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ACOIR" CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMI°° YYY, <br />i75t0472U15 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />AME' <br />NPHX <br />Marsh Rlsk & Insurance Services <br />aAic <br />17901 Von Kazman Avenus#1100 AONNe et _ No: <br />-E-Ni <br />(949) 399-5800 Licenore #0437153 ADDRESS: <br />Was, CA 92614 <br />INSUREftIs AFFORDING COVERAGEW27q2O <br />318366.1ntCR-FL� Ib-16 INSURER A: National Unbn Fire Insurance Co. of Pittsburgh, FA <br />.. <br />__...... ....._.____ <br />INSURED INSURER B: Lexington Insurance Company <br />First American Financial Corporation HartfoN Flre insurance Co <br />First American Title]I Soared Company INSURER C: <br />1 First American Way INSURER D: NIASanta <br />Ana, CA 92707 Trumbull Insurance Company <br />INSURER EINSURER <br />F: NIA <br />cnvFRAGFR CERTIFICATE NUMBER: LOS-001666119-04 REVISION NUMBER: 16 <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, PERM 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 <br />TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />_SHOWN <br />ILTR TYPEOF INSURANCE ADDL SUER ep <br />LTR POLICY NUMBER MROI/DRY YYY MOtDD1YVYY <br />LIMITS <br />—T <br />C s GENERALLABILrrY Y2CSER32S11 04i1912015 001016 _ <br />EACH OCCURRENCE $ <br />1,t)00,000 <br />I <br />DAMAGETORENTED <br />1�Q'}G30 <br />X CGAd,41ERCiAI GENERAL LIABILITY <br />PREMISES Eac a deco' <br />CLAIMS -MADE I X I OCCUR <br />MED EXP (Any one person) $ _ <br />NSA <br />PERSONAL &ADV INJURY $ <br />GENERAL AGGREGATE $ <br />2,000,000 <br />GEN L AGGREGArE LIMIT APPLIES PER: <br />—� <br />PRODUCTS - COMP/OP AGG $ <br />... 2,000,000 <br />X POLICY_..... PRO- <br />OC <br />$ <br />C AUTOMOBILE I...IABILITY 72CSERJ2909 04/19/2016 fill/0112016 <br />COMBINED SINGLE LIMIT <br />Ea accident $ <br />3,000,000 <br />X ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per accident)$ <br />AUTOS h._._� AUr05 <br />NON -OWNED <br />PROP ERTY DAMAGE $ <br />HIREC AUTOS AUTOS <br />Per arcd nd <br />i <br />$ <br />A I X I UMaRELAUAB X OCCUR CE24250560 04i19120[5 ORV2016 <br />EACH OCCURRENCE S <br />5,000,000 <br />EXCESS LIAR CLAlMS1NtDE <br />AGGREGATE $ <br />5' 000,000 <br />DOD RETENTION$ <br />$ <br />E WORKERS COMPENSATION 72WNR32908 0471972015 041191201E <br />X wC srATu- aTH- <br />E AND EMPLOYERS'LIABILITY 12WNR32968 04119/2016 0610112016 <br />I <br />1,000,000 <br />ANY PROPME] ORIPARTNERIEXECUTIVE NIA <br />OFFICERIMEMeBR EXCW DED? <br />EL EACH ACCIDENT S <br />1,000,000 <br />I(MandaMry In NI11 <br />E. L. DISEASE - EA EMPLOYE $ <br />If yes, rose dD under <br />1,000,000 <br />❑ESCRIPTIC/N OF OPERATIONS hale. <br />E.L. DISEASE -POLICY LIMIT $ <br />B Internet LiabilllylCybar Risk 01-146-5403 05/01/2014 06/0112015 <br />Each Claim <br />10,000,000 <br />$1,000,000 SIR <br />— <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 1e1, Hdditlonal Remarks Schedule, If more apace is required) <br />See Attached - Page 2 <br />Corti Holder is iM9uced as additional [Ranted where required by written evirmut with respect to General and Auto LlabWty. <br />DR <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance Services <br />Lisa J. Chalellier <br />ACCIRn <br />All rirr racervR.ri_ <br />ACORD 26 (2010105) <br />The ACORD name and logo are registered marks of ACORD <br />