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rranane K. Francine RVllareal Date: 2020.09.02 Villareal 10:18:53-07'00' CERTIFICATE OF LIABILITY INSURANCE pATEO,1MDODz2) 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 AOn Risk Services Northeast, Inc. New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA CONTACT NAME: PHONE (866) 283-7122 FAX IaC.No. Extg NC No (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC q INSURED LOS Angeles SMSA LP dba Verizon wireless INSURERA: National union Fire Ins CO Of Pittsburgh 19445 INSURER B: AIU insurance Company 19399 1095 Avenue of the Americas New York NY 10036 usa INSURER C: American Home Assurance Co. 19380 INSURER D: New Hampshire Insurance Company 23841 NSURER E. NSURER 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. INSR Limits shown are as requested LTR TYPE OF INSURANCE D UBR POLICY NUMBER INSD MD Y FF EYP MMIDCrIYYY POLICY YYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y GL EACH OCCURRENCE $2,000,000 CLAIMS -MADE ❑X OCCUR AGET N ED $2, 000,000 PREMISES Ea omunance X XCU Coverage Is Included MED EXP (Any one person) $10, 000 PERSONAL a ADV INJURY $2,000,000 GEN-LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $5,000,000 % POLICY PROJECT LOG PRODUCTS-COMPIOPAGG$5,000.000 OTHER: A AUTOMOBILE LIABILITY CA 4594298 06/30/202506/30/2021 COMBINED SINGLE LIMIT ADS d accusian $1,000,000 BODILY INJURY (Per person) A X ANYAUTO CA 4594299 06/30/2020 06/30/2021 A OWNED KHEDULED AUTOS MA BODILY INJURY Parisi AUTOS ONLY HIRED AUTOS NON -OWNED CA 4594300 06/30/20ZO 06/30/2021 PROPERTY DAMAGE ONLY AUTOS ONLY VA Per accident A See Next Page 06/30/2020 06/30/2021 UMBRELLA LIAR H OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS -MADE AGGREGATE DED RETENTION B WORKERS COMPENSATION AND WC045886576 06/30/2020 06 30/2021 X PERSTATDTE OTH- EMPLOYERTLIABILITY Y/N ADS l ER C ANY PROPRIETOR I PARTNER I EXECUTIVE N OFFICERRAEMBER EXCLUDED? ❑ Nlq WC045886575 06/30/2020 06/30/2021 EL. EACH ACC IDENT $1, 000,000 (Mandatory in Ni R yes, desrtibe antler CA E.L. DISEASE -EA EMPLOYEE $1.000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASEPOLICYLIMIT $1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tot, Additional 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 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 m 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 AUTHORRED REPRESENTATIVE Risk Management Division —_ 20 Civic [enter Plaza,4th Floor �sOatleQd �Y Santa Ana en 92701 kiA Merlagerno\f Dm ion ©1988-2015 ACORD CO 6APPRwED BY: ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORDa16:Llr' Rnk Managenryi Anatysl