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rranane K. Francine R. Villareal Date: 2020,09.02 Villareal 10:18:53 -1 "� CERTIFICATE OF LIABILITY INSURANCE DAT08113112020 ' 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 NY Office One Liberty Plaza 165 Broadway, Suite 3201 CONTACT NAME: PH NE IAIC. No. Exg: (866) 283-7122 FAX No : C800) 363-0105 EMAIL ADDRESS: New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED LOS Angeles SMSA LP clad, Verizon wireless INSURERA: National Union Fire Ins CO of Pittsburgh 19445 INSURER e: AIU Insurance Company 19399 INSURER C: American Home Assurance Co. 19380 1095 Avenue of the Americas New York NY 10036 USA INSURER D: New Hampshire Insurance Company 23841 NSURER 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 LTR TYPE OF INSURANCE INSD MD POLICY NUMBER MMIDQrYYYYI mMhDDiYYYYI LIMITS A X COMMERCIALGENERALLIABILITY Y Y GLl EACH OCCURRENCE $2,000,000 CLAIMS -MADE ❑X OCCUR D719TUE—T-0—RINTED$2,000r PREMISES Ea occurrence OOO X MED EXP (Any one person) $10, 000 XCU Coverage is included PERSONAL B ADV INJURY $2,000,000 GEN-LAGGREGATE LIMITAPPLIES PER. PRO X POLICY 0JECT LOC GENERALAGGREGATE $5, 000, 000 PRODUCTS-COMPIOPAGG $51000,000 OTHER' A AUTOMOBILE LIABILITY CA 4114218 A05 06/30/2020 06/30/2021 COMBINED SINGLE LIMIT Ea accident $1,000, 000 BODILY INJURY (Par person) A X ANYAUTO CA 4594299 06/30/2020 06/30/2021 A OWNED SCHEDULED HIRED AUTNAUTOS OS Non -OWNED ONLY AUTOS ONLY MA CA 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 AGGREGATE DEO RETENTION B C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR I PARTNER I EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA NIA wC045886576 ADS WCU4$88657$ 06/30/2020 D6/30/2020 06/30/2021 06/30/2021 X PER STATUTE OTH- E EACH ACCIDENT $1,000,000 (Mandatory in NH) If yes, disrobe under CA. E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000, 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddKional Remarks Schedule, may be attached if 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 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. CERTIFICATE HOLDER CANCELLATION i_q 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 AUTHORED REPRESENTATIVE - Risk Management Division 20 Civic Center Plaza, 4th Floor Santa Ana CA 92701 USA n=1•^k RukAtarrgenm[Dhieian s t ©1988-2015 ACORD CO REVIEWED6 MROV® PBr. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 11®�I v KKK Management Malysi