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SFRVIr:F FI <br />r`pAI MFR <br />ACORO" CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMM/DD YYYY) <br />08/09/2018 <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 />CONTAE:CT <br />NAM <br />The Wooditch Company Insurance Services, Inc. <br />1 Park Plaza, Suite 400 <br />Irvine, CA 92614 <br />,Ext): (949) 553-9800 jac. No:(949) 353-0670 <br />P�HONE <br />ADDRIESS: <br />INSURERS AFFORDING COVERAGE NAIC k <br />INSURERA: United Specialty Insurance Co. 12537 <br />INSURED i,/t <br />-T <br />INSURER B: <br />INSURERC: <br />Service First <br />INSURER D: <br />2510 North Grand Ave, St 110 <br />Santa Ana, CA 92705 <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 />TYPE OF INSURANCE <br />ADDLSUBR INSD <br />MDPOLICY <br />NUMBER <br />POLICY EFF <br />DDWM <br />PODDLLTRICY EXP <br />M <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCURLIG0019300 <br />X <br />08/01/2018 <br />06/01/2019 <br />EACH OCCURRENCE $ 1'000'000 <br />DAMAGE TO RENTED 50,000 <br />PREMISES Ea occnrrenc $ <br />MED EXP An onePerson) $ 5'000 <br />PERSONAL S ADV INJURY $ 1'000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY X JECT F71 LOC <br />GENERAL AGGREGATE $ 2,000'000 <br />:PRODUCTS - COMP/OP AGO $ 2'000'000 <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea_ac�. 'a nt $ <br />BODILY INJURY Per person) <br />ANY AUTO <br />OWNED SCHEDULED <br />_ AUTOS ONLY AUTOS <br />BODILY INJURY Per accitlent <br />PerOacc tlenfDAMAGE <br />AUTOS ONLY AUUTOS ONL� <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />STR OTRH- <br />OFFICEOPRIETER EXCLUDED? ECUTIVE ❑ <br />(Mandatory in NH) <br />N /A <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - FA EMPLOYEE $ <br />I(yes, tlescdbe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) v�V <br />RE: All operations performed by the Named Insured during the current policy period. glaip/manual (�Pi \I <br />City of Santa Ana, its officers, agents, representatives, and employees are included as Additional Insureds as respects Gene I Lii I ched <br />endorsement. 11 rj <br />This Insurance shall apply as Primary and Non -Contributory per attached endorsement. <br />ola <br />Q�GgPI <br />City of Santa Ana <br />Attn: PRCSA <br />20 Civic Center Plaza, M-23 <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 />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />