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Francine R. e1g1N" vpun Villareal e"Vccua ACORO® CERTIFICATE OF LIABILITY INSURANCE lt./ PDATE(MM/DDIYYYY) 1 11118/2020 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 New York-Alliant Insurance Services, Inc. 320 West 57th Street New York NY 10019 CONTACT NAME: Kaitl n Mur h PHONE su 212504-1802 uc No , nDoaess: Kaitlyn.Murphy@alliant.com INSURERS AFFORDING COVERAGE NAIC It INSURER A: BerkleY National Insurance Com 38911 INSURED Scantron Corporation INSURER B : 1313 Lone Oak Road INSURERC: INSURER D: Eagan MN 55121 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER:7RR34944n RPVISIr1M N"m FtpR• 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 LTR TYPE OF INSURANCE ADDLSUBR INSD MID POLICY NUMBER POLICY EFF MWDD/Yl'YY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y TCP 7015275 12/3/2019 12/3/2020 EACH OCCURRENCE $1.000,000 CLAIMS-MADEFX OCCUR -DAMAGE TO -RENTED PREMISES Ea oxurtence $1.000,000 MED EXP (Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PRO- ECT � LOC GENERALAGGREGATE $2,000.000 GEN'L PRODUCTS-COMP/OPAGG $2,000,000 5- OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Par parson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) ( ) $ HIRED NON-0WNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS-MAOE DEC RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN ISTATUTE I I ER E.L. EACH ACCIDENT $ ANYPROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBEREXCLUDED? N/A E.L. DISEASE -EA EMPLOYE $ (Mandatory In NH) [Yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its officers, employees, agents and representatives are included as additional insured under the General Liability where required by written contract or agreement. The insurance provided shall be primary and any other insurance maintained by the Additional Insured is excess and non-contributory. 30 days notice of cancellation applies, except non payment of premium which is 10 days, in accordance with the terms and conditions of the policy. City of Santa Ana Risk Management Division, 4th Floor 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WekMmMgemmtDtvNlan CREVIELPED & APPROIVV D BY., Risk Management Analyst 00,