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ACORl7® CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMMIDONYTY) <br />02)07)2019 <br />THIS CERTIFICATE 15 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 provieiens 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 />Triton of Calif Insurance Services, Inc. <br />CONTACT Chris Rudolph <br />NAME: <br />a°calf I (9is)985-1T05 uc Noi• (915N86-019B <br />2332 Auburn Blvd <br />oREas: chris rtdtoninsumnce.com <br />INSURER(SIAFFOP)INGCOVERAGE <br />NAIC# <br />Sacramento, CA 95821 <br />_ <br />License #: OF41767 <br />INSURFRA: Mesa underwritersSpeciality Insurance Co. <br />INSURED Ar 901J OR.��QI <br />INSUMRO: <br />INSURERC: <br />TOM BYSTRY <br />INEuaaaD: <br />DBA: VIDEO ENGINEERING SERVICES <br />NSURER B: <br />14 APPOMATTOX <br />IRVINE, CA 92620 <br />NEURER F: <br />COVERAGES I'll Ir .Aam nj...c . wwww-.+.,... .._-._-_.__ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN_ MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />-- - _ ADDL SUBN g1IDYEFF PoDCYEXP <br />ILR TYPEOFINSURANCE I POLICY NUMBER <br />A X OOMMERCIALGENERALLU&LnT Y Y MP0004009005022 071011201111'=01/2028 <br />CI <br />. <br />ABOVE FOR THE POLICY PERIOD <br />WITH RESPECT TO WHICH THIS <br />IS SUBJECT TO ALL THE TERMS, <br />LIMMS <br />EACHOCCVRRENCE <br />3 1,000,000 <br />GETO RFME➢ <br />PREMIBE9 EaaEfl,R-- <br />3 1OO ODO <br />MEDEXP anepxmn) <br />$ 5000 <br />CIAIMa�1MDE OCCUR <br />PERSONALAADVINJURY <br />s 1 000000 <br />I <br />i I <br />OENERALAGGREGArm <br />S 2,000,000 <br />GENT AGGREMTE UMIT PPPUES PER: <br />PRb Lrr- i <br />X PCl1CV a .IECT <br />PRODuOM-COMPIOP AM <br />$ 1000000 <br />3 <br />O HER <br />AUTOMOBILELLa&UTY <br />LEU IT <br />Ea <br />3 <br />sol-Y INJURY (Pn prism) <br />3 <br />ANVAUIO <br />BOgLYINJURY(IW2Wdene <br />3 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON-0WNEO i <br />AUTOSONLY AUTOS ONLY <br />PROPERTY OAMNGE <br />nl <br />5 <br />5 <br />UMBREU-Aum <br />OCCUR <br />EACH OCCURRENCE <br />3 <br />AGGREGATE <br />3 <br />EXCESS LIAB <br />CIAIMswA <br />3 <br />OW RETENTION$ <br />Y AXERSCOMPENSATIOM <br />8 LUTE OTK <br />El -EACH ACCIDENT <br />S <br />ANDEMPLOYE1ar VAGUY y)N <br />ANYPROPRIErOWPARTNEWEXECLrtrve ❑ <br />OFFlCERAIEMBER EXCLUCEOT <br />(MendatcrymNHJ <br />NIA <br />E.L DISEaeE- EA EMPLOY <br />$ <br />IIyes, tlesoibe order <br />OESCRIPTONOF OPERATICNB below <br />I <br />I <br />EL OMEASE-POLICY LIMIT <br />5 <br />DESCRIPTION OF OPERATMN81 LOCATIONS1 VEHICLES (AGORD101, Atltliepnal RemarNe Scbatluk, maY beaHvcMtl Mrepre span u nqulred) <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents and representatives <br />are named as additional Insureds per CG2010 attached to this policy. The insurance is primary andennoncontribedry_`I <br />s <br />CITY OFSANTAANA SHOULDANYOFTHEABOVEOESC Pvitc TS)3�.C,f41CCLT-�EOBEFORE <br />THE EXPIRATION OATE THERE TICEYA DIN <br />FINANCE & MANAGEMENT SERVICES AGENCY ACCORDANCE WITH THE POLICY PROVISION <br />PURCHASING DIVISION <br />20 CIVIC CENTER PLAZA M-16 AUTHORMEOaEP <br />Santa Ana, CA 92702 <br />An <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />ed by CPR on February 07, 2019 at 02:58PM <br />