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Tracy Digitally signed by Tracy Jacobs ACl CERTIFICATE OF LIABILITY INSURANCEJacobs s:2'§P14 ") 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 Ifeu of such endorsement(s). PRODUCER Next First Insurance Agency, Inc. PO Box 60787 Palo Alto, CA 94306 CONTACT NA PHONE 1855) 22.2-5919 t0' IAIt Nm 'MAIL su ort AooR PP @nex[insurance.com INSURERS AFFOROING COVERAGE NAIC# INSURER A: State National Insurance Company, Inc. 12831 INSURED Ivan Marquez City of Santa Ana risk management Division INSURER B : INSURER C : 20 Civic Center Piz Santa Ana, CA 92701 INSURER 0 INSURER E : INSURERF: COVERAGES UCKIIHIUA 1 t NUMBER: dU I Lbb] SS REVISION MUMBEct 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. OLITSRR TYPEOFINSURANCE ADD SUER POLICY NUMBE0. POLICY EFF IMMIODIYYYYI POLICY UP IMMIDON'fYY1LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE SI,000,000.00 DAMAGE CLAIMS -MADE OCCUR PREMISES ea,xVmaina S100,000.00 MEO UP Ar, one parson) S15,000.00 PERSONAL &ADV INJURY $1,000,000.00 A X X NXTIIW7H711-00-GL 10/072022 10/07/2023 AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S2,000,000.00 GEN'L X POLICY [:]jEo- Lac PRODUCTS - COMPIOP AGG S2,000,000.00 S OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT tE..ccidgrAl T- ANY AUTO BODILY INJURY (Per parson) S OWNED SCHEOULEO URY (Per accident) 5 AUTOS ONLY AUTOS HIRED NON'WNED AUTOS ONLY AUTOS ONLY DAMAGE S 4 UMBRELLA LIAR OCCUR RRENCE 5 EXCESS LIAR CLAWSMADE VAGGRE�TE E g DIED RETENTIONS S WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY YIN TE ER CCIDENT $ ANYPROPRIETORIPART,IEWEXECUTIVE OFFICEMMEMSEREXCLUDED] ❑ NIA E-L DISEASE -EA EMPLOYEE S (MandMory In NH) It yea, descrb. under EL DISEASE. POLICY LIMIT S DESCRIPTION OF OPERATIONS helow DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101. AddlUonal Remark. Schedule, may be aeacheE If more apace le required) The Certificate Holder Is The Cityof Santa Ana, Its officers, officials, empto ees, and volunteers A General Liability Waiver of Subrogation applies in favor of this Certificate Holder. This Certificate Holder is an Additional Insured on the General Liability policy on a primary and non-contnbutory basis. This Certificate Holder is an Additional Insured on the General Liability policy with respect to ongoing operations. This Certificate Haider is an Additional Insured on the General Liability policy with respect to completed operations. All Certificate Holder if by privileges apply only required written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. y of Santa Ana LIVE CERTIFICATE k Management Divisionr Piz 0� — O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Civic Center Tta Ana. to Piz _ ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ^ © 1988-2015 ACORD CORPOI r.beereenx mt REVIIBNM&APPROVED BY' ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Tbcuy J" ® Rhk Mananement Anai,t