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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMMDIYYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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 NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, 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. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER I CONTACT „ram—. .„—mow <br />DAWOOD INSURANCE AGACY PHONE __(0 <br />18800Delaware St#304 Anaie- <br />E-MAILos: 'Et <br />Huntington Beach, CA 9 <br />INSURER A : I <br />INSURED <br />INSURER B _ <br />Pyramid Group International, Inc. INSURER r <br />25771 Rapid F*Road D REP , <br />Laguna Hills, 2653� RE LA. <br />COVERAGES / ICWTIFItITE NUMM: l l 1 l / f% Cl -'1 0 vltilbNl/1UMBEli•i 1 /1 A 1 <br />THIS 15 TO CERTIFY THAT HE PO I IN NCE STED W - EE UE S O HE PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDI".ION OF ANY CONTRA O P R D L`U ENT WITH SPECT NCH THIS <br />YUA <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFr'-,JED 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 />ILTR <br />TYPE OF INSURANCE <br />ADDL <br />Ulm <br />SUBR <br />yean <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DOrYYYY1 <br />POLICY EXP <br />MMIDDM•YV <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />X CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />PREMISES EaEoccurrence) <br />$ 50,000 <br />MED UP (Any one person) <br />$ 5.000 <br />PERSONAL& ADV INJURY <br />$ 2M0.000 <br />A <br />X <br />x <br />FEI-ECC-28399-03 <br />312212024 <br />3/2212025 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICYJEC �LOC <br />GENERALAGGREGATE <br />$ 4,000,000 <br />GEN'L <br />PRODUCTS - COMP/OP AGG <br />$ 4000000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIr <br />Ea accident <br />$ <br />ANYAIRO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY <br />BODILY INJURY Per accident <br />$ <br />NON -OWNED LY <br />AUTOS ONLY AUTOS ONLY <br />PRO PERTYDAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />ESSL EXCIAB <br />CLAIMS -MADE <br />CEORETENTION$ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERTLIABILITY YIN <br />ANY PROPRIETOWPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatary In NH) <br />IfrEs, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS balm <br />A <br />PROFESSIONAL LIABILITY <br />TX <br />x <br />FEI-ECC-28399-03 <br />312212024 <br />3/2212025 <br />Occurrence <br />Aggregate <br />2,000,000 <br />2,000,000 <br />Claim Expense <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />This Certificate of Insurance names: City, its City Council, officers, employees, agents and volunteers are named as additional <br />insureds. Primary/Non-Contributory Endorsement form must be provided in addition to the Certificate of Insurance for General <br />Liability included and it will follow upon the issuance of the policy. <br />ADDITIONAL INSURED <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA, <br />SANTA ANA ,CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF- NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PRr <br />AUTHORIZED REPRESENTATIVE <br />A, jy t Aav44 <br />Risk Nkmagement Specialist <br />ACORD 25 (2016/03) <br />©1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />