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Digit' ly,nned by Francine N. <br />Policy Number: Francine R. Villareal Mllveal Date Entered: 4/12/2021 <br />Dale: 2021 G4.131a:09:N-m <br />CERTIFICATE OF LIABILITY INSURANCE 1 <br />DATE (MM/DDl1^/YY) <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 endorsementls). <br />PRODUCER <br />H. Linwood Insurance <br />4021 Layang Layang Circle <br />Ste H <br />Carlsbad, CA 92008 <br />Wood <br />720-4632 <br />_ Hiscox Insurance <br />INSURED JPW Communications LLC Topa Insurance Company <br />INSURERS_ _ <br />INSURER C: Coalition Insurance Solutions <br />2710 Loker Avenue W INSURER D_Employers Prefered Insurance Cc <br />$300 INSURERS: <br />Carlsbad, CA 92010 <br />INSURER F <br />COVFRAGFR CFRTIFICATF NI IIIII RFvIQInAl MI IMOCC• <br />corn <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILSR IAJrOL:$BaR <br />TYPE OFINSURANCE 0 <br />:. POUCYEFF--�--POUCV E% <br />POLICY NUMBER MMIDDNYYY MPM0UCYYYYP <br />LIMITS <br />A COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE '.$2,000,000 <br />CLAIMS -MADE X'. OCCUR Ix' '.UDC-222O43S—HOP 04/04/2021 04/04/2022 <br />DAMAGE TOREN <br />_ REMISESSEa acwrtenreTEU 3100,000 <br />_. <br />MEDEXPIAnyonepersmi '$5,000 <br />_ _ —. <br />PERSONALBAOV INJURY i$ O <br />GEN L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $4,000,000 <br />XPOLICYI PRO- <br />JECT LOD <br />PRODUCTS-COMP/OPAGG I$2,000,000 <br />.__. <br />OTHER. <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Sincluded <br />_ <br />A ANY AUTO iJOC-2220435-BOP 04/04/2021 04 /04 /2022 <br />BODILY <br />i BODILY INJURY (Per person) <br />$ <br />-- OWNED SCHEDULED <br />AUTOS ONLY AUTOS - <br />BODILY INJURY Per ac;b <br />X$ <br />HIRED u NON -OWNED <br />_ <br />PROPERTY DAMAGE <br />$ <br />AUTOS ONLY / \ AUTOS ONLY <br />Per accidant <br />$ <br />B UMBRELLA LMS <br />EACH OCCURRENCE'$1,000,000 <br />E%CESSIIAB .00CUR <br />_ __ __ CLAIMS -MADE '�8271-3002—EX 04/04/2021 04/04/2022 <br />1'q_GGREGATE <br />$1,000,000 <br />DEC) RETENTION S <br />.S <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY <br />PER OTH- <br />STATUTE ,ER <br />YIN <br />D ANY PROPRIETORIPARTNERIEXECUPVE 01/Ol/2021 91/01/2022 <br />OFFICERIMEMBER EXCLUDEW NIA EIG4675559-00 <br />iE.L EACH ACCIDENT ',$1, 000,000 <br />i El DISEASE - EA EMPLOVEE'i $ 11 0001 000 <br />(Mandatory In NH) <br />If yyeas. Iesoibe gntler <br />DESCRIPTION OF OPERATIONS delmv <br />EL DISEASE -POLICY LIMIT $1, 000,000 <br />A Professional <br />':UDC-2220435-EO 04/04/2021 04/04/2022 <br />Each Claim 1,000,000 <br />Liability (E&0) <br />(Aggregate 1,000,000 <br />C Cyber Liability <br />!C4LRM239817CYBER2Nl➢1/202D 06/01/2021 <br />lAgg & Doc Limitsi 2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICL93 (ACORD 101, AddlNonal Remarks Schedule, may be aHuhi d If more..... le nquin l) <br />Marketing & Communications <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives <br />are additional <br />insured to the above General Liability. Endorsements attached. <br />30 day notice of cancel sent to the Certificate Holder should the policy cancel for any reason. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702-1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />Wood <br />1 UAR_7ni;; <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Risk Mieagemett DiWaign <br />SY REVIEWED & APPROVED BY: <br />�S IIIi;LUFJ;-' F4.L�� P,. V:.PiaanaF.Q <br />` Ruk Management Analyst <br />