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Tori Pierson oaeaioz o oz ioaz 80800' ^It �' CERTIFICATE OF LIABILITY INSURANCE 0A2/23/20222 Y) 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 CERTIFICATE THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE RBY ($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-214-363-4433 Holmes Murphy & Associates 12712 Park Central Dr., Suite 100 NAMEACT Ryan Goodwin PHONE FAX .214-764-7536 NC No: E--OBEA ADS$: rgoodwin®holmesmurphy.com INSURERS AFFORDING COVERAGE NAIL# Dallas, TX 75251 INSURED National Corrosion INSURERA: CRUM & FORSTER SPECIALTY INS CO INSURERS: OHIO CAS INS CO 44520 24074 INSURER C : 5450 Katella Avenue INSURER D: INSURER E : Los Alamitos, CA 90720 INSURER F : — "—"'—_^' ---' --- rtCVIJ1UN NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED I U 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. INSR ADDL SUER OLICYPOLICY LTR TYPE OF INSURANCE INSID D POLICYNUMBER PLIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR EPK137388 OCCURRENCE $ 2,000,000 GETO RENTED ISES Ea occurrence $ 50,000 XP IA, one person) $ 51000 ONAL S ADV INJURY $ 2,000,000 GENT X AGGREGATE LIMIT APPLIES PER: POLICYJECOT LOC RALAGGREGATE $ 2,000,000 UCTS-COMP/OP AGG OTHER: $ E AUTOMOBILE LIABILITY ANYAUTO BAS59962019 10/08/21 10 /DB/22 COMBINED SINGLE LIMIT Ea accident $ 11000,000 X BODILY INJURY Per person) $ X OWNED SCHEDULED AUTOS ONLY AUTOS HIREAUTO X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY Per accident) $ PROPERTY DAMAGE Per accident $ $ A UMBRELLALIAB EXCESS LWB X OCCUR CLAIMS -MADE EFX119040 10/15/21 10/15/22 EACH OCCURRENCE $ 8,000,000 X AGGREGATE $ 8,000,000 B DED RETENTION$ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICEWMEMBEREXCWDEO? N (Mandatory in NH) If yes, describe under N/A XWS59962019 10/08/21 10/08/22 X PER X OTH- STATUTE ER $ E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 A DESCRIPTION OF OPERATIONS below Errors & Omissions EPK731357 10/15/21 10/15/22 E.L. DISEASE -POLICY LIMIT Ha Wrongful Act $ 1,000,000 2,000,000 A Pollution Liability EPK131357 10/15/21 10/15/22 Each Condition 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana is an Additional Insured on General Liability, including Completed Operations, on a primary and non-contributory basis as required by written contract with the insured, per policy terms and conditions. The General Liability includes a Waiver of Subrogation in favor of City of Santa Ana as required by written contract with the insured, per policy terms and conditions. See Supplemental. r CRTIC1r ATC unr nvm _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division, 4th Floor ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 Q� n- USA Rik Moytw ae4pNlslan n 19RA-9015 ACfTRD rnRor ��'- RaYEWIa)6 Avww>n Rr 11151 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD �017du �irTaen chappel-tx 64577922 Clan _a