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c Ask CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM(DDIYYYY) <br />01119/2022 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF. INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE .CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOE$ NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER; AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(los) must be endorsed. If SUBROGATIONIS WAVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement,. A statement on this Certificate does <br />not confer rights to: thecertificate holder in lieu of such endorsement(s), <br />PRODUCER <br />AUTOMATIC DATA PROCESSING INS AGCY <br />76260717 <br />71 HANOVER ROAD <br />FLORHAM PARK NJ 07932 <br />CONTACT NAME: <br />PHONE (800)524-7024 -FAX' <br />o,DDR <br />(SOtl)524-0013 <br />iA7c,No): <br />E-MtAICAI <br />E�MAILAooREss:. <br />INSURER(S) AFFORDING COVERAGE NAICp <br />_ <br />' <br />INSURRRA: Hartford Fire and Its P&C Affiliates <br />0 9914 <br />INSURED Y <br />SILVER & WRIGHT'LLP ,✓v <br />3 CORPORATE PARK STE 100 <br />IRVINE CA 92606-5159 <br />INSURERa: <br />INSURERG 1 <br />INSU2R01 <br />INSURERF-s <br />dkf <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED: BELOW HAVE BEEN ISSUED Tb THE INSURED NAMED ABOVE FOR THE POLICY. PERIOD <br />1NDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN; THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS:AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INER <br />TYPEOF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLIOYEFF <br />MM <br />POLICY EXP <br />O <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />CIAIM"ADE❑OCCUR <br />PAMAQETORENTED <br />PREMISES LEo.AL5 nam <br />MED E"XP(Anyone pemom . <br />PERSONAL&AOVINJR>j°- <br />GEN'L AGGRE�GATIE LIMIT APPLIES PER: <br />POLICY C,.,_J JEO7 I I Log <br />OENERALAGGREGATE <br />PRODUCTS.-COMPIOPAGO' <br />OTHER:. <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE IMIT <br />ISO owdow)_...�_W <br />ANYAUTO <br />BODILY INJURY (Per pemod) <br />ALL OWALrCOS NEa- AUTOO$SCHED <br />BODILY INJURY (Per acadam) <br />HIRED NON-OWNEDPROPERT <br />DAMAGE <br />AUTOS AUTOS <br />(Per accident) <br />-UMBRELLA:LIAB <br />OUR <br />_ <br />EACH: OCCURRENCE <br />-EXCESSLIAB <br />CLAIMS, <br />MADE. <br />AGGREGATE <br />C 'RETENTION$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY <br />ANY YIN <br />PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />76 WEG,AE7PSP <br />01f01/2022 <br />.„EJL <br />01/01l2023 <br />X <br />PER <br />STAT E <br />QTH- <br />EACH ACCIDENT <br />$1,aFO,000 <br />E,L DISEASE -EA EMPLOYEE <br />$1,000,000 <br />(Manda'tary In NH) <br />D Yas; describe under <br />DESCRIPTION OF OPERATIONS below, <br />EJ—OISEASE-POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS (LOCATIONS! VEHICLES (ACORD 101, Additional Remarks S.Qulo, maYbe affaChed 0 more spade Is required) <br />Those usual to the Insured's Operations. Notice of Cancellation will be provided In accordance with Form W0990394, attached to this: policy. <br />--CERTIFICATE : HOLDER .. -... CANCELLATION _.... <br />Cityof Santa Ana <br />Risk Management Division ✓- <br />SHOULD ANY OF THE ABOVE DESCRISED POLICIES. BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF,. NOTICE WILL. BE DELIVERED <br />20 CMG CENTER PLZ <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE. <br />SANTA ANA CA 92701 <br />61ae .n C�f i2er ,�-rsu�zt� <br />Q 1966-2015 ACORD CORPORATION. All rights -reserved. <br />ACORD25 (2016103) The ACORD nameand logo are registered marks of ACORD <br />'^x _ kWeMawgnr+MDMddn <br />`,Pall x� <br />RdkMaiu9<nxa# ClcrimiAidC <br />