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Digi(alty signed by Frandne R. <br />Francine R. Villareal Villareal <br />HADRINC-01 Dale: 21121.02107 A-4•6• <br />,acoRO' CERTIFICATE OF LIABILITY INSURANCE <br />OATE(MMIDDIYYYY) <br />1/28/2027 <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 License # OC36861 <br />San Marcos -Escondido <br />Insurance Services, Inc <br />570 Rancheros Dr Ste 100 <br />COME:NTACT Susan F Topper <br />NA <br />PHONE (MAX,Alliant <br />(A/C, No, Eaq: (760) 304-7120 acNo):(760) 304-7748 <br />ADDRESS: STopper@alliant.com <br />San Marcos, CA 92069 <br />INSURERS AFFORDING COVERAGE <br />NAIL# <br />INSURERA: West American Insurance Company <br />44393 <br />INSURED <br />INSURER B: Ohio Security Insurance Company <br />24082 <br />INSURER C: <br />Hadronex, Inc. dba: SmartCover Systems <br />INSURER D: <br />2110 Enterprise <br />Escondido, CA 92029 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 CONTRACTOR 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 />TYPE OF INSURANCE <br />ADDINSDLSUBR <br />wo <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXPLTR <br />LIMITS <br />A <br />X <br />LOMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />BKW57741748 <br />21212021 <br />21212022 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGES RENTED He occurordcaa�$ <br />PREMISEMED <br />300,000 <br />EXP An one ,son <br />It 15,000 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />X POLICY L %& LOG <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OP AGO <br />$ 2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />X <br />BAS57741748 <br />2/212021 <br />21212022 <br />COMBINED SINGLE LIMIT <br />accident <br />1,000000 <br />$ <br />BODILY INJURY Per ersan <br />$ <br />BODILY INJURY PeracGdant <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAR <br />EXCESS LAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />H <br />AGGREGATE <br />$ <br />DED RETENTION$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />OFFICEWMEMBORUPAR EXCLUDED? ❑ <br />(Mandatory, in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />Certificate holder is amended to read: City of Santa Ana, Its officers, agents, employees, and volunteers and are named as additional insured as respects to <br />General Liability when required by written contract or agreement, for services provided by the named insured for the certificate holder per the attached <br />endorsement. Coverage shall not be canceled or reduced in coverage or changed in any other material aspect without 30 days prior written notice to City, per <br />the attached endorsement. This insurance is primary and non-contributory, per the attached endorsement. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2016/03) <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 />AUTHORQED REPRESENTATNE <br />n , <br />r� Risk <br />Division <br />RVEwEo&APPROVm BY. <br />F44"eZ vLRn <br />©1988.2015 ACORD C � <br />The ACORD name and logo are registered marks of ACORD <br />Risk Management Analyst <br />