) $ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accicanl) $ <br />HIq�� NONwNEO T 2 Q 20 9 <br />_ <br />PROPERTY DAMAGE <br />AUTOS ONLY AUTO OOTf1ILLYY 1 wtli7 �L <br />SPer acciEerpl_ _ $ <br />S <br />UMBRELLA UAB OCCUR <br />RA CIN .VILLAREAL <br />$ EACH OCCURRENCE _ <br />- <br />EXCESS UAB CLAIMS -MADE <br />_ <br />AGGREGATE .$ _ <br />DIED I RETENTIONS <br />A WORKERS COMPENSATION <br />PER OTH- <br />X_. <br />ANDEMPLOYER$'LIABWTY YIN <br />S_TATUTE_ _ ER_ <br />ANY PROPRETORIPACLUDEDXECUTIVE WC201900016159 9/1/2019 9/112020 <br />1,000,000 <br />M�I, EXCLUDED? N I A <br />E.L. EACH ACCIDENT $ <br />Q.FFICERMI <br />1'000'000 <br />""��1ary�D'•"' <br />EL DISEASE EMPLOYEE $ <br />describe <br />If yes, u slar <br />_ _...._ _ _-. _ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />E.L DISEASE - POLICY LIMB _ <br />R <br />'u <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VENICLES ACORD IFI Additional Ra ER INTER may be aftached R space Is TTO 'i <br />RE: OPERATIONS OF THE NAMED INSURED A� CERTIFICATE HOLDERS INTEREST MAY APPEAR SUBJECT TO required) <br />TERMS, CONDITICtiNS; AND <br />EXCLUSIONS. <br />-0 <br />Afft <br />3 <br />Qy\ <br />fi <br />rn <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 />ACCORDANCE WITH THE POLICY PROVISIONS. <br />REPRESENTATIVE <br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />