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ACORD 25 (2016/03)
<br />SEDAINC-01 DAWNPHILLIF
<br />CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDI(YYY)
<br />01 /23/2019
<br />THIS CERTIFICATE I5 iSSUEd AS A MATTER pF INFORMATION ONLY AN❑CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW- THIS CERTIFICATE OF INSURANCE dOES NO7 CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSURER(S}, AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIDNAL INSURED, the poltcy(ies} must have ADDITIONAL INSURED provisions or be endorsed,
<br />if SUBROGATION IS WAIVED, subject to the terms and conditions of the policycertain policies may require an endorsement.
<br />this certificate does not confer rights to the certificate holder in lieu of such en , ement(s). A statement on
<br />PRODUCER CONTACT Angela Merideth
<br />NFP Property & Casualty Services, Inc. PHONE FAX
<br />1551 North Tustin Avenue lac, No. Ext); (A)C, No): (714) 975-8966
<br />Suite 5 E-MAIL
<br />Santa Anna, CA 92705 SS_ angela.merideth@nfp.com
<br />INSURERS) AFFORDING COVERAGE NAIL #
<br />INSURER A: Sentinel Insurance Company Ltd 11000
<br />INSURED INSURER B : Hartford Accident and Indemnity Co 22357
<br />Sedaru, Inc. INSURER C:Admiral Insurance Company 24856
<br />168 E. Arrow Hwy, Suite 101 INSURER D :
<br />San Dimas, CA 91773
<br />INSURER E :
<br />INSURER F :
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 TERMS,
<br />EXCLUSIONS AND CONDITIONS_ OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS._
<br />R POLICY NUMBER
<br />TYPE OF INSURANCE ADDL56 SUHR rPOLICY I POLICY I LIMITS
<br />R O
<br />t X COMMERCIAL GENERAL LIABILITY 1,000,000
<br />EACH OCCURRENCE 5
<br />CLAIMS -MADE X OCCUR X X 72SBABA9623 01/06/2019 01/06/2020 DAMAGE TO RENTED 1,000 000
<br />PREMISE
<br />GENT AGGREGATE LIMIT APPLIES PER'
<br />X POLICY PRO-
<br />JECT
<br />AUTOMOBILE LIABILITY
<br />X ANY AUTO
<br />OWNED
<br />SCHEDULED
<br />AUTOS ONLY
<br />AUTOS
<br />HIRED
<br />NON -OWNED
<br />AUTOS ONLY
<br />- A J S ONLY
<br />X X 72UECPX8358
<br />A UMBRELLA LIAR X OCCUR
<br />EXCESS LIAR _ CLAIMS -MADE
<br />DED RETENTION $
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />YIN
<br />ANY PROPRIMBERf EXCLUDED?
<br />(M. ICERlM in Ni EXCLUDED? N ! A
<br />{Mandatary In NH)
<br />If yes, describe ender
<br />DESCRIPTION OF OPERATIONS below
<br />C E&O/Professional Lia
<br />72SBABA9623
<br />01 /06/2019 01 /06/2020
<br />- 5 {Ea occurrence)
<br />5 _
<br />ME EX? (Any one_person)
<br />$ __
<br />PERSONAL & ADV INJURY
<br />$
<br />GENERAL AGGREGATE
<br />g
<br />PRODUCTS -COMI AGG
<br />S
<br />CUMBINEO SINGLE LIMIT
<br />(Eaacoidena)_ - $
<br />BODILY INJURY (Per person) S
<br />BODILY INJURY (Per accident) _ S
<br />PROPERTY DAMAGE
<br />(Per accident) _ g
<br />11
<br />10,000
<br />1,000, 000
<br />2,600,000 {/
<br />2,000,000
<br />1,
<br />EACH OCCURRENCE S 2,000,000
<br />01/06/2019 01106/2020 AGGREGATE 2,000,000
<br />PER OTH-
<br />STATUTE _ ER _
<br />E.L. EACH ACCIDENT g
<br />E, L. DISEASE - EA EMPLOYEE $
<br />8 08/30/2019 Per Ciaim
<br />,000,0001 1
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be allached if more space is required)
<br />If required by written contract, The City, its elected or appointed officials, boards, agencies, officers, agents, employees and volunteers are Included as
<br />Additional Insureds with Prima I o I ontributory wording and Waiver of Subrogation as respects General Liability per Endorsement SS00080405 attached.
<br />If required by written contract, The City, its elected or appointed officials, boards, agencies, officers, agents, employees and volunteers are Included as
<br />Additional Insureds with Primary/Non-Contributory wording and Waiver of Subrogation as respects Auto Liability per Endorsement HA99160312 attached. 30
<br />days notice of intent to cancel policies will be provided subject to 10 days notice for nonpayment for General Liability per endorsement SS12230611 and as
<br />respects auto liability per endorsement 1H03130611 attached. REVIEWED
<br />BY:
<br />CERTIFICATE HOLDER .,
<br />City of Santa Ana
<br />Attn: Water Resources (M-85)
<br />220 S. Daisy Avenue
<br />Santa Ana, CA 92703 AUTHORIZED REPRESENTATIVE
<br />© 1988-2015 ACORD CORPORATION
<br />The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVPAI Pii BE
<br />THE EXPIRATION DATE THEREOF, Nb71CIE--i
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />All rights reserved.
<br />7111
<br />City Council 20 — 37 11/21/2023
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