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Tori Pierson pate202 b1.26b1101J44KNA' ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE YYYY) 01/19/201912022 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 policy(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 endorsement(s). PRODUCER CONTACTan Maldjlan BfONRI &Brawn PHONE (714) 221-1800 FAx (714) 221-4786 AIC No E,d: A/C, No: 2401 E. Katella Ave. ADDRESS: ale en.maldJian@bbrownGom Suite 550 INSURERIS)AFFORDING COVERAGE NAICN Anaheim CA 92806 INSURERA: Chicago Insurance Company 22810A INSURED INSURER B Silver & Wright LLP INSURER C: 3 Corporate Park INSURER D Suite 100 INSURER E Irvine CA 92606 INSURERF: COVERAGES CERTIFICATE NUMBER: 22123 Master REVISION NUMRFR- 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSIR LTR TYPE OF INSURANCE ADDL p BUSHP yyyp POLICY NUMBER LILY EFF MMIDDNYYY O YEXP MMIDDIYYYY LIMITS X COMMERCIAL GENERALLIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE If 1,000,000 RENTED PREMISES Eaoccurrence $ 100,000 MED EXP Any one person) $ 10,000 PERSONAL B ADV INJURY $ Excluded A Y Y ABA202100190401 02/06/2022 02/06/2023 GEWLAGGREGATE LIMITAPPLIES PER: X POLICY ❑ PRO ❑ JECT LOG GENERALAGGREGATE $ 2,000,000 PRODUCTS Included $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ac itl nt $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS ABA202100190401 02/06/2022 02/06/2023 BODILY INJURY accident) $ X HIRED NON -OWNED AUTOS ONLY !� AUTOS ONLY PROPERTY DAMAGE Peraodd.m $ X UMBRELLA LIAB X OCCUR RENCE $ 2,000.000 A EXCESS LIAB CLAIMS -MADE ABA202100190401 02/06/2022 02/06/2023 $ 2,000,000 DE, RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED?(Mandatory NIA OTH- ER HEX.�CHACCIDENT CIDENT S -EA EMPLOYEE S in NH) HYes,descnbiunder -POLICY LIMIT $ DESCRI PTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD IDI, Additional Remarks Schedule. may be attached if more space Is required) The City of Santa Ana, its officers, agents, employees, and volunteers are named as Additional Insured as respects to General Liability in regards to the operations of the Named Insured per endt SB9189 04-17. Primary and Non -Contributory per endt SB9189 04-17. Waiver of Subrogation applies per endt SB9189 04-I T 30 Day Notice of Cancellation applies per endt MAN BP 06 04 20, City of Santa Ana; Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WiMoegernmlD(Wbe )F NENEwEo B 6?TtMrxa,� r: rsxxM.,,,ase,a.,rumralaae