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". Digitally signed byTori Ple,son Tori Pierson Qatdo'e:2022.04.2609:0J95 t' _-dJ' AC47RE) CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDrYYYYI 01/10/2022 THIS CERTIFICATE 18ISSUED 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. SY THE POLICIES BELOW., THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE 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(les) must have ADDITIONAL INSURED pro vision or be endorsed... If SUBROGATION IS WAIVED, subject to the terms and conditionsof the policy, certain policies may require an endorsement: A statement on this certificate does not confer rights to the certificate holder in lieu of suety PRODUCER �enpdorsoment(s). WIVe" Aleen:MaldPon Ef Brown & Brown DNE c. o x0 (714:1A2 1800. lAlC NT (714)221.4196 2401 E. Katelia`Ave. EMAIL aleen.maldJlan(gbbrown:com ADORES$, ' sots aSo INSURERS)AFFORDINB COVERAGE NAIC# Anaheim Aeim CA'92806 INSURERA: Chicago. Insurance Company 22816A INSURED INSURER B:. Sliver 8 Wright LLP INSURER C e B Corporate Park INSURER D;. M SWIG160 INSURERE: Irvine CA 92606 tNSURERF: IFICATE Nl THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A; FOR THE POLICY PERI00 INDICATED. NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OFANYCONSRACT OR OTHER DOCUMEN'I`TWITHgEBPTHE TO ICY PE IO CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, HIS THE INWRANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECTTO ALL THETERMS, AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIR CLAIMS, ryry��EXCLUSIONS ILTR - TYPE OF INSURANCEINSDIMD1 POLICYNUMDER MM/DOI F POLICY EXPYYYL LIMITS . COMMERCIAL GENERALLIABILITY CLAIMS -MADE � OCCUR T— EAQHOCCURRENCE s 1,000,600 PREMISES e' rrence 100,000 A Y -Y ABA202100190401 02/0612022 MED EXP A- ow MR) 10000.. 02/0612023 PERSONAL&ADVINJURY $ Excluded - PER: POLICY A0T F-1 Lee GENERALAGGREGATE ; 2000,000 GENLAGGREGATEUMIT'APPLIED X PR04UOr5-COMP(OPAG(§ §. Included OTHER: It A AUTOMOBILE LIABILITY' ANYATO OWNED SCHEDULED AUTOS HIRED %USL A O$OAOONY ABA202109401 2100022AOTOSONLY O BINEIXSINOLE LIMY Ea n BODILY INJURY O'er percent S 1,060:000 X $ 02106l202S DppILYiNJURY Peracedm) ROPRF DAN s .-X A 1 XIs . UMSRELLALIAB EXCESS LIAR OCCUR. CLAIMS -MADE. ABA202100190401 02/06/2022 EACH OCCURRENCE 5. 2,000,000 + 0210EI2023. AGGREGATE. y 2,000000 F—TDED RETENTION S WORKERSCOMPENSATION AND EMPLOYMPIV LIABILITY YIN ANYPROPRIETOWARTNERtEXECUTiVE OFFICERIMEMBEREXCLUDED4El IMandeAM 1. Nil) - It "a' d-cribe under DOOR, n(ON OF: OPERATIONS below pp A CR s - N/A EL. EACHACCInENT $ E.L O1SEAaE..EA EMPLOYEE E.L.: DISEASE-POLI6Y LIMIT ' DESCRIPTIONOFOPERATIONSILOOAT)014$1 E"ICLEa(ACORD 19LAadinnal Remarks Schedule,maybealWched If Mery space la required) , The Cky of Santa Ana, Its officers agents, employees and volunteera 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-Conkibutary par endt $8918904-17. Waiver of Subrogation applies perendt SB9ISO 04-17. 30 Day Notice of Cancellation applies per endtMAN BP 06 04 20, City of Santa Ana; Risk Management Division 20 CIVIC Center Plaza Santa Ana CA 92702 SHOULD ANY DF THE ABOVE DESCRIBED POLICIES BE CANCELLED -BEFORE' THE EXPIRATION 17ATE THEREOF NOTICE WILL .BE DELIVERED IN ACCORDANCEWITH THE POLICY PROVISIONS. (0 1988.20' ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD RakMaNgemadDI 't.:itEMaY4ID 6 Arraov®er. - rsakMuwgel,auarrmlaac