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Did Rally signed by Fnr,in<R. <br />Francine R. Vllldrealvnla,<31 <br />ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />�i <br />DATE DIYYYY) <br />6/19/2020 <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 WAIVED, 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 endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher & Co. <br />Insurance Brokers of CA Inc. License #0726293 <br />18201 Von Karman Ave Suite 200 <br />CONTACT <br />NAME: <br />PHONE FAX <br />Alc No Ext: 949-349-9800 LAIC No:949-349-9900 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />Irvine CA 92612 <br />INSURERA: Nationwide Mutual Insurance Company <br />23787 <br />INSURED SUPEPRO-04 <br />Superior Property Services, Inc. <br />9129 Perkins Street <br />INSURER B: Nationwide Mutual Fire Insurance Company <br />23779 <br />INSURER c: Accredited Surety and Casualty Company, Inc <br />INSURER D: <br />Pico Rivera CA 90660 <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 209062070 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 />INSR <br />LTR <br />OF INSURANCE <br />ADDLSUBRTYPE <br />INSD <br />W/D <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICYEXP <br />MMIDDYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />y <br />y <br />ACP 3028842080 <br />6/22/2020 <br />6/22/2021 <br />EACH OCCURRENCE <br />$1,000,000 <br />CI -AIMS -MADE 1XI OCCUR <br />DAMAGE PREMISES Ea occurrOence <br />$50,000 <br />MED EXP (Any one person) <br />$1,000 <br />PERSONAL&ADV INJURY <br />$1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />Fyl <br />POLICY PEP LOC <br />X <br />PRODUCTS-COMP/OP AGO <br />$2,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />y <br />y <br />ACP 3028842080 <br />6/22/2020 <br />6/22/2021 <br />COMBINEDSINGLE LIMIT <br />Ea accident) <br />$1,000,000 <br />X <br />BODI LV I NJURY(Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTO$ONLY AUTO$ <br />BODI LY I NJURV(Per accident) <br />$ <br />X <br />HIRED N NON -OWNED <br />AUTO$ ONLY AUTO$ ONLY <br />PROPERTY DAMAGE <br />Per accitlenl <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />1ATCA160018301 <br />6/22/2020 <br />6/22/2021 <br />X PER DTH- <br />STATUTE ER <br />ANYPROPRIETOMPARTNER/EXECUTIVE <br />EL EACH ACCIDENT <br />$1,000,000 <br />OFFICEFUMEMBER EXCLUDED? ❑ <br />N/A <br />E. L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />I <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional <br />insureds when you have agreed, in a written contract or written agreement, only with respects to the General Liability, Umbrella and Business Auto as per <br />business liability coverage forms CG 20 33 04 13, CG 20 37 04 13 and CA 88 10 01 13. Primary and non-contributory wording is included as per form CG 20 01 <br />04 13. A waiver of subrogation is included regarding the General Liability as per form CG 24 04 05 09. <br />Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor <br />Santa Ana CA 92702 <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 />REPRESENTATNE <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Ride Management DMsian <br />ram. <br />REVIEWED &{APPRavED By., <br />olllli111-1� /-z' rb6HlM�e VaRRE/t¢bl. <br />® Risk Management Analyst <br />