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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 <br />GMGS Risk Managgnent & Insurance liervices <br />6201 Oak CanyyoAhwe <br />o <br />Irvine, CA 9261Mww.mmnA cnm <br />INSURED <br />Legion Contract( <br />445 S. Figueroa <br />Los Angeles CA <br />COVERAGES <br />2580 <br />CERTIFICATE NUMBER: RISR67P , <br />AD: <br />L <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW ;,AVE 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. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />Wall <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD/YYYI' <br />POLICY EXP <br />MMIDD <br />LIMITS <br />A <br />r/ <br />COMMERCIAL GENERAL LIABILITY <br />OCCUR <br />CPGLP-00000114 <br />5/12/2024 <br />5/12/2025 <br />$1000000CWMS-MADE <br />DAMAGE TO RENTED occurrence <br />$50000ne <br />person) <br />$ExcludedDV <br />IEACHOCCURIRECEENCE <br />INJURY <br />$1000000GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />�LOC <br />EGATE <br />$2,000,000POLICY�jECO- <br />MPIOP AGO <br />$2000 DDD <br />$ <br />OTHER: <br />A <br />AUTOMOBILELIABILITY <br />CPBAP-00000115 <br />5/12/2024 <br />5/12/2025 <br />eoa eBI tlEDtSINGLE LIMIT <br />$1,000,00() <br />r/ <br />ANY AUTO <br />BODILY INJURY (Par person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />✓ <br />HIRED NON -OWNED <br />AUTOS ONLY ✓ AUTOS ONLY <br />PROPERTVOAMAGE <br />Per accitlent <br />$ <br />A <br />UMBRELLA LIAB <br />1/ <br />OCCUR <br />CPLXP-00000116 <br />5/12/2024 <br />5/12/2025 <br />EACH OCCURRENCE <br />$ 5 000 000 <br />AGGREGATE <br />$ 5 <br />✓ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DEO I I RETENTION$ <br />.000.000 <br />$ <br />C <br />WORKERAND EMPSOYERS'LIABILCOMPENSATIITY YIN <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />REXCWDED9 <br />OFFICE(Mandatory <br />NIA <br />9264599-23 <br />11/2112023 <br />11/21/2024 <br />1/ sinTUrE ERµ <br />E.L. EACH ACCIDENT <br />$1 000 000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1 0 <br />InN <br />(Mandatory in NH) <br />It yes, describe under <br />E.L. DISEASE -POLICY LIMIT 1 <br />$1000000 <br />DESCRIPTION OF OPERATIONS below <br />B <br />Excess Liability-U/L CPLXP-00000116 <br />LHA600422 <br />5/12/2024 <br />5/12/2025 <br />$3,000,000 Each OCC/Agg <br />D <br />Contractors Pollution Liability <br />ENP0011782-01 <br />8/23/2024 <br />8/23/2025 <br />$1,000,000 Each Occ <br />$2 500 Deductible <br />2 000.000 Aggregate <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, maybe attached if more space is required) <br />RE: Outdoor Library at Jerome Park; Project No. 22-1381 <br />This certificate may be relied upon only if the certificate addendum referred to herein is attached hereto. <br />CI of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City THE EXPIRATION DATE THEREOF. NOTICE WILL RE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PRC <br />Santa Ana CA 92701 _e � RIADlVdan <br />AUTHORIZED REPRESENTATIVE a REVIEWEDfi AP PROVED BY: <br />Paul Bland RBk Management SpedaGst <br />©1988-2015 ACORD <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />81566730 1 24-25 A G W XS POLL -PP Charise Ferguson 1 8/23/2024 1:36:48 PM (POT) I Page 1 of 12 <br />