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ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/(YYY) 03/05/2020 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 Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor CONTACT NAME: PNONE_NI (888) 202-3007I In.Na; E ADDRESS contad@hiscox.com New York, NY 10022 INSURERS AFFORDING COVERAGE NAIC0 INSURER A: Hiscox Insurance Company Inc 10200 NSUREO STRAIGHTLINE COMMUNICATIONS NauREa e 14930 Greenleaf Street INSURER o Sherman Oaks CA 91403 INSURER D : 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. 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TAR TYPE OF INSURANCE ADDL SUER Pam. NUMBER POLICY EFF POLICY Elm IJIrrB COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS�MADE OCCUR DAMAGE TO RENTED PREMISE Ee¢a f MED EXP (An ana E PERSONAL B ADV INJURY f GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY EF � LOC PRODUCTS-COMP/OP ADD $ $ OTHER: AUTOMOBILE UABIDTY COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY(Perpemon) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accent) E PROPERTY DAMAGE War iscadimt $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY f UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CVJMS ADE DEO RETENTION f WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE EACH ACCIDENT $ OFFICE WMEMBER EXCLUDED? ElE.L. NIA EA -DISEASE -EA EMPLOYEE f (Mandatory In NH) It yes. Oesvitte under DESCRIPTION OF OPERATIONSWIse E.L. DISEASE -POLICY LIMIT f A Professional Liability Y Y UDC-1531232-EO-20 01/12/2020 01/12/2021 Each Claim: Aggregate: $ 1,000,000 $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Bchedule, may M attached U nora apace is rpuked) The CM of Santa Ana and its officers, employees, agents, vdun rs and representatives each while acting under the direction of The City of Santa Ana are named as additional insureds. Hiscox will provide 30 days notice of cancellation. The CM of Santa Ana / By RISK MANAGEMENT UNISIDIN 20 Civic Center Plaza J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana, CA 92701 MAR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. �- AUTHORIZEDREPRESENTATWE AN1<1E AcEvEdo © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD