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.a� d CERTIFICATE OF LIABILITY INSURANCE D06f220IDOMYYj 06222020 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 WANED, 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 MARSH USA INC. 1050 CONNECTICUT AVENUE, SUITE 700 CgNTACT PHONE FAX WASHINGTON, DC 20036-53M E-nuL ADDRESS' INSURER(S) AFFORDING COVERAGE NAIL It INSURER A: ACE American Insurance rompany 22667 CN102986235-SercoGA 20 INSURED Same, Inc.—• INSURER B: AIG Europe Ltd. INSURER C : ACE Fire Urdervrtiters Go 20702 12930 Woddgale Drive Suite 600 Hemdon,VA 20170 --- INSURER p: NSURERE: "SURER F: COVERAGES CERTIFICATE NUMBER: CLE-Mg9BW-12 REVISION NUMBER: 14 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. I1321. NER OF INSURANCE ADDTYPE jusicL SUBIR POLMYNUMBER PoWDDYEFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY / 1-771 CWMS#1ADE OCCU i/ G23866456009 10/3112019 10/312020 ✓ EACHOCCURRENCE S 1,000,000 PREMISES e accurrencel S 5D0,wo MEO EXP oneperson) $ PERSONAL S ADV INJURY S 2,01)0,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JEC LOC GENERAL AGGREGATE S 2,000,000 PRODUCTS-COMP/OP AGG $ 2.000.000 S OTHER: A AUTOMOBILE Luellen CAL H252B5360 107J112019 1051 020 COMBINED SINGLE LIMIT 5 1000000 I ANY AUTO AUTOS ONLY AUTOS OWNED SCHEDULED 1-1 / BODILY INJURY (Per person) 5 BODILY INJURY (Per amount) $ HIRED AUTOS N AUTOS ONLY AUTOS ONLYLY PRDAMAGE P r den s S UTABRELLALUIB OCCUR EACHOCCURRENCE S AGGREGATE $ EXCESS UAB CLAIMS -MADE DED I I RETENTIONS $ A A G WWI .SCOMPENSAVON AND EMPLOYERS' LUJULIARTNE1 Y yl N PNYICERAM MBER XCLUDEIFJ(ECUTIVE OFFICERRAEMBEREXCLUDEDT (Nantlatory In NH) urn dasalbe underDESCRIPTION OF OPERATIONS pebw NIA WLRC674561BA(AOS) WCUC67456269 OH ( )A.L. SCFC67456221 WI ( I 05130020 Z D6/ ham 06/3012020 105W020 i irmo 1MIM20 X PER orw S T E E EACH ACCIDENT § 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 B SERCO GROUP PROFESSIONAL 7952631 1013112019 10/J72020 LIMIT 1,000,000 (LIMIT SHOWN IS IN 'GREAT BRITISH POUNDS)' RETENTION 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addmomd Remarks Schedule. may he attached If more space Is required) The City, its officers, Employees. agents, volunteers and representatives are included as Additional Insured under the General Liability and Auto Liability poficies where required by wrten contract. Coverage is Primary and Non -Contributory. The Umbmlla/Excess Liability policy provides coverage over the underlying General Liability and Auto Liability policies. 30 Days Notice of Cancellation and Notice of Material Change applies as required by written contract CERTIFICATE HOLDER rANr.EI I ATInM City of Santa Am Risk Management Division / By Risk MANAGEMENT DIVISION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE V- THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 ACCORDANCE WITH THE POLICY PROVISIONS. 9270Plaza Santa Ana, CA 92701 taA Ana, q L�� $ 20L� AUTHORREDREPRESENTATME of Marsh USA Inc. ANGLE ACEVEdo Manashi Mukhedee ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD