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CERTIFICATE OF LIABILITY INSURANCE <br />MMIDDI <br />Dart/(11/201gYY) <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 <br />Dealey, Renton & Associates <br />DRA License 0020739 <br />P. O. Box 10550 <br />CONTACT <br />NAME: <br />PHONE FAX <br />A/C No Ext: 714-427-6810 A/C No): 714-427-6818 <br />ADDRESS: <br />INSURER(S)AFFORDING COVERAGE <br />NAIC# <br />Santa Ana CA 92711-0550 <br />INSURERA: Travelers Property Casualty Co ofAmeri <br />25674 <br />1/1/2019 <br />INSURED <br />INSURER B: Travelers Casualty & Surety Co. America <br />31194 <br />FCS International, Inc. <br />250 Commerce, Suite 250 <br />INSURER C: Travelers Indemnity Co. of Connecticut <br />25682 <br />INSURER D: <br />Irvine CA 92602 <br />INSURER E : <br />$ 1,000,000 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 67727690 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. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />Y <br />6805H959493 <br />1/1/2018 <br />1/1/2019 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />COMMERCIAL GENERAL LIABILITY <br />DAMAX ETORENTED <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />CLAIMS -MADE OCCUR <br />-PREMISES <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />X Contractual <br />Liability <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />POLICY X j LOC <br />Deductible <br />$ None <br />C <br />AUTOMOBILE <br />LIABILITY <br />BA60781_716 <br />1/1/2018 <br />1/1/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />Deductible <br />$ None <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />UB9J774725 <br />1/1/2018 <br />1/1/2019 <br />X WCSTATU- OTH- <br />TORY LIMITSI ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$1 ,000,000 <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />B <br />Professional Liability <br />106035068 <br />1/1/2018 <br />1/1/2019 <br />Per Claim $2,000,000 <br />Claims Made <br />Annual Aggr. $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Re: All Operation of The Named Insured - The City of Santa Ana, it's officers, employees, agents and representative are additional insureds as respects general <br />liability as required by written contract. General Liability is Primary/Non-Contributory per policy form wording. SEE CANCELLATION SECTION of Certificate for <br />30 Day Notice of Cancellation. <br />CERTIFICATE HOLDER CANCELLATION 30 Dav Notice of Cancellation <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <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 />City of Santa Ana <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />