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Digitally ngned ancine by FFa. <br />Francine R. Villareal wnarcal <br />Date:2020.09.22 11s2:W -orl <br />'a` Rom® CERTIFICATE OF LIABILITY INSURANCE <br />DAT6/ 19/2020 [MMIDDIYYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher & Co. <br />Insurance Brokers of CA Inc. License #0726293 <br />18201 Von Kerman Ave Suite 200 <br />Irvine CA92612 <br />CONTACT <br />HONE FA% <br />. 949-349-9800 ac xo:949-349-9900 <br />Me. <br />ADDRESS - <br />INSURERS AFFORDING COVERAGE <br />NAICd <br />INSURER A: Nationwide Mutual Insurance Company <br />23787 <br />INSURED SUPEPRO-0 <br />Superior Property Services, Inc. <br />9129 Perkins Street <br />INSURER B: Nationwide Mutual Fire Insurance Company <br />23779 <br />INSURER C: Accredited Surety and Casualty Company, Inc <br />INsuRER O: <br />Pico Rivera CA 90660 <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER-20971112070 RFVICInN NIIMRFR. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />rypE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY SIT <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />Y <br />Y <br />ACP 3020842080 <br />6/22/2020 <br />6/22/2021 <br />EACH OCCURRENCE <br />$1,D00,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$50,000 <br />MED UP (Any one person) <br />$1,000 <br />PERSONAL S ADV INJURY <br />$1.000,000 <br />AGGREGATE LIMIT APPLI ES PER: <br />POLICY [X] UECT LOC <br />GENERALAGGREGATE <br />$2.000,000 <br />GENT <br />%t <br />PRODUCTS-COMP/OP AGG <br />$2,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />ACID 3028842080 <br />6/22/2020 <br />6/22/2021 <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$1,D00,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />IX <br />( BODILY INJURY Per accitlent) <br />$ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAMAGE <br />Per accident <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />1ATCA160018301 <br />6122/202D <br />6/22/2021 <br />X STF UTE EORH <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />ANYPROPRIETDRIPARTNERIEXECUTIVE <br />OFFICERIMEMBERE%CLUDED9 ❑ <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,D00 <br />(Mandatary in NH) <br />If yea, describe under <br />E.L. DISEASE. POLICY LIMIT <br />$1.000,000 <br />DESCRIPTION OF OPERATIONS be. <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional <br />insureds when you have agreed, in a written contract or written agreement, only with respects to the General Liability, Umbrella and Business Auto as per <br />business liability coverage forms CG 20 33 04 13, CG 20 37 04 13 and CA 88 10 01 13. Primary and non-contributory wording is included as per form CG 20 01 <br />04 13. A waiver of subrogation is included regarding the General Liability as per form CG 24 04 05 09. <br />Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor AU HORQED REPRESENTATIVE <br />Santa Ana CA 92702 <br />ys RiekManagmlmlDhvlpn <br />g�� � REVIEWED & APPROVED BY: <br />©1988-2015 ACORD C '�4Bii:lllP.l" Fa+Ltr.�n.a �;�l1.lne�f <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD `` auk Management Analyse <br />