LOS ANGELES SMSA LIMITED PARTNERSHIP (3)

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r ra no rle K. Francine R. Villareal Date: 1020.09.02 Villareal 10:18:53 -07'00' "� CERTIFICATE OF LIABILITY INSURANCE OATE(MM00/YYYY) OB/31I2020 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 endomement(s). PRODUCER Ann Risk Services Northeast, Inc. New York NY office One Liberty Plaza 165 Broadway, suite 3201 CONTACT NAME: PHONE (866) 2183-7122 A/D. No. Exl): FAX No : (800) 363-0105 E-MAIL ADDRESS: New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAICM INSURED Los Angeles SMSA LP dba Verizon wireless INSURER A: National union Fire Ins CO of Pittsburgh 19445 INSURER B: AIU Insurance Company 19399 INSURER C: American Home Assurance Co. 19380 1095 Avenue of the Americas New York NY 10036 USA INSURER D: New Hampshire Insurance Company 23841 INSURER E: INSURER F: 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSO MO POLICY NUMBER EFF MMYffiYWyl MMIDDrffIY LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS -MADE �X OCCUR Y Y GL1728890 Z67107= EACH OCCURRENCE $2,000,000 AMA RENTED PREMISES le occurrence $2,000,000 X NED EXP (Any one person) $10, 000 XCU Coverage is Induced PERSONAL 6 ADV INJURY $2,000,000 GENIAGGREGATE UMTAPPLIES PER: PRO % POLICY JECT LoC GENERALAGGREGATE -PRODUCTS $5,000,000 101111PAGG $5,000,000 OTHER: A AUTDMOBILE LIABILITY CA 4594298 ADS 06/30/2020 06/30/2021 COMBINED SINGLE LIMIT Ea accident) $1,000,000 A X ANYALITO CA 4594299 06/30/2020 06/30/2021 BODILY INJURY (Par person) A OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON-0WNED ONLY AUTOS ONLY MA CA 4594300 VA 06/30/2020 06/30/2021 BODILY INJURY (Per acadent) PROPERTY DAMAGE Per acaMenl A See Next Page 06/30/2020 06/30/2021 UMBRELLALWB OCCUR EACH OCCURRENCE EXCESS UAB CLAIMS -MADE AGGREGATE DED RETENTION B r' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICERIMEMBER EXOWOED? (Mandatary in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC045886576 ADS WC045886575 CA 06/30/2020 06/30/202006/30/2021 06/30/2021 X PERSTATUTE DTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 EL DISEASEPOLICYLIMIT $1, 000, 000. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aaeched If more space is required) The above -referenced General Liability policy shall cover the tort liability of the Certificate Holder assumed under the underlying agreement between parties for which the certificate has been issued. City of Santa Ana, its council members, officers and employees are included as Additional Insured with respect to the General Liability policy. The General Liability policy shall apply as Primary and Non -Contributory Insurance to each Additional Insured listed herein. where permitted by law, the Named Insured parties listed herein waive all rights against City of Santa Ana, its council members, officers and employees listed herein for recovery of damages to the extent these damages are covered by the above -referenced General Liability policy and, as further limited by written contract between the parties. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE J POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division 20 Civic Center Plaza, 4th Floor t it Santa Ana CA 92701 USA g ��`! ICde7t4T�r8erntt Dnivart ©1988-2015 ACORD CO 2 REvfE%M APPRCIV®8Y. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD of I Fur.c:wt �. V:uwnul �� RakManagemnrt Analyst