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As CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/09/=015 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in IIeU of such endorsement(s). PRODUCER Aon Risk Services South, Inc. Franklin IN Office CONTACT NAME' PHONE Ext): (866) 283-7122 (FAC. No.: 800-363-0105 EMAIL ADDRESS: 501 Corporate Centre Drive Suite 300 INSURER($) AFFORDING COVERAGE NAIC4 Franklin TN 37067 USA INSURED INSURERA: Greenwich Insurance Company 22322 RTKL Associates Inc. 901 S. Bond Street INSURER B: XL Specialty Insurance Co 37885 INSURER C: Baltimore MD 21231 USA INSURER D: CLAIMS � OCCUR INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570057326502 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 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, Limits shown are as requested INS LTR TYPE OF INSURANCE ADDL INSD WVD POLICY NUMBER MMIDDIYYPY MMIDDOYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GEC EACH OCCURRENCE $1,000,000 CLAIMS � OCCUR General Liability pAMA ET RE TED $1,000,000 -MAGE PREMISES Es occurrence X MED EXP (Any one pe mon) $10,000 Contractual PERSONAL& ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLI ES PER GENERAL AGGREGATE $2,000,000 POLICY LL] PRP JECT ILOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: R AUTOMOBILE LIABILITY AECOO1075813 01/01/201501/01/2016 COMBINED SINGLE LIMIT $1,000,000 Ea accident Auto (ADS) BODILY INJURY( Per person) X ANYAUTO BODILY INJURY (Per accident) ALLOANED SCHEDULED AUTOS AUTOS NON -OWNED PROPERTY DAMAGE X HIRED AUTOG X AUTOS Per accident B OCCUR OECO01075913 01/01/2015 01/01/2016 EACHOCOURRENCE $1,000,000 JUMBRELLALIA3 EXCESS LIAB N CLAIMS -MADE Umbrella AGGREGATE $1,000,000 DEDI) RETENTION $10,000 B WORKERS COMPENSATION AND RWD943516309 01/01/2015 01/01/2016 X PER STATUTE ETH - EMPLOYERS'LIABILITY YIN Workers Compensation EL EACH ACCIDENT $1,000,000 B ANYPROFRIETOR I PARTNER/EXECUTIVE NIA RWR943516709 01/01/2015 01/01/2016 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) State of Wisconsin E.L. DISEASE -EA EMPLOYEE $1,000,000 Ifyes deecribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be adeched if more space is required) City of Santa Ana, its officers,employees, agents, volunteers and representatives are included as Additional Insured in accordance with the policy provisions of the General Liabilitypolicy. Severability of Interests applies as if each Named insured is is brought. Insured were the only Named Insured; and separately to each against whom claim made or suit" CERTIFICATE HOLDER CANCELLATION 22 b ©1988-2014 ACORD CORPORATION. All rights rese9vegl. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD IJ—�„f 6I� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana CA 92701 USA e1'Xaab e/GfAG r�iL8.ffCICi9 vF/x,GL�>�✓9zet 22 b ©1988-2014 ACORD CORPORATION. All rights rese9vegl. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD IJ—�„f 6I�