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CERTIFICATE OF LIABILITY INSURANCE I DATE <br />16/201YYYY, <br />86I2019 <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(his) must be endorsed. If SUBROGATION IS 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 />PRODUCER <br />TDW Risk Management Associates, LLC <br />One Post, Suite 200 <br />Irvine CA 92618 <br />FAX <br />INSURER(S) AFFORDING COVERAGE <br />NAICN <br />INSURER A Citizens Insurance Company of Armurce <br />31534 <br />INSURED STANC0L4H <br />INSURER B Allmerlca Financial Benefit Insurance Company <br />41840 <br />Stanbridge University <br />--- <br />2041 Business Center Drive, Suite 107 <br />INSURER C The Hanover Insurance Company <br />22292 <br />Irvine CA 92612 <br />INSURER 0 Falls. Lake Fire and Casualty Company <br />! 15884 <br />INSURER E Indian Harbor Insurance Company <br />3694D <br />INSURER F. <br />COVERAGES CERTIFICATE NUMBER: 1639344520 <br />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 />INigt. TYPE OFINSURANCE ADDLBdUNi POLICY NUMBER IMMIDp/YYVF1'I IMMIUDfrYYY1l LIMITS <br />A GENENALLIABILITY <br />Y <br />Y <br />_ <br />ZB3-D302821-02 7=019 7)2R020 EACHOC_CURRENCE S1000000 <br />X <br />_ <br />DAMAGE TO REN IFD <br />_ COMMERCIAL GENERAL LIABILITY <br />PREMISI S (f o Ian„) , 510000E <br />CLAIMS -MADE X OCCUR <br />MED EXP (Any one person) S 15000 <br />PERSONAL$ ADV INJURY $1aw,wo <br />I GENERAL AGGREGATE $30E0000 <br />GEN'L AGGIRGATh LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGO, $Included <br />!LOG <br />S <br />PUT ICY .PRO. WETIX <br />0 AUTOMOBILE LIABILITY <br />AW3-D30293742 <br />7IV2019 71212020 COMBWEU SINGLE LIMIT <br />(E .cdo(u)_ <br />X YAUTOBODILY <br />INJURY (Per person) 5 <br />ALL OWNED � SCHEDULED <br />SCHEDULAUTOSED <br />BODILY INJURY (Pot acatlenl)� 5 <br />AUTOS I---- <br />PROPERTY DAMAGE -- <br />.' X ;HIRED AUTOS I X AUTOS <br />(Par oc �xJunD S _.. <br />5 <br />C X j UMBRELLA LIAR X OCCUR <br />U113-030252302 7I2Q019 TQQ020 pM;n OCCURRENCE :51000.00E <br />EXCESS LIAe I CLAMSMAOE'. <br />AGGREGATE 51A0E,000 <br />I OED X RETENTION 0 <br />zS <br />D WORKERS COMPENSATION <br />I Y <br />FLA011415JCD 4IS120is ARU2020 X WCSTATU I OTH-I, <br />IORY LIMRS. BIT <br />YIN <br />ANY PROPRIEEOILPARTTINERIEXECUIIVE <br />Et FACHACCIDFNr <br />S100000E <br />OFFICERIMBMUER EXCLUDED? <br />N/A <br />- <br />- <br />(M.matoryhe NH) <br />EL nISEABE LA FMPLOYEEI_S10E0000 <br />Ilyes,duscnbuunAer <br />1 <br />DE SCRIPTIONOFOPERATIONSblow <br />LL. DISEASE POLICY LIMIT <br />S 1,00E000 <br />E Educator; Legal LiaEillly <br />ELL09505Not 711120H) <br />71112020 Each claim $2,000,000 <br />I <br />Policy Aggregate S4.W0,000 <br />_ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Romaft Schodulo, it mom apeco is required) <br />The City of Santa Ana, Risk Management, its officers, employees, agents and representatives are named as required by written contract With named insured <br />prior to an occurrence and subject to all policy terms & conditions: REVIEWED & APPROVED <br />GL- Additional Insured, Completted Operations per Form CG20370704 By Risk MANAGFMENT DIVi$iON <br />GL - Walrtional Insured. ver of Subrogation Ongoing PmaryrIIIons Non Cq tribulory per Formrm CG20101 142129150615 <br />WC - Waiver or Subrogallon per Form WC040306484 SP 2 3 2019 <br />See Attached... <br />City of Santa Ana, Risk Management <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 />11 '°D RE/PRESENTTATIVE�•7/,J,jrA,�( <br />0 ACORD CORPORATION. All riahts reserved, <br />ACORD 2512010105) The ACORD name and logo are registered marks of ACORD <br />