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CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY) O6/30/2021 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, 'no policy(IOS) must be. endorsed. If SUBROGATION IS WAIVED, subject to the terms and condlffons 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 NAME: Loakton Affinity, LLC Lockton Affinity, LLC 0 6 •988-553-9002 FANo; 913-652-3967 P. 0. Box 873401 on lLss: Ransae City, NO 64107-3401 INSURERS AFFORDINO COVERA9 E NA10# INSURERA:aae AmexlCen laaaxenga Cn. 22667 INSURED HaBdkat f*v fturraad.tLy of Orange County, INSVRERD:Ars nzo ort and Casualty an60S INSURERO: 23 C, 2200 S. Ritchey Street INE D: Santa Ana, CA 92705 INSURERS: INSURER - .."I.aV,V INVIVICUMKI Tt115 IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BE HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOp INDICATED. NOTWITHSTANDINO 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 SUBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- CTR TYPEOFINSURANOE D ......___ POLICYNUMBER CNYY M1VP E -_.-_.._-_ LIMITS A X COMMERCIAL GENERAL LIABILITY y OL1064465-21 04/01/2021 04/GZ/2022 EACHOCCURRENCE _ 51,OOO,AOa CLAIM&MADE 2 OCOVR DAMAOETO-RVINW—TVL7 '-'- 'R,�,S�„1E; gxurrencol rl, ODO�ODD X airad and Non -Owned MEb EXP(Any gnapareo SO ---.- Auto Liability PERSONAL& ADV INJURY 11, 000 ODD AGGREGATE pp LIMIT APPLIES PER: POLICY 0 OEN14 X GENERAL AOtlREOATE $2,000,000 PRODUCTS. COMP,VPAGG 62 000 o00 jzi 400 OTHER: 8 AUTOMOBILE DABINTY FAD e6 d DO I IT /BODILY S ANYAUTO INXRY(Par F.aurc 6 ALLOMED SCHEDULED SOCILYINJURY(PerowIdeM) S AUT05 AUTOA E HIREDALTOS AUTO$ PeCeERent PM S S B X UMBRELLA % OCCUR UN1069465-21 04/01/2021 04/01/2022 EACH OCCURRENCE 1,000,000 E%OBS.'i LWB CLAIMB•MAOE EC AOGRATE $1, 000, Oo0 - DED X EN000 S WORKERS COMPENSATIONON AND EMPLOYERS LIABILITY YIN _ ST i ER_ ANY PROPr11ETORIPARTNER/FXECUTIVE OFFICERIMEMBCREXCI.UDEOR N!A _ E.4_EACHACCIDENT _.-_- (mandatory In NH) E.L. DISEASE• EA EMPLOYE S E.L; DISEASE•POUCY LIMIT S DESCRIPTION OF OPHihTIONs below DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101. Addltbnal Remark¢ echodule, may be altaghod It more space is requlmd) City of Santa Ma, officers, agents, employees, and volunteers ara named no additionally insured on this policy pursuant to written oontraet, agreement, or memorandum of understanding. Such insuranom no is afforded by this policy shall be primary, and any insurance carried by City shall ba sensors, and nonooa initiated by the company - for Non Payment; 10 nays; four Other r Reasoner 30 ncellation ayno Natiae ®£ Non-IDenewal initiated by the c an : 10 Days. Pailure. to Y Y provide notice will not invaIidxtn the oano911ation or non-eanewal. 1064465 -_-- City of Santa Ma SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rie?6 LrManayat®nt Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civio Center Plaza Santa Ma, CA 92702 AUTHOR. PRESENTATN E aREVIEW D & APPA 01958 2014 ACORD CORPO - e ACORD 23 (2014101) The ACORD name and logo are registered marks of ACORD )9 38154276 1064465 T 02 20bd M, LAMBERT