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rranane Fi. FrancineRVillareal <br />Date: 2020.09.02 <br />Villareal <br />10:18:53 -OT00' <br />CERTIFICATE OF LIABILITY INSURANCE <br />°ATE�1no2lo "' <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(les) 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 />New York NY 10006 USA <br />CONTACT <br />NAMEPHO <br />IAIC MNo. Exg: (866) 283-7122 FAX (900) 363-0105 <br />AIC. Na.: <br />E-MAIL <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE <br />NAICIf <br />INSURED <br />Los Angeles SMSA LP <br />dha verizon wireless <br />INSURER A: National union Fire Ins CO Of Pittsburgh <br />19445 <br />INSURER B: AIU Insurance Company <br />19399 <br />1095 Avenue of the Americas <br />New York NY 10036 USA <br />INSURER c: American Home Assurance Co. <br />19380 <br />INBURER D: New Hampshire Insurance Company <br />23841 <br />NSURER E: <br />rnvcuwcLro ..�.,r.�....��........�.. ..-.......------- <br />NSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE <br />BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF <br />ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN <br />REDUCED BY PAID CLAIMS. <br />IN <br />Limits shown areas requested <br />LTR WIM SUER <br />TYPE OF INSURANCE POUCY NUMBER <br />F I Y <br />MMmD FffDTYMMIDDf/YY1' LIMITS <br />A X COMMERCIAL GENERAL LIABILITY Y GL <br />EACH OCCURRENCE $2,000,000 <br />CLAIM&MADE X❑ OCCUR <br />AMA .RENTED $2, 000, 000 <br />PREMISES Ea occurrence <br />X XCU Coverage is Included <br />MED EXP (Any one person) $10, 000 <br />PERSONAL B ADV INJURY $2,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />GENERALAGGREGATE $5,000,000 <br />PRO- <br />X POLICY LOG <br />JECT <br />PRODUCTS -COMPIOP AGO $5,000,000 <br />OTHER: <br />A <br />LIABILITY <br />CA 4594298 <br />06/30/202006/30/2021 <br />COMBINED SINGLE LIMIT <br />ADS <br />Ea accident,$1,000,000 <br />BODILY INJURY( Per person) <br />A <br />NYAUTOCA <br />4594299 <br />06/30/202006/30/2021 <br />AIREOOSAUTOS <br />5161061A� <br />WNEDSCHEDULED <br />MABODILY <br />INJURY(Per accident) <br />CA 4$94300 <br />06/30/2020 <br />06/30/2021PROPERTY <br />DAMAGE <br />NONOWNED <br />NLY AUTOSONLY <br />VA <br />Per accident) <br />A <br />See Next Page <br />06/30/2020 <br />06/30/2021 <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />DED <br />RETENTION <br />0 <br />WORKERS COMPENSATION AND <br />wc045886576 <br />06/30/2020 <br />06/30/2021 <br />X <br />I PERSTATUTE <br />OTH- <br />EMPLOYERS' LIABILITY YIN <br />ADS <br />1 <br />ER <br />C <br />ANY PROPRIETOR I PARTNER I EXECUTIVE <br />OFFICERIMEMBER UCLUCED? <br />NIA <br />wC045886575 <br />06/30/2020 <br />06/30/2021 <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />CA <br />E. L. DfSEASE-EA EMPLOYEE <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS below <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 R more space is required) <br />The above -referenced General Liability policy shall cover the tort <br />liability of the Certificate Holder assumed under the I <br />underlying agreement between parties for which the certificate has <br />been issued. City of Santa Ana its council members. I <br />officers and employees are included as Additional insured with respect to the General Liability poi Cy. 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 <br />of Santa Ana, its council members, Officers and employees <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 />10 <br />N <br />0 <br />0 <br />2 <br />CERTIFICATE HOLDER CANCELLATION A. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />city Of Santa Ana AUTHORIZED REPRESENTATIVE <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor ,VIVO <br />Santa Ana CA 92701 USA <br />n Risk MaropmedDMtion <br />©1988-2015 ACORD CO ` RE1AE&D 6 MPRovE08Y' <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD �l F4.�rrl:a.t ip.. �:J <br />il <br />'L RUk h/anagersrrt[Malyst <br />