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Francine R. Digitally signed by Francine R. R. Villa reaI Villareal Date: 2021.11.0911:46:42 -08,00, 1 ® A�Ro CERTIFICATE OF LIABILITY INSURANCE DATE(,MMIDDIYYYYI 09/2012021. 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 A CONTRACT 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 ADD Risk Services Northeast,. Inc. New York NY Office CONTACT NAME: INC. No. Eat): C866) 283-7122 ND : C800) 363-0105 E-MAIL ADDRESS: One Liberty Plaza 165 Broadway, Suite 3201. New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Fire Insurance Co. 19682 Hanson Bridgett LLP 425 Market street INSURER B: Hartford Casualty Insurance CO 29424 INSURER C: 26th Floor San Francisco CA 941.05 USA INSURER D: INSURER E: NSURER F: ln.111q if 4A�10A gYIIHVL'ILi 9 1-171144 lNIItPA•FIf11rPl¢ i1•lri M LOT 09111 rd-1 P; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 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. Limits shown are as requested LTk TYPE OF INSURANCE INSD WVO POLICY NUMBER IMMDDIVYVY MIWDD'YYY LIMITS X COMMERCIALGENERALLIABRUTY CLAIMS-MOE i,X OCCUR UUNDD Commercial Package EACH OCCURRENCE $1,000,000 T PREMISES Eaoccurrencel $300, 000 MED EXP(Any one person) $10,000 PERSONAL &ACV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: PRO JECT POLICY ❑PRO ❑LOG OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS-COMPADPAGG $1,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED AUTOS g NONOWNEDPROPERTY ONLY AUTOS ONLY IODUNDD1980 .commercial Package 08/26/202108/26/2022 COMBINED SINGLE LIMIT Fa acamem $1,000,000 BODILY INJURY (Par Person) BODILY INJURY (Par aeciden0 DAMAGE (Par accident) B X UMBRELLALIAB EXCEBS LIAR X OCCUR CLAMS MADE 10XHUDH9540 Umbrella 08 26 2021108 26 2022 TEACH OCCURRENCE $5,060700 AGGREGATE $5,007000 DEDI RETENTION WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR I PAWNER I EXECUTIVE ❑ OFFIGERIMEMSER EXCLUDED' (Mandatory in NH) If yyes, describe under DESGB RON OF OPERATIONS below NIA PER STATUTEOTH- 'DER E.L. EACH ACCIDENT E.L. DISEASEEAEMPLOYEE E.L. DISEASEPOLICYLIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached IT more space is required) `v 0 Z N U L) CERTIFICATE HOLDER CANCELLATION 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE 20 civic Center Plaza (M-30) P.D. BOX 19CA e� lK Santa Ana, CA 92702-I988 USA ,,,, a Twat lvuaatgemer¢umalort t 01988-2015 ACORD CO fiEV""y"D is APPRCNEG Sr' '' I. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD �I a c'c' Risk Management Analyst