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1 0 <br />ACCC)RL> CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YYYY) <br />B—(mm <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terns 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 Kerman Ave Suite 200 <br />Irvine CA 92612 <br />CONTACT <br />NAME; <br />PNONE <br />�.ne e:n 949349.9800 lac N r 849-349-990g <br />ADDRESS, <br />INSURER 8 AFFORDING COVERAGE <br />NAIC& <br />1NSURERA: Nationwide Mutual Insurance Company USE <br />23787 <br />INSURED SUPEPRO-04 <br />Superior Property Services, Inc. <br />9129 Perkins Street <br />Pico Rivera CA 90660 <br />NSURERB: Accredited Surety and Casualty Co, Inc <br />26379 <br />1NSURERC: <br />INSURERD: <br />INSURER E: <br />INSURERF: <br />e�V YCRfeV G.l emu• ,. v�.r ..v,.,vr. •. .....____.._. <br />THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />THIS IS TO CERTIFY <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />INDICATED. <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 />INSRL <br />TYPE OF INSURANCE <br />A <br />POLICYNUMBER <br />PMUOYYY <br />ODYYYY1 YEXP <br />Mine <br />A <br />X <br />COMMERCIALGENERALLIABILIrY <br />ACP 3018642050 <br />6/22/2019 <br />6k2/2020 <br />OCCURRENCE <br />E1.000,000 <br />CLAIMS -MADE I OCCUR <br />1MAw J <br />PREWStl� EnEocc vanes <br />$50,000 <br />MM EXP(Any one Perron) <br />$1.000 <br />_ <br />PERSONAL&ADV INJURY <br />$1.00DAGO <br />OEM AGGREGATE LIMITAPPLIES PER <br />GENERALAGGREGATE <br />$2.000.000 <br />PRODUCTS-COMPIOPAGG <br />$2.000.000 <br />%I POLICY�jERC ❑LOC <br />A <br />OTHER: <br />AUTOMO&LELIA9IUTY <br />ACP 3018342080 <br />6I22/201e <br />fiI22/2020 <br />OMBINED SINGLE LIMIT <br />a acoNa 1 <br />$1,000,000 <br />BODILY INJURY(Per Parson) <br />$ <br />ANY AUTO <br />eODILYINJURY (Paracdd.UAUTOS <br />OWNEDSCHEOULEO <br />JX <br />ONLY AUTOSHIRED NON-0WNEDPROERTYAMAGEAUTOS <br />X <br />strident <br />ONLY AUTOS ONLY <br />E <br />UNBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS UAB <br />ClNMS-MADE <br />DED RETENTIONS_ <br />X <br />5 <br />6/22/2020 <br />B <br />WORKERS COMPENSATION <br />1ATCA1600183D <br />6/22/2a1B <br />STA E ER <br />E.L. EACH ACGOENT <br />41,000,000 <br />AND EMPLOYERS' UABILM YIN <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />E.L.OISEASE - EA EMPLOYEE <br />$1,000,000 <br />OFFICERIMEMBER EXCLUDEOR ❑ <br />(Mandatory In NH) <br />NIA <br />E,L, DISEASE -POLICY LIMIT <br />$1,000,000 <br />U deacdbe under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Rern.ft Schedule, may be a6ached If more apace le 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, on M With respects to the General Liability, Umbrella and Business Auto as per <br />is Included form CG 20 01 <br />business liability coverage forms CG 20 33 04 13, CG 20 37 04 13 and CA 86 i 0 0113. Primary and non-contributory wording as per <br />04 13, A waiver of subrogation Is Included regarding the General Liability as per form CG 24 04 06 09, p- APPROVE <br />REVIEWED & <br />Certificate of Insurance shall provide thirty (30) day prior written notice of cance9ation. <br />By Risk MANAGEMENT ()IVlsl <br />a.clY nn..nrG nvwoY <br />- <br />SHOULD H ABOVE DESCRIBED @jt pptl��N�$4Ef�11@pIq[gQR A <br />'OELI1IEIiEfI <br />THENOTIC CC�'BE I <br />EXPIRATIIONDATE THEREOF, <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />Risk Management Division <br />AUTNOnIZED REPRESENTATIVE <br />20 Civic Center Plaza, 4th floor <br />Santa Ana CA 92702 <br />r//(('/,',-,•,_,L- 6 <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />