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DRMAU-1 OP 10. CERTIFICATE OF LIABILITY INSURANCE 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($), 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 WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rohts to the certiOcatR hold. I. liou „ f m„-H nnAnaemm�n Hel PRODUCER Brakke Schafnitz Ins. Brokers License #OK07568 , 12th Floor ,90401 INSURED Dr. Maureen Sassoon V P O Box 2028 Palos Verdes Peninsula, CA 90274 WSURERF- COVERAGES CFRTIFICATF NI IMRFR- 1 D V, O 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WBR TYPE OF INSURANCE LBU POLICY NUMBER POUCYEFF POUCYEXP LWn9 A X COMMERLULL GENERAL LIABILITYV CWMS.MADE �X OCCUR Y Y G24270427009 07/01/20)R 07/01/20 EACH OCCuRRENCE 1,DO0.000 MADE TO RENTED 50,000 5,000 M D UP pn w anon X Prof & Poflut-CL119 PERSONAL fl ADV INJURY - 1,000,000 INL AGORE AT�EpPURnMpIIT ES PER X PDLICY IuIJECT II Lac GENERA -AGGREGATE 2,000,000 PRODu7TS-COA4PQPAO0 I 2,000.G00 O AUTOMOBILE UASILRY COMBINED SINGLE LIMIT ANYrr11AUTO OPUTOSEDOM.Yq�O OILED �� pµpWl.�oBO ONLY BO I V INJURY x VRRITT U PerAUTOSONLYAUTOS ��'tlmt AMFGE UL®RELLA LMa OCCUR EACH OCCURRENCE S EXCESS LAS CLAIM&MODE AGORE-rATE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' DABIU1Y ANY PROPRIETORIPARTNER/E%ECUTNE OFFICEEMBER EXCLUDED? 1IMM�e �I�n AN'�R)) Ilya;R"1F ON 1"O DESC ONOF OPERATONS law NIA I PER OTH• I STATUTE 91. H ACCIDENT 015 - EA EMPLOYEE E L DISEASE- POLO I A Professional Llab 024270427009 07/01/2020 07/01/2021 Prof.Liab 1,00000 A Contractors Poll 07/0112021 07JO112021 Pollution 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, AMMOnal Wmar SchadW.. may be ahzcheU If — v.. Ic Policy Provides 30 days notice of cancellation except 10 days for nonpayment ✓ Y K1skMANAQEMENTDiViSiON Endorsements Attached are Applicable where required by Written f Contract.C! of Santa Ana, officers, agents, employees and volunteers are �',Il'y�r� named as additionally insured on this policy pursuant to written contract, J�({j�/ y 9 2020 agreement or memorandum Of understanding. Such Insurance as is (NOTE) ANCIiE ACEVEEIO CSANTAA City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUMORIZEDR,EPRREE�SENTATNE AGUKU 2012u1 emJ) ®1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered mauls of ACORD W