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<br />SEDAINC-01 DAWNPHILLIPSA Rv
<br />CERTIFICATE OF LIABILITY INSURANCE DAM(MMIDDIYYNY)
<br />01/23/2019
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVEORPRODUCER, AND THE CERTIFICATE HOLDER.
<br />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 onthiscertificatedoesnotconferrihtstothecertificateholderinlieuofsuchendorsements .
<br />PRODUCER CONTACT Angela Merideth
<br />NFP Property & Casualty Services, Inc. PHONE
<br />1551 North Tustin Avenue lac, No, Ball: FAxAIC, No):(714) 975-8966Suite500ADDRESSangela.merjdeth@nfp.comSantaAna, CA 92705
<br />INSURERS AFFORDING COVERAGE NAIL#
<br />INSURER A: Sentinel Insurance Company Ltd 11000INSURED
<br />INSURER B: Hartford Accident and Indemnity Co 22357
<br />Sedaru, Inc. INSURER C: Admiral Insurance Company 24856168E. Arrow Hwy, Suite 101
<br />INSURER pSanDimas, CA 91773 -
<br />COVERAGFS
<br />REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN, 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
<br />TYPE OF INSURANCE INADDPOLICY NUMBER LIMITS '
<br />SUBR POLICY EFF POLICY E%P
<br />A X. COMMERCIAL GENERAL LIABILITY
<br />1,000,000
<br />CLAIMS -MADE X OCCUR EACH OCCURRENCE $
<br />X X 72SBABA9623 01/06/2019 01/06/2020 _
<br />PREMIISSETO
<br />SO aE cuDnce $ 11000,000
<br />MED EXP An one person $ 10+000
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />DEVIL AGGREGATE LIMIT APPLIES PER _
<br />GENERAL AGGREGATE 2,000+000
<br />X _ POLICY _ UE LOC $
<br />PRODUCTS 2,000,000GO $ 2,000,000
<br />OTHER:
<br />B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT J 1,000+000
<br />X ANYAUTO (Ea eccJent $
<br />OWNED SCHEDULED
<br />X X 72UECPX8358 01/06/2019 01/06/2020 BODILY INJURY Per non $
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Pereccitlent $
<br />AUTOS ONLY NON-OWNED PROPERTY DAMAGE
<br />Reraccident $
<br />IsA _UMBRELLA UAB X OCCUR
<br />EACH OCCURRENCE , $ 2+000+000
<br />EXCESS LIAB CIAIMS-MADE 72SBABA9623 01/06/2019 01/06/2020
<br />REGATE 2+000,000
<br />r DED RETENTION $
<br />WORHER$ COMPENSATIONRS'LlILIIANDEMPLOVERS'LIABILITY
<br />YIN STATE
<br />ETH -
<br />A NY PROPRIETOR/ EXCLUDED' OFFICER/MEMBER EXCLUDED. NIA EL EACH ACCIDENT (Mandatory In NH) - -
<br />EA EMPLOVEEj $ If yes, describe under E.L. DISEASE -
<br />DESCRIPTION OF OPERATIONS below -
<br />EL.DISEASE- POLICY LIMIT $ C E&O/Professional Lia L000002663205 08/30/2018 08/30/2019 Per Claim Limit 11000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space is required) If required by written contract, The City, its elected or appointed officials, boards, agencies, officers, agents, employees and volunteers are Included asAdditionalInsuredswithPrimary/Non-Contributory wording and Waiver of Subrogation as respects General Liability per Endorsement SS00080405 attached. If required by written contract, The City, Its elected or appointed officials, boards, agencies, officers, agents, employees and volunteers are Included asAdditionalInsuredswithPrimary/Non-Contributory wording and Waiver of Subrogation as respects Auto Liability per Endorsement HA99160312 attached. 30daysnoticeofintenttocancelpolicieswillbeprovidedsubjectto10daysnoticefornonpaymentforGeneralLiabilityperendorsementSS12230611andasrespectsautoliabilityperendorsement1H03130611attached.
<br />REVIEWEDEVIEWEDK BY:
<br />rcorlvlr wry urr n.a
<br />City of Santa Ana
<br />Attn: Water Resources (M-85)
<br />220 S. Daisy Avenue
<br />Santa Ana, CA 92703
<br />Arnon 9C rine.
<br />SHOULD ANY OF THE AB04 p pOUCI[S BE
<br />THE EXPIRATION DATE THEREOF, NOTICE -WILL
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />V
<br />W Tsaa-ZU10 AUVKU CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />V
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