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o & CERTIFICATE OF LIABILITY INSURANCE <br />DA�""" <br />A4 <br />os 2a/z020 <br />ozo <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 BELOW. <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE <br />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. N <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate <br />does not confer rights to the certificate holder in ilau of such endorsement(s). <br />PRODUCER <br />ONTACT <br />XINS E WC <br />ANTE: <br />HONE <br />AX <br />150 SA <br />150 SAWGRASA <br />SDR <br />IC,N <br />luc, No. EaO: (am ffzeTes <br />ac, Nel: (See) STzaezl <br />ROCHESTER. NY 14620 <br />--MAIL <br />DRESS: paychea®Uaysk ax. <br />INSURERIS) AFFORDING COVERAGE <br />NAICa <br />NSURER A : TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />INSURED <br />NSURER e: <br />AMERICA ON TRACK <br />600 W SANTA ANA BLVD <br />NSURER C <br />NSURER D: <br />STE 710 <br />SANTA ANA, CA 92701 <br />NSURER E: <br />NSURERF: <br />COVERAGES CERTIFICATE NUMBER: 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 INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSTR <br />LTR <br />TYPE OF INSURANCE <br />ADOL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MWDDNYYYI <br />POLICY UP <br />(MMIDOfYYYY) <br />LIMITS <br />EACH OCCURRENCE <br />LOMMERGS-MAD ERALLOCCUY <br />CLAIMS -MADE UDE OCCUR <br />wu�N' GGREGATE LIMIT ES PER: <br />DAMAGE T RENTED <br />PREMISES Ea oavrrenn <br />M D XP(Anyone Person) <br />POLICY ECT PRO- ❑ LOC <br />OTHER: <br />PERSONAL AADVIWURV <br />ENERALA EOAT <br />R <br />VIEWED & APPri <br />OVED <br />PRODUCTS - COMPIOPAGG <br />a <br />AUTOMOBILE <br />LIASILAY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />Ea aoddeN <br />UR Per <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />2021BOOILYI <br />B NJURY Peremdent <br />PR PERTY DAMAGE <br />HIRED NON-0WNEO <br />Per evident <br />AUTOS ONLY AUTOS ONLY <br />ANGIE ACEVE(I <br />$ <br />UMBRELLA LINS OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR CLAIMS -MADE <br />AGGREGATE <br />OED ❑ ftEfF1d f <br />A <br />WORKERS COMPENSATION / <br />ND EMPLOYERV MaILITY V <br />PROPRIETOfUPARTNER)IXEGIfTIVE YIN <br />FFICEMEMSER EXCLUDEO] ❑ <br />Mandatory In NH) <br />N/A <br />UB-3L272199-20-42 <br />01/01/2020 <br />/ <br />✓ <br />01/01/2021 <br />'/ <br />)( <br />P <br />STATULE <br />TR- <br />ER <br />E.L. EACH ACCIDENT <br />$1,000,000 ✓ <br />ELDISEASE-EAEMPLOYEE <br />$1,DO0,000 <br />yes. dasedea under <br />ESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1.000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Ad elnonal Remarks Schedule, may be attached If more apace Is require) <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />M25 <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />k"*flrk--' <br />^bVmu LD l4eTolU3) The ACORD name and logo are registered marks of ACORD <br />