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ACORO® CERTIFICATE OF LIABILITY INSURANCE 611 FDATE(MMIDDNYYY) 1 07/29/2022 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 ACONTRACT 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 CONTACT NAME: CSIS Insurance Services CSIS Insurance Services PHONE (888) 501-2747 FAX (805) 446-4881 AIC No EM: AIC No: E-MAIL certificates@csisonline.com ADDRESS: 3315 Old Conejo Road INSURERS) AFFORDING COVERAGE NAIC# Thousand Oaks CA 91320 e1SURERA: Benchmark Insurance Cc 41394 INSURED INSURER B SLS Property Solutions Inc INSURER C : 919 East Santa Ana Blvd INSURER D : INSURER E : Santa Ana CA 92701 INSURERP: COVERAGES CERTIFICATE NUMBER: Master as of 7/28/22 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY 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. INSR LTR TYPE OF INSURANCE ADDL INSD BUSH WVD POLICY NUMBER POLICYEFF MMIDD POLICY EXP MMIDD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea xcmrence $ CLAIMS -MADE OCCUR MED EXP (Any one erson) $ PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ JECT LOC GENERALAGGREGATE $ PRODUCTS-COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea..Want $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY(Par. H PROPERTYDAMAGE cident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION X/ PER OTH- X A AND EMPLOYERS' LIABILITY YIN ET '/El (Mandatory in NH) OFFICEPRIANYPROPRIMBRIPARTNERIER EXCLUDED? N/A Y CST5023978 07/28/2022 07/28/2023 STATUTE ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION antler DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aMached if more space Is required) City of Santa Ana; A Waiver of Subrogation is granted for Workers' Compensation in accordance with the policy's provisions, per attached. City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Ft Santa Ana CA 92701 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 d! @ 1988-2015 ACOF ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD _ RiekMRrugemmtDivisioA °& REVIEWED&APPRovi Br. e , j •. a A,�:a A�4tG '. - Risk Management Spetlalist