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rranane K. FrancineR Villareal <br />Date: 2020.09.02 <br />Villareal <br />10:18:53-07'00' <br />"� CERTIFICATE OF LIABILITY INSURANCE <br />DAT0813112020 Y) <br />08131I2020 <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 <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE 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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Northeast, Inc. <br />New York NY Office <br />One Liberty Plaza <br />165 Broadway, Suite 3201 <br />CONTACT <br />NAME: <br />IN"ONE <br />NoExg: (066) 283-7122 FAX No : (800) 363-0105 <br />E-MAIL <br />ADDRESS: <br />New York NY 10006 USA <br />INSURERS) AFFORDING COVERAGE <br />NAICe <br />INSURED <br />LOS Angeles SMSAwire LPdba <br />vAvenuezon wireless <br />INSURER A: National Union Fire Ins Co of Pittsburgh <br />19445 <br />INSURER B: AIU insurance Company <br />19399 <br />INSURER c: American Nome Assurance Co. <br />19380 <br />109 <br />1095 avenue of the Americas <br />New York NY 10036 USA <br />INSURER D: New Hampshire Insurance Company <br />23841 <br />INSURER E: <br />INSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MMNDYn'EYYY FF <br />MMIDDn'YY1' <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑X OCCUR <br />Y <br />GL <br />EACH OCCURRENCE <br />$2,000,000 <br />77107 ET RE TE <br />PREMISES Ea occurrence <br />$2.000,000 <br />X <br />MED EXP (Any one person) <br />sn' 000 <br />XCU Coverage is Included <br />PERSONAL A ADV INJURY <br />$2,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PRO <br />X POLICY JECT LOG <br />GENERALAGGREGATE <br />$S,000,000 <br />PRODUCTS-COMP/OPAGG <br />$5,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />CA 4594298 <br />ADS <br />06/30/2020 <br />06/30/2021 <br />COMBINED SINGLE LIMIT <br />acodem <br />$1, 000, 000 <br />BODILY INJURY (Per person) <br />A <br />% ANYAUTO <br />CA 4594299 <br />06/30/2020 <br />06/30/2021 <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDAUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />M4 <br />CA 4594300 <br />VA <br />06/30/2020 <br />06/30/2021 <br />BODILY INJURY (Peraaitlen9 <br />PROPERTY DAMAGE <br />Per accident <br />A <br />See Next Page <br />06/30/2020 <br />06/30/2021 <br />UMBRELLA LIAB <br />H <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />DED <br />RETENTION <br />B <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOR I PARTNER I EXECUTIVE <br />OFFICF.RIMEMBER EXCLUDED? <br />(ManYaxIdatoryin NH) <br />ntler <br />esctlbunder <br />DESCR <br />DESCRIPTION OPERATIONS below <br />N/q <br />WC045886576 <br />ADS <br />WC045886575 <br />CA <br />06/30/2020 <br />06/30/2020 <br />06/30/2021 <br />06/30/2021 <br />X <br />PER STATUTE <br />OTH- <br />ER <br />EL EACH ACCIDENT <br />$1, 000,000 <br />ELL DISEASE -EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached a more space is required) <br />The above -referenced General Liability policy shall cover the tort liability of the Certificate Holder assumed under the <br />underlying agreement between parties for which the certificate has been issued. City of Santa Ana, its council members, <br />officers and employees are included as Additional insured with respect to the General Liability policy. The General Liability <br />policy shall apply as Primary and Non -Contributory Insurance to each Additional insured listed herein. where permitted by law, <br />the Named Insured parties listed herein waive all rights against City of Santa Ana, its council members, officers andemployees <br />listed herein for recovery of damages to the extent these damages are covered by the above -referenced General Liability policy <br />and, as further limited by written contract between the parties. <br />v <br />c <br />L <br />0 0 <br />2 <br />CERTIFICATE HOLDER CANCELLATION <br />�—' <br />SHOULD ANY OF THE ABOVE DESCRIBED BE CANCELLED BEFORE THE <br />EXPIRATION GATE THEREOF, NOTICE WILL BE RED IN ACCORDANCE WITH THE <br />DELIVE <br />DELIVERED <br />POLICY PROVISIONS, <br />J <br />city Of Santa And <br />0Management Division On <br />2C <br />0 Vic Center Plaza, 4th Floor <br />Santa Ana CA 92701 USA <br />- <br />AUTE <br />HORIZREPRESENTATIVE <br />194 a✓L �ktessed vl <br />©1988-2015 ACORD CO <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />ana.. � 161E Mw$eRolt Dhisiom <br />REVIDrvEn6 APPRo(r®8Y: <br />�u.r�.2 V44L� <br />link Managemem Anafysl <br />