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rrandne K. FrancineR.Villareal Date: 1011.11.11 Villareal 10:18:53-07'00' CERTIFICATE OF LIABILITY INSURANCE DAT W3112D/YYYY) olualrzozD 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 1 CONTACT AOn Risk Services Northeast, Inc. NAME: PHONE (866) 283-7122 New York NY Office (NC. No. Ert): aC. No.: (800) 363-0105 One Liberty Plaza E-MAIL 165 Broadway, Suite 3201 ADDRESS: New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAICR IED INSURER A: Natl Ondl DniDn Fire Ins CO of Pittsburgh 19445 Angeles Verizon SMSA LP Wireless INSURER B: AIU Insurance Company 19399 Avenue of the Americas INSURER C: American Home Assurance Co. 19380 York NY 10036 USA INSURER D: New Hampshire Insurance Company 23841 INSURER E: 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 areas requested LTR TYPE OF INSURANCE IA WV SUBWVD POLICY NUMBER PULIGYZFF MMIDDIYYYY I POLICYEXP MMID LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS -MADE �% OCCUR Y Y GL URRENCE $2,000,000 RENTE Ea occurrence S2,000,000 X ny one person) $10.000 XCU Coverage is Included & ADV INJURY r $2,000,000 GENTAGGREGATE LIMITAPPLIES PER: PR0.POLICY JECT LOC GGREGATE $5,000,000 -COMPIOPAGG $5,000,000 OTHERA MOBILE LIABILITY CA 1194218 AOS 06/30/202006/30/2021SINGLE LIMIT Ea acadenl $1,000, 000 BODILY INJURY (Per person) A X ANYAUTO CA 4594299 06/30/2020 06/30/2021 A OWNED SCHEDULED AUTOS O LY AUTOS NON-OED NmEONLY AUTOS ONLY MA. CA 4594300 VA 06/30/2020 06/30/2021 BODILY INJURY (Pan accident) PROPERTYDAMAGE Per accident A See NeXt Page 06/30/2020 06/30/2021 UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMSMADE AGGREGATE DED RETENTION B D WORKERS COMPENSATION AND EMPLOYERS' JJABILITY YIN ANYPROPRIETORIXCLU ER/EXECUTIVE oNYPROPRIEOREPARTNEI 1flNIA (Mandatory In NH) If yes. desmbeDESCRIPTION antler under WC045886576 AOS AC045886575 CA 06/30/2020 06/30/2020 06/30/2021 06/30/2021 X I PER STATUTE 1 OTH- ER E.L. EACH ACCIDENT $1.000,000 EL. DISEASEEAEMPLOYEE $1,000000 DESCRIPTION OPERATIONS below E.L. DISEASE -POLICY LIMIT 31, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be anached it 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 j 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. GEKIIFIGATE HOLDER CANCELLATION =yl 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 � a✓s6sre�G Santa Ana CA 92701 USA ©1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD mat mumagellou Cnlman LAEvWWEQ 6 APPR.aVED 8r. alr7.�I :'`' r LcsWrt � V�LWI�Lt Risk Management Anayst