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ACOROo CERTIFICATE OF LIABILITY INSURANCE �� DATE1O(xwoor 9ml /10/201 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 Risk Stratagies Company CNAMEONTACT TiffanyChinn 700 AirportBoulevard, Suite 300 Burlingame, CA 94010 •ADDRESS, PHONE 850-762-0400 AX No: S AAA tchinn risk-srra ies.com INSURE 3 AFFORDING COVERAGE NAIC4 INSURERA: Federal Insurance Company 20281 INSURED NiIA INSURER e INSURER C: 723 West Woodbury Road INSURER D: Altadena CA 91001 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 51732735 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 INSO SUOR we POLICYNUMBER POLICY EFF D POLICY EXP M LIMITS A COMMERCiALGENERALLJABILITY 35892515 12/27/2018 12/27/2019 EACHOCCURRENCE s1000000 CLAIMS -MADE OCCUR PREMISES Ea occunarce $1000000 MED EXP (Any one ) $10 000 PERSONAL S ADV INJURY S1,000.000 GENL AGGREGATE LIMIT APPLIES PER: POLICY JET LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGO $2000000 S OTHER: A AUTOMOBILEUMILrtY 73588466 12/27/2018 12/27/2019 COMBINED SINGLE LIMIT $1 OOO 000 BODILY INJURY Per Person) S ANYAUTO P OWNED SCHEDULED OWNS ONLY AUTOS da BODILY INJURY(Pw accnU $ HIRED AUTOS ONLY J pAUTO WONED LY (PRO sot)DAMAGE $ACV S A UMBRELLA LIAR OCCUR 78182245 6/30/2018 613WO19 EACHOCCURRENCE $1000000 AGGREGATE S1,000.000 EXCESS LIAR CLAIMSMADE DEO RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' UABILT' YIN ANYPROPRIETORIPARTNERIEXECUTIVE r7 OFFICERIMEMBEREXCLUDED? NIA I PER ET STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE $ (Mandatory in NH) It yyeess dascnWunder OESCRPTION OF OPERATIONS W1. EL DISEASE -POLICY LIMIT $ DESCRPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks SGuniuh, may be attached if more s"ce is reeuined) City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers are named Additional Insured per attached Form 80029020. This insurance is primary and non-contributory with respect to insurance or self-insurance maintained by the City. Certificate of Insurance shall provide thirty (30) day prior written notice of Cancellation. REVIEWED & APPROVED By RiskMANAGEMENTDivisioN CERTIFICATE HOLDER CANCELLATION T52019 City f Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RiskoManagement Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza, 4th Floor ANCINE . VILLARE ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92702 AUTHORIZEDREPRESENTATIVE �}/�//,[ �//�/.-i/L ice/ /L/ ��'�'�"'•, Mike Christian 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD e:I'.:'35 1 18-19 nL/AL 6 a I Lucy Faleofa 110/". 2014 >=i1a]s M L,,m I gage 1 `_ a