LOS ANGELES SMSA LIMITED PARTNERSHIP (54)

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r ran c)ne K. Francine R.Villareal Date: 2020.09.02 Villareal 10:18:53 -07'00' a` oiro CERTIFICATE OF LIABILITY INSURANCE °A'0&(31 20"Y' 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 NV Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA CONTACT NAME: PHONE (g66) 283-7122 FAX (AIC. Ne. EX[): AIC No : (800) 363-0105 EMAIL ADDRESS: INSURER($) AFFORDING COVERAGE NAIC R 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 American Home Assurance Co. 19380 INSURER D: New Hampshire insurance Company 23841 INSURER E: INSURER 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADD[ INSD O% POLICY NUMBER MMI00 POLICYWMIQQ' P LIMITS A % COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Y Y GL EACH OCCURRENCE $210001000 DA ET PREMISES Ea0 curmnce $2, 000,000 % MED EXP (Any one person) $10, 000 XCU Coverage is Included PERSONAL a ADV INJURY $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRO- % POLICYJECT LOC GENERALAGGREGATE $5,000,000 PRODUCTS-COMPIOPAGG $5,000,000 OTHER OTHER: A AUTO MOBILE LIABILITY CA 4114211 ADS 06/30/202006/30/2021 COMBINED SINGLE LIMIT E accident $1,000,000 BODILY INJURY (Per person) A % ANYAUTO CA 4594299 06/30/202006/30/2021 A OWNED SCHEDULED AUTOS ONLY AUTOS nIRECAUT05 NON -OWNED ONLY AUTOS ONLY MA GA 4594300 VA 06/30/2020 06/30/2021 BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident A See Next Page 06/30/2020 06/30/2021 UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE gGGREGATE DED1 IRETENTION B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/ PARTNER I EXECUTIVE N OFFICERM,EMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS be. NIA WC045886576 ADS WC045886575 CA. 06/30/2020 06/30/2020 06/30/2021 06/30/2021 X PERSTATUTE OTK ER E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE -EA EMPLOYEE $1,000,000 EL DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is mqulred) 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 polity 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 t0 the extent these damages are covered by the above -referenced General Liability policy and, as further limitedby written contract between the parties. as m n n 0 0 N ��ISHOULD 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 � eJNCMtbJ Santa Ana CA 92701 USA ©1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD �,�"�`t l�vtEwED6 APPRav®Sr: �� Risk Management Analyst