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/OSN HUMAOPT-04 <br />HEICT17 <br />D0111AM 6/202 YYI <br />01/16/2020 <br />`� <br />lllw O CERTIFICATE OF LIABILITY INSURANCE <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsemen s). <br />PRODUCER License if 0564249 <br />CT <br />Heffernan Insurance Brokers <br />78004 Sky Park Circle, Suite 210 <br />Irvine, Ctt 92614 <br />(AARTNE, Eel: 1 949) 771-3400 FAX Nol:(949) 771-3401 <br />E <br />INSUREIUSI AFFORDING COVERAGE <br />NAIC9 <br />INSURERA:Non rofits Insurance Alliance of California <br />01184 <br />INSURED <br />INSURER 9: New York Marine & General Insurance Company <br />16608 <br />INSURER C: Lloyd's of London <br />Human Options <br />INSURER D: <br />P.O. Box 53745 <br />Irvine, CA 92618 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: RFtrICICIN 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 CONTRACTOR 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 />INSR <br />TYPE OF INSURANCE <br />AWLINSD <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />POLICY UPJJIL <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAMS -MADE QX OCCUR <br />X <br />201901143 <br />09123/2019 <br />09/23/2020 <br />EACH OCCURRENCE <br />S 1.000,000 <br />DAMAGE TO RENTED <br />500,000 <br />20.000 <br />MEDUP ane <br />PERSONAL & AVINJURV <br />1,000,000 <br />N'L AGGREGATE LIMIT APPLIES APPLIES PER-. <br />POLICY JpECT LOC <br />GENERAL AGGREGATE <br />3,000,000 <br />PRODUCTS - COMPICIPA <br />3,000,000 <br />I SEXUAL MISCONDU <br />S 1,000,000 <br />0 THER <br />A <br />AUTOMOBILE <br />LIAeILnY <br />COMBINEDSINGLE LIMIT <br />11 11000,000 <br />BODILY INJURY Per arson <br />S <br />ANY AUTO <br />AUTOS ONLY AUTOS <br />SCN�wNEp <br />201901143 <br />09/2312019 <br />09/2312020 <br />BODILY <br />BOODILY INJURY Per atlWenl <br />X <br />PP10.en1 G'E <br />S <br />�pN� <br />AUTOS ONLY X AL/TOB ONLY <br />S <br />A <br />X <br />UMBRELIA UAS <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 6,000.000 <br />AGGREGATE <br />S 5,000,000 <br />EXCESS UAB <br />CIIJMS-MADE <br />201901143UMB <br />09/2312019 <br />09123/2020 <br />DED I X I RETENTIONS 10,000 <br />8 <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIE70"ARTNERIEXECUTNE YIN <br />QpFICERNEM EXCLUDE09 <br />(Alendnory Inj <br />K yea, oew" under <br />DESCRIPTION OF OPERATIONS belax <br />NIA <br />201800013608 <br />04/01/2019 <br />04/01/2020 <br />�( PER DTI+ <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOY <br />1,000,000 <br />E.L. DISEASE - POLICY UNIT <br />$ 1,000,000 <br />C <br />Technology-Cyber-Pri <br />EVOPNU419524 <br />06120/2019 <br />06120/2020 <br />Per Claim <br />1,000,000 <br />A <br />Professional Liabili <br />201901143 <br />09/23/2019 <br />09/23/2020 <br />Per Claim 1 MM/ Agg <br />3,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddKional wmerte SCMdN 0 me M M tfwl B non a ee u r .Imdl <br />Re: Services at the Santa Ana Police Department's Family Justice Center. The City 01 Santa Ana, its o Biters and employees are included as an additional <br />Insured on General Liability policy per the attached endorsement if required. This certificate replaces and supersedes all previously issued certificates. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza 4th ficKVIEWED & <br />Santa Ana, CA 92701 d By RiS41MANAGI <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 />IORIZED REPRESENTATIVE <br />ACORD 25 (2016103) <br />M. LAMBERT <br />© 1988.2015 ACORD CORPORATION. All rights reserved. <br />marks of ACORD <br />