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AcoRif CERTIFICATE OF LIABILITY INSURANCE <br />i*._� <br />DATE(MWDDIYYYY) <br />1 <br />08/1812021 <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 provislons 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 <br />CONTACT Sonya Silva <br />NAME: <br />AP Tutton Insurance Services <br />PHONE' i1 : (949) 261-5335 I= No), (949) 261-1911 <br />2913 S Pullman St <br />E'MAI sonyaptutton.com <br />ADDRESS: <br />License#OB89376 <br />INSURER AFFORDING COVERAGE <br />NAIC9 <br />Santa Ana CA 92705 <br />INSURERA: Continental Casualty Co <br />20443 <br />INSURED <br />INSURERS: American CBS CO Of Reading, PA <br />20427 <br />Robert Borders & Associates <br />INSURERC: Continental Casualty Co. <br />1675 Scenic Ave., Suite 210 <br />INSURER O: <br />NSURERE: <br />Costa Mesa CA 92626 <br />INSURERF: <br />CERTIFICATE NUMBER: 'I-ZZ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />LTR <br />TYPE OF INSURANCE <br />ADULSUSR <br />INSD <br />WD <br />POLICYNUMBER <br />OLICY EFF <br />MMIDDIYYYY) <br />POUCYEXP <br />(MWDDMWI <br />LIMITS <br />X <br />COMMERCIALGENERALUMBILITY <br />CIAIMS.MAOE © OCCUR <br />EACH OCCURRENCE <br />S 1,000,000 <br />PREMISES IFa acarrerca <br />g 1,000.000 <br />X <br />MEDEXP(An anepersonl <br />S 10.000 <br />A&E and Surveyors Liability with <br />IOffice Pollution Liability <br />PERSONAL&ADVINJURY <br />S 1,000,000 <br />A <br />Y <br />Y <br />4024428684 <br />08116/2021 <br />08/16/2022 <br />GEN'LAGGREGATE UMITAPPUES PER: <br />PRO LOC <br />❑ JECT <br />GENERALAGGREGATE <br />S 2.000,000 <br />PRODUCTS-COMPN]PAGGX <br />S2,000,000POLICY <br />S <br />OTHER: <br />AUTOMOBILELIASILTTY <br />COMBINED SINGLE LIMIT <br />Ea acdaenl <br />S <br />BODILY INJURY (Per person) <br />S <br />ANYAUTO <br />A <br />OPINED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED X NONDWNED <br />AUTOS ONLY AUTOS ONLY <br />4024428684 <br />08/16/2021 <br />08/16/2022 <br />BODILY INJURY(P. occident) <br />S <br />X <br />PROPERTY DAMAGE <br />PereOCldenl <br />S <br />S <br />X <br />UMBRELLA UAS <br />OCCUR <br />EACH OCCURRENCE <br />S 2.000,OOD <br />AGGREGATE <br />S 2,000,000 <br />A <br />EXCESS LKB <br />CIAIMS-MADE <br />4024428796 <br />08/16/2021 <br />08116/2022 <br />77rDEO <br />Xl RETENTION S 10,000 <br />3 <br />B <br />COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY <br />PROPRIETO <br />OFFICERaRM ER F�ARTNE IE?ECUTWE <br />IMandatory In NH) <br />der <br />If y". d DESCRIPTION OF OPERATIONS below <br />DESCRIPTIONl,a OFF <br />NIA <br />Y <br />4024428751 <br />08/1612021 <br />08/16/2022 <br />PER <br />STATUTE EORTH- <br />EL EACHACCIDENT <br />3 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />3 1-000,000 <br />E.L DISEASE -POLICY UNIT <br />3 1,000,000 <br />C <br />Professional Liability <br />Retro Data:8/16/1984 <br />FFDeductible <br />AEH003010587 <br />08/16/2021 <br />08/i6/2022 <br />Each Claim <br />Aggregate <br />$2.000,000 <br />$2,000,000 <br />I <br />$15.000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 10%Additional Remarks Schedule, may ba aaached R more space M requlmd) <br />The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named as Additional Inured with respects to the operations of the <br />named insured per SB146932G 10/19 and SB146968C 10119 including Primary Non Contributory and Waiver of Subrogation. WoM <br />Waiver of Subrogation per #G1916OB.1197 ROVED <br />10 Days Notice of Cancellation for non-payment/30 Days notice other than non-payment DIVISION <br />21 <br />CERTIFICATE HOLDER CANCELLATION CARA.kAITrr1 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th fir <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />.. �-ef <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />