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ACCOR17 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/OD /YYY) <br />11/29/2018 <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 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 CONTNAME pCT ANA LEE <br />INSURANCE LAND INSURANCE SERVICES PHONE FAX <br />(A/C,.Np,.EXq: 213-388-5505 Iac,Nel: 213-388-7148 <br />4032 WILSHIRE BLVD E-MAIL ADDRESS: INSURANCELANDQGMAIL. COM <br />SUITE 309 INSURER( S AFFORDING COVERAGE NAICN <br />LOS ANGELES CA 90010 <br />INSURER A:EVANSTON INSURANCE COMPANY 35378 <br />INSURED .F}-p"�I-I-10�.5- INSURER B: UNITED FINANCIAL CASUALTY CO. 11770 <br />VALLEY MAINTENANCE CORPORATION,+_am—N INSURER CUNITED STATES LIABILITY INS. CO. 25895 <br />_ <br />�. -.'� INSURERD: ICW GROUP 27847 <br />10002 PIONEER BLVD. SUITE 101 INSURERE: TRAVELERS CASUALTY AND SURETY COMPANY 19038 <br />SANTA FE SPRINGS CA 90670 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 <br />TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADDL SUBR <br />LTR TYPE OF INSURANCE D <br />POLICY EFF POLICY EXP <br />POLICY NUMBER MMIDDIYYYY) MMIDDIYYYY) LIMITS <br />V/ COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE 5 <br />1,000,000 <br />3AA183369 OB/13/201808/13/2019-DAMAGETO RENTED <br />CLAIMS -MADE OCCUR <br />PREMISES (Ea occRence $ <br />100,000 <br />MEDEXP(Anyonepersan) $ <br />51000 <br />A X <br />PERSONAL BADV INJURY $ <br />1,000,000 <br />DEVIL AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ <br />2,000,000 <br />POLICY PRO- <br />JECT LOC <br />PRODUCTS - COMPIOP AGG S <br />INCLUDED <br />OTHER: <br />CONTRL.PROPERTY OTHERS S <br />25, 000 <br />AUTOMOBILE LIABILITY <br />COMBINEDSINGLE LIMIT $ <br />062921651 11/02/2018 11/02/2019 (Ea accident) _. <br />2,000,000 <br />ANYAUTO <br />BODILY INJURY (Per person) S <br />B ALL OWNED SCHEDULED X <br />AUTOS V AUTOS <br />BODILY INJURY (Per accident) S <br />NON -OWNED <br />HIREDAUTOS AUTOS <br />PROPERTY DAMAGE $ <br />_Per accitlent <br />AGGREGATE $ <br />1,000,000 <br />UMBRELLA LIAR OCCUR <br />XL1578400A 05/02/201805/ 02/ 2019 EACH OCCURRENCE $ <br />5,000,000 <br />C] EXCESS LIAB CLAIMS -MADE <br />AGGREGATE $ <br />5,000,000 <br />DED RETENTION$ <br />PRODUCTS $ <br />5,000,000 <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />WSA5037498 O1 OB/13 /2018 OB/13/2019__§TATUTE ER_ <br />_ <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />E. L. EACH ACCIDENT $ <br />11000,000 <br />D OFFICER/MEMBER EXCLUDED? Y❑ NIA <br />- --- <br />(Mandatory in NH) <br />ELDISEASE - EA EMPLOYEE$ <br />11000,000 <br />If yes describe under <br />DESCRIPTION OF OPERATIONS below <br />EL.DISEASE - POLICY LIMIT $ <br />11000,000 <br />E CRIME <br />105620659 05/24/2018 05/24/2019 THIRD PARTY <br />$1, 000, 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD <br />101, Additional Remarks Schedule, may be allached if more space is required) <br />THE CITY OF SANTA ANA, ITS <br />OFFICERS, EMPLOYEES, AGENTS, ANDSENTATIVES <br />ARE <br />NAMED AS ADDITIONAL INSURED <br />IN REGARDS TO GENERAL LIA$T���\ <br />�� <br />G�a�`'asr. <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE D'I POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA <br />AUTHORIZED REPRESENTATIVE <br />SANTA ANA CA 10163-4668 <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />