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4CORD ULK I INUA I t Ur LIAMLI I Y MbILI iANUL - ..-,.......--....., 01/26/2021 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 W AIV ED, 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 PAYCHEX INS AGENCY INC 150 SAWGRASS DR ROCHESTER, NY 14620 362-6785 872-8921 NAIC # INSURED AMERICA ON TRACK 600 W SANTA ANA BLVD STE 710 SANTA ANA, CA 92701 A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA B: C: D: E: F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. NSTR -TR TYPE OF INSURANCE ADDL INSD SUBB WVp POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY UP (MM/DD/YYYY) LIMBS UCOMMERCIAL GENERAL LIABILITY CLAIMS -MADE Q OCCUR EN'L A GREGATE LIMIT APPLIES PER: POLICY ❑ LOC 1-1JEC OTHER: EACH OCCURRENCE DAMAGETORENTED PREMISES (Ea occurrence) MED UP (Any one person) PERSONAL &ADVINJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY HAUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Peraccident) $ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DEO ❑ RETENTI N$ EACH OCCURRENCE AGGREGATE $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YM FFICERMIEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WA UB-3L272199-21-42 01/01/2021 01/01/2022 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached X more space is required) CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA 20 CIVIC CENTER PLAZA M25 SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Rime Mallsgement Diuisian REVIEWED&APPROVED BV: faaa.o:.r.e R. VdQbnebd '� Risk Management Analyst