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Aki R CERTIFICATE OF LIABILITY INSURANCE °^TonX2020 rvl 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. MPORTAN : If the certificate holder is an ADDITIONAL INSURED. the pollcy(les) must have A DITI NAL IN RE 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 ADn Risk Insurance services west, Inc. LOS Angeles CA Office 707 Wilshire Boulevard Suite 2600 Los Angeles CA 90017-0460 USA NAME: AN WC. Ne. Eal; C866) 283-7122 FAk. NP.: (goo) 163-0105 EJAML ADDRESS' INSURER(5) AFFORDING COVERAGE NAIL S INSURED west Coast urtonsts, Inc. 2200 E Via Burton B INSURER A: Starr Indemnity & Liability Company 38316 INSURER Starr Specialty Insurance Company 16109 4ndne ;,m CA 92806 USA INSURER C: INSURER D: INSURER E: GOVFRArFS rconr INSRER f: rNED NAME ABNE M: PERIOD THIS IS TO CERTIFY THAT THE POLICIES UI INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE TO ICYWHICH NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS INDICCERTIFICATE CERTIFICATE MAY BEISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 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 OF INSURANCE I POLICYNUMSER he EAF MRS MMERCeII GENERA�L LIABILRY CIAIMSMADE IJ OCCUR 1 EACH OCCURRENCE S2,000,000 COS1,000.000 PREMISES Ea wxveren,xMOE%PlAnydnepemonl S5,000 JTRTYPE PERSONAL a ADV INJURY $2.000,000 GGREGATE LIMITAPPL@S PER LICY �% JECai ]LOC OENERALAGGREGATE $4,000,000 PROGUCTs-COMPlOPAGG SA,OOO,D00 ER AUTOMOBILE LIABILITY 1000 198198201 071011202C 07/01/2021 COMBINED SNGLE LWIT $2,000,000 % ANYAUTO OWNED 3ACUT�VLFD „UEDAQTOY OWNED MEDAUTOS AUTOS ONLY WTOS RIr - BODILY INJURY( PBr Omsam) BODILY IWURY(Per eccpecU PROPER,, DAMAGE Per accpant UMBRELLAL0IB OCCUR EACH OCCURRENCE EXCESS LIAR CLA1,454VACE AGGREGATE DED RETENTION A a WCHIMERA COMPENSATION AMID EMPLOYERS' LIABILITY YIN NY PROPRIETOR, PARTNER I EAEDLRIVE N DPindita In NH) uwotD'. (M.mtlorym NH) n/ deume ome, DESCRIPTION OFOPFRATIONS I. MIA 10000042290 Workers Comp A2 1000004228 workers Comp CA P 01 07/01/2020 0710112021 07/01/2021 X PER STATUTE OTH. E L EACHgCCIDENT $1.000,000 EL DISEASE-6VEMPLIMIT $1,000.000 EL DISEASE POLICY LIMB S1.000, 000 I DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORD IDt, Addilon.1Rvi BCWdele, msy W attached dmore spay M nu,i l RE: All jobs performed by the named insured during the policy term. City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured in accordance with the policy provisions of the General ..lability policy. General Liability policy evidenced herein is primary and Nan-Contriburory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. REVIEWED & APPROVED •, Mea ..e",.r....... ..i.. ..„CANCELLATION RUSED POLICIES BE CANCELLED BEFORE THE n/ 7 a/L HP 4r,ATE THEREOF NOTIICECWILL BE DELIVERED IN ACCORDANCE WITH THE J 02 POLICY PROVISIONS. City Of Santa And edi REPRESENTATIVE Risk Management ai vi Sinn � ♦ 20 Civic center Plaza, 4th h01��L(l j, (LLfi( 1EAL Santa Ana CA 92701 USA 7s sU/lVtlrCf, lselrstofags 3sEyn/ y9(�Psy ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks Of ACORD ED m 4 Y c c 0 0 2