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Digitally signed by <br />Francine R. <br />Francine R. Villareal <br />Villareal Date: 2021.12.03 16:53:21 <br />0s'00' <br />Cl CW A0210 11 <br />CERTIFICATE OF INSURANCE <br />This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued <br />to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided <br />by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage <br />is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other <br />contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at <br />the policy inception. Subsequent paid claims may reduce these limits. <br />Certificate Holder: Named Insured: <br />THE CITY OF SANTA ANA, RISK STAGE PLUS, INC. <br />MANAGMENT, ITS OFFICERS EMPLOYEES, PO BOX 11060 <br />AGENTS, AND REPRESENTATIVES SANTA ANA CA 92711-1060 <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA USA 927014058 <br />Automobile Liability <br />Insurer Name: Allstate Insurance Company <br />Poli Number: 648835292 <br />X <br />1 --Any Auto <br />2 - Owned Autos Only <br />3 - Owned Priv. Pass. Autos Only <br />4 -- Owned Autos Other Than Priv. <br />Pass. Autos Only <br />5 - Owned Autos Subject to <br />No Fault <br />6 - Owned Autos Subject to a Compulsory UM Law <br />7 -- Specifically Described Autos <br />8 - Hired Autos Only <br />9 - Nonowned Autos Only <br />Policy Effective Date : 11- 2 9 - 2 0 21 <br />1 Policy Expiration Date: 11-2 9-2 022 <br />Limitsof <br />S1, 000, 000 <br />Combined Single Limit (each accident) <br />Insurance: <br />BI Per Person <br />BI Per Accident <br />I PD Per Accident <br />Description of Operations/Locations/Vehicles/Endorsements/Special Provisions <br />Interested Party Type: Additional Insured - All Other <br />THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. <br />IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST <br />EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL <br />INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH <br />POLICY LANGUAGE OR ENDORSEMENT. <br />Producer. <br />RON GATTI INSURANCE <br />rr��- <br />Authorized Representative: f/Zsz� <br />Date: 09-15-21 <br />Includes copyrighted material of Insurance Services Office, <br />CI CW A02 10 11 Allstate Insurance Company <br />Insured Full Copy <br />Inc., with its p RAMwagmedDMsiun <br />Aw F <br />k4e 1'x REVIEWED & APPROVED BY: <br />--� RFsk janagement Analyst <br />