LOS ANGELES SMSA LIMITED PARTNERSHIP (26)

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rrarlc)ne K. Francine R. Villareal Date: 2020.09.02 Villareal 10:18:53 GTOO' "� tirCERTIFICATE OF LIABILITY INSURANCE OATOW112020 Y) 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 AOn Risk Services Northeast, Inc. New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA CONTACT NAME: PHONE (g66) 2g3-7122 FA% (AIC. No. Eat: AIC No : (gDDI 363-0105 E-MAIL ADDRESS: INSURERISI AFFORDING COVERAGE NAIC# INSURED LOS Angeles SMSA LP dba verizon Wireless INSURER A: National Union Fire Ins CO of Pittsburgh 19445 INSURER B: AID Insurance Company 19399 1095 Avenue of the Americas New York NY 10036 USA INSURER C: Amerf Can Home Assurance Co. 19380 INSURE R D: New Hampshire Insurance Company 23841 NSURERE: 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown areas requested R TYPE OF INSURANCEAUDI SUER POLICY P EXP LTR INSD WVD POLICY NUMBER MMIOD/YYYY (MIMIDDYTYYI LIMITS X COMMERCIALGENERALLIABlUTY CIAIMS-MADE ❑X OCCUR XCU Coverage is Included! Y GL EACH OCCURRENCE $2,000,000 D—APKC970 D PREMISES Ea occurrence $2, 000,000 X MED EXP (Any one person) $10, 000 PERSONAL&ADV INJURY $2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: PRO, X POLICY JECT LOC GENERALAGGREGATE $5, 000, 000 PRODUCTS - COMPIOPAGG ES, ODD, OOD OTHER: A AUTOMOBILE LIABILITY CA 4594298 ADS 06/30/2020 06/30/2021 COMBINED SINGLE LIMIT feeaccident) $1,000,000 BODILY INJURY (Per person) A X ANYAUTO CA 4594299 06/30/2020 06/30/202 1 A OWNED SCHEDULED HIRE�FUUTos NON -OWNED AUTOS ONLY AUTOS ONLY MA CA 4594300 VA 06/30/2020 06/30/2021 BODILY INJURY(Peraccidenp PROPERTY DAMAGE Per accident A See Next Page 06/30/2020 06/30/2021 UMBRELLA LIAB H OCCUR EACH OCCURRENCE EXCESS LIAB CIAIMS-MADE AGGREGATE OED RETENTION B L, WORKERS COMPENSATION AND EMPLOYERS'UABILITY YIN ANY PROPRIETOR I PARTNER I EXECUTIVE N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe end., NIA WC045886576 ADS WC045886575 CA 06/30/2020 06/30/2020 06/30 2021 06/30/2021 X PERSTATUTE DTH- ER EL EACH ACCIDENT $1,000,000 E.L.DISEASE-EA EMPLOYEE $1, 000,000 DESCRIPTION OF OPERATIONS belmv EL.DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addifional Remarks Schedule, may be attached 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 6y 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 tD 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 --r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. city of Santa Ana AUTHORIZED REPRESENTATIVE - Risk Management Division _ 20 Civic Center Plaza, 4th Floor t.S4 Santa Ana en 92701 USA RhkMamg inE Dhfddn ©11988-2015 ACCIRD CO S ®BY' ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD �� Rak Management Analyst