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Wearily signed by Ten Pierson Tori Pierson Ore: 2021.10.2716 ss/ I SERVICE FI JEANA le.. v CERTIFICATE OF LIABILITY INSURANCE L-� °AT01 61 DI21 1onslzort 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, the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions 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 endorsements . PRODUCER C CT The Wooditch Company Insurance Services, Inc. 1 Park Plaza, Suite 400 Irvine, CA 92614 Mc. No, Ext): (949) 553-9800 (A/CC. 140049) 553-0670 SS: INSURERS) AFFORDING COVERAGE N UCe INSURERA:United Specialty Insurance Co. 12537 INSURED INSURER B INSURER C : Service First INSURER 0: 2510 North Grand Ave, Ste. 110 Santa Ana, CA 92705 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTB- TYPE OF INSURANCE AODL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR X X ATN2118412 811/2021 81112022 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED (Ea occurrence) 10000PREMISES $ GEN'L MED UP M one anon 10,000 PERSONAL S ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY jEOT LOG OTHER GENERAL AGGREGATE 2,000,000 PRODUCTS -COMPIOPAGG S 2,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUUTTOSSW Eo AUrOS ONLY AUrOS ONNLY COMBINED SINGLE OMIT BODILY INJURY Per ersen BODILY INJURY Per accident) Qa E� . AMAGE UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NCE S DIED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AANNFICPEWMEIETORIPARCLNEEE ECUTIVE ❑ pnantlamry In NH) K yes, describe under DESCRIPTION OF OPERATIONS below MIA OTH- FFA ENT EMPLOYE OLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atmched if more apace is required) RE: All operations performed by the Named Insured during the current policy period. glalpwv City of Santa Ana, Risk Management, Ifs officers, employees, agents, representatives, and volunteers are Included as Additional Insureds as respects General Liability per attached endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsement. Waiver of Subrogation for General Liability: See Attached Endorsement. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE RbM Mangelvaf Oiwlon -. �1 lhVtE�eTD6 ArPRvuTDBY: '. 8 li _' %drL �uxdorr ©1988-2015 ACORD COF RhkMa.. yer,.T,ramiraladr The ACORD name and logo are registered marks of ACORD