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ACORN® CERTIFICATE OF LIABILITY INSURANCE 111 6/3/2021 DATE(MMMDNYYY) 8/17/2020 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 WAIVED, 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 Lockton Companies 3280 Peachtree Road NE, Suite #250 Atlanta GA 30305 (404) 460-3600 CONTACT PHONE FAX IAIC. No. ' INC.No: EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: National Fire Insurance Co of Hartford 20478 INSURED Vacant Property Security 1446275 1230 Veterans Highway, Suite F3 wsuRERB:TheContinentalInsuranceCom an 35289 INSURER C:American Casualty Company of Reading,PA 20427 INSURER D: Berkley Insurance Company 32603 Bristol PA 19007 INSURER E: Continental Casualty Company 20443 INSURER F: COVERAGES CERTIFICATE NUMBER: 15367553 REVISION NUMBER: XXXXXXX 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. INSR LTR rypE OF INSURANCE ADDL INSO SUBR MAID POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MWDD LIMITS A X COMMERCUM-GENERALLIABILITY GLAIMSMADE FXI OCCUR Y N 6072126021 6/3/2020 6/3/2021 EACH OCCURRENCE $ 1000000 77 PREMISES SoPecurrence $ 300 000 MED EXP (Any one person) $ 15,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LI MIT APPLIES PER: GENERALAGGREGATE $ 2000000 POLICY PRO- LOG ECT ❑ PRODUCTS - COMP/OP AGO $ 2000000 $ OTHER: A AUTOMOBILE LIABILITY N N 6072126648 6/3/2020 6/3/2021 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per Person) $ XXXXXXX X ANVAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Pitlenp er aoc $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $XXXXXXX $XXXXXXX B X UMBRELLA thus X OCCUR N N 6072126634 6/3/2020 6/32021 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 EXCESS UAB CLAIMS -MADE DIED I I RETENTION$ $ XXXXXXX C WORKERS COMPENSATION YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA N 6072126617 6/3/2020 6/3/2021 X STATUTE ER STATUTE E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) describe der DESCRIPTION OF OPERATIONS below E.L. DISEASE -POUCY LIMIT $ 1000000 D Crime N N BCCR-41101271-25 8/172020 9/17/2021 $10,000,000;Ded:$100,000 E Professional List. 652003615. 6/3/2020 6/3/2021 $5,000,000; RET:$50,000 DESCRIPTION OF OPERATIONS/ LOCATIONS [VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) The City of Santa Ana, its officers, employees, agents, and representatives are included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability coverage is on a primary and non-contributory basis as required by written contract subject to policy terms, conditions and exclusions. 15367553 City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana CA 92702 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED I / I IV I yr y. REVIEWED ii APPROVED BY: ©1988-20 ACORD C ' %' 2. vw u d The ACORD name and logo are registered marks of ACORD Risk Management Analyst