LOS ANGELES SMSA LIMITED PARTNERSHIP (46)

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rranane n. Francine RVlllareal Date: 2020.09.02 Villareal 10:1 B:53-07'00� "� o CERTIFICATE OF LIABILITY INSURANCE DAT08131/20220 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 entlorsed. 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 endorsemant(s). PRODUCER A00 Risk services Northeast, Inc. New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA CONTACT NAME: PHONE (g66) 283-7122 FAX (NC. No. E#); A� No : C800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURED LOS Angeles SMSA LP dba Verizon wireless INSURER A: National union Fire Ins CO of Pittsburgh 19445 INSURER B: AIU Insurance Company 19399 1095 Avenue of the Americas New York NY 10036 USA ER C: American Home Assurance CO. 19380 rINSURER�DNeWHampshire Insurance Company 23841 R 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 are as requested POLICY EFF LTR TYPE OF INSURANCE INSD AVID POUCYNUMBER PUUCY XP "No 'YY1' MMIDDIYYYY LIMITS A X COMMERCIALGENERALLIABILITY Y GL EACH OCCURRENCE $2,000,005 CLAIMS -MADE %❑OCCUR ITA—Wn E TO RENTE $2, 0OO, ODO PREMISES Ea occuoence % XCU Coverage is Included MED EXP (Any one person) $10, 000 PERSONAL &ADV INJURY $2,000,000 GENIAGGREGATE LIMITAPPLIES PER GENERALAGGREGATE $5,000,000 % POLICY �PRO- JECT LOG PRODUCTS-COMPIOPAGG $5,000,000 OTHER: A AUTO MOCA 4594298 06/30/202006/30/2021 COMBINED SINGLE LIMIT ADS Es accident)$1, 000, 000 A % ANYAUTO CA 4594299 06/30/2020 06/30/2021 BODILY INJURY (Par person) BILE LIABILITY OWNED SCHEDULED MA BODILY INJURY (Per acident) A AUTOSO L AUTOSNON-OWNED CA 4594300 06/30/2020 06/30/2021 PROPERTY DAMAGE H,PEONLY AUTOS ONLY VA Per accident A H See Next Page 06/30/2020 06/30/2021 UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAWSSI&DE AGGREGATE DED RETENTION B WORKERS COMPENSATION AND WC045886576 06/30/2020 06/30/Z021 PER STATUTE OTH- EMPLOYERS' LIABILITY YIN A05 X ER C ANY PROPRIETOR I PARTNER I EXECUTIVE N E.L. EACH ACCIDENT $1, 000, 000 OFFICERIMEMBER EXCLUDED? ❑ N/A WC045886575 06/30/2020 06/30/2021 (Mandatory in NH) CA E.L. DISEASE -EA EMPLOYEE $1,000,000 DESCRI TION antler E.L. DISEASE- POLICY LIMIT $1,000,000- DESCRIPTIONun OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addmonal Remarks Schedule, may be attached I more space is required) The above -referenced General Liability policy shall cover the tort liability of the Certificate Holder assumed under the i underlying agreement between parties for which the certificate has been issued. City of Santa Ana, its council members, 1 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 limitedby written contract between the parties. CERTIFICATE HOLDER CANCELLATION --� CERTIFICATE HOLDER CANCELLATION --� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. J - city Of Santa Ana Risk Management Division 20 Center Plaza, 4th Floor a Ana CA 92701 USA Santa AUTHORIZED REPRESENTATIVE � �", �� - — ©1988-2015 ACORD CO ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Rids MougeNnt DitiswL Ni REmewsD 6 APPROVED Br `,loaf LJ1' = Fuacynt Z. VjL WAI Rnk Managenmt Analyst