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CERTIFICATE OF LIABILITY INSURANCE <br />DATE omvYl <br />0923f20W <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 CR 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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polidles may require an endorsement, A statement on <br />this cortificate, does not confer rights to the certificate holder in lieu of such endorsements , <br />PRODUCER <br />MARSH USA, INC. <br />445 SOUTH STREET <br />MORRISTOWN. NJ 07960.6454 <br />CONTACT <br />NAM 1' <br />PHONE <br />_nag L$$1 ^__---'_• — <br />INSURERS) AFFORDING COVERAGE <br />RAID# <br />f001299DT-18@0 010 Kapusl NOC80 <br />INSURER A I HDI Global Insurance Cauvery <br />41343 <br />INSURED IEMENS INDUSTRY, INC. <br />INSURER B: Traveler Pi0peny Casudty Co.OfAmeJm �25674 <br />INSURER C : TN Travelers Indemnity Company <br />2585E <br />1000 DEERFIELD PARKWAY <br />BUFFALO GROVE, IL BDOM4513 <br />INSURERO• <br />INSURER E I <br />INSURER F.- <br />COVERAGES CERTIFICATE NUMBER: NYC-009188797.20 REVISION NUMBER; <br />THISl3 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 />INSR <br />TYPEOFINSURANCE <br />A L <br />R <br />POLICY NUMBER <br />POLICY EFP <br />1010V2019 <br />POLrMMIODNMI �n, <br />r LIMITS <br />A <br />X <br />T_ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />GLD1110111 <br />IDMI12020 <br />OCCURRENCE <br />$ 1,000,000 <br />_EACH <br />faREM <br />REMISES tEe aieunmrca]_ <br />$� 1,000,000 <br />MED E%Pelro9na P91'a90 <br />$ 100.000 <br />I� <br />PERSONALSAOV INJURY _ <br />S 1'00.0" <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY n j� LOU <br />: <br />GENERALAGGREGATE <br />$. 10.000,000 <br />PRODUCTS COMPOP AOG <br />$ INCL <br />S <br />OTHER: <br />B <br />AOTGMODILELIADILITY <br />T=-CAP7440L34A-19 <br />1010112019 <br />107mf2020 <br />C MBINROSWGLELMIT <br />„BODILYINJ1 <br />$ 21000,000 <br />X <br />ANY AUTO <br />BODILY INJURY (Par person) <br />$ NIA <br />g <br />OWNED - ONLY AUTOS SCHEDULED <br />AUTOS <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />BODILY INJURY(Para¢Idon11 <br />$ NIA <br />�� <br />OPER IN\W�raE <br />Ar <br />_ _ <br />$ NIA <br />$ <br />% <br />UMORELLALIAO <br />X <br />T <br />OCCUR <br />CUD1110211 <br />100112019 <br />101O.U2020 <br />EACHOCCURRENCE <br />s 1,000,000 <br />AGGREGATE <br />S 1.000,000 <br />EXCESS UAB <br />CUUMS-MADE <br />DED.1 <br />1 RETENBONSf��mm <br />$ <br />S <br />C <br />B <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIAOILRV <br />VL, <br />OFKICERIMEMOERE%CLUDEDT CCUI'IVE N <br />(Mandatory In NH) <br />NIA <br />TC2J-UM49X508.19(ADS) <br />7RK•U&8049%51A-19 A2, MA, OR, WI <br />( ) <br />TWXJ•U&7440L33&19 (ONSWA) .1W01/2019 <br />20 <br />f0f0112019 <br />101=0 <br />1D101f2020 <br />10N11f2020 <br />�X PEa QQ]1L- <br />_ <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />� <br />E.4 DISEASE - EA EMPLOYEE <br />$ 1,000,00D <br />nyy9a,da T"NVnder <br />DESDRIPT10 OF OPEIa1YlON$below <br />^°'•'$500K LIMITI$500K SIR^"" <br />�'-- <br />CA- DISEASN• POLICY LIMB <br />s 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlllanal Ramarke Schedule, may ho altaahod If morn apace Is ro9ulrod) <br />RE: SIIN2600070990 PO#32001015 PROJECT# 31007058 PROJECT NAME: BCA6-SES-CRY OF SANTA ANA POLICE DEPT <br />SEEATTACHE <br />REVIEWED <br />yRsk &M[ APPROVED <br />MANNET oN <br />1"I <br />CERTIFICATE HOLDER A-V, AT) !tN A IN A (/ CANCELLArioi <br />CITY OFSANTAANA FR CINE R. VIL Il <br />RISK MANAGEMENT DIVISION <br />`SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAh1,4TH FLOOR <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />SANTAANACA 92702 <br />AUTHORIZED REPRESENTATIVE <br />at Marah USA Ina. <br />Manashl Mukharlee _Ma•.AnEa k.: JM..._ee..nu.(}el. <br />m 19BO-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />