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T <br />CERTIFICATE QF LIABILITY INSURANCEF6�1m,, <br />WDDIYYYY) <br />2""" <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(les) must have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsemeni(s). <br />PRODUCER <br />Aon Risk Services Northeast, Inc. <br />New York NY Office <br />CONTACT <br />NAME: <br />PHONE (866) 283-7122 FAX (800) 363-0105 <br />( C. No. EKt): (AfC. Nu,): <br />One Liberty Plaza <br />165 Broadway, Suite 3201 <br />EMAIL <br />ADDRESS: <br />New York NY 10006 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIL# <br />INSURED <br />INSURER A: Hartford Fire Insurance Co. <br />19682 <br />Hanson Bridgett LLP <br />425 Market Street <br />INSURERS: Hartford Casualty Tnsurarce Co <br />29424 <br />INSURER C: <br />26th Floor <br />San Francisco CA 94105 USA <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570107773708 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 PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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. Limits shown are as requested <br />LTR <br />TYPE OF INSURANCE <br />INSO <br />WVB <br />POLICY NUMBER <br />MMITQ lQ Y Y <br />MMlD07YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />UUNBD LAD <br />EACH OCCURRENCE <br />$1, 000,000 <br />CLAIMS -MADE ❑X OCCUR <br />Commercial Package <br />D <br />PREM€S ES Ea occurrence <br />$300,000 <br />MED EXP {Any one personl <br />$10, 000 <br />PERSONAL 8 ADV INJURY <br />$1, 000, 000 <br />GENTAGGREGATE I.IMITAPPLIES PER: <br />GENERALAGGREGATE <br />$2,006.000 <br />PRO ❑ LOG <br />POLICY ❑ JECT <br />PRODUCTS - COMPIOPAGG <br />$2,000,000 <br />OTHER_ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY (Perperson) <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDAUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />BODILY INJURY (Per accident) <br />PROPERTYDAMAGE <br />(Per accident) <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />10XHUBF8ZA3 <br />08/26/2024 <br />08/2 6/2 02 5 <br />EACH OCCURRENCE <br />$10,000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />umbrella <br />SIR applies per policy terns <br />& COndl <br />lOnS <br />AGGREGATE <br />$10,000, 000 <br />DED X RETENTION <br />Cther Aggregale Lim! <br />$10 , 000 , 000 <br />WORKERS COMPENSATION AND <br />PER STATUTE I OTH- <br />EMPLOYERS' LIABILITY Y I N <br />ER <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOR I PARTNER 1 EXECUTIVE <br />OFFIOERlMEhISEn EXCLUDED? <br />N I A <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandalory in NH) <br />II yes, describe Under <br />EL DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS bekow <br />FF <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 1of, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana is included as Additional Insured, as their interests may appear as respects to General Liability. <br />As respects General Liability, a waiver of Subrogation is included, but only to the extent permitted by law. <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />20 Civic Center Plaza (M-30) <br />P.O. Box 1988 <br />Santa Ana CA 92701 USA <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988-2015 ACORD <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />a <br />R ",o_•H s Risk hlwmgment Diviston <br />IZEViEWED & APPROVED BY: <br />9 A AaaAaa o <br />Risk tAanagement Specialist <br />