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�RbF CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 2/2/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subJect to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rlcjhts to the certificate holder in lieu of such endorsements . PRODUCER UUNIAcr Mel Cha Arthur J. Gallagher & Co. Insurance Brokers of CA. LIC. 4 0726293 506 N Brand Blvd, Suite 600 PHONE FAX r u, 816.539.8628 y,lc Nil 818.539.8728 'MAIL ADDRESS, Mel chan@ajg,wm INSURERS AFFORDING COVERAGE NAIC# Glendale CA91203 INSURORA:Berkley National Insurance Company 38911 INSURED INTEHOU-03 INSURER B; New York Marine And General Insurance 16608 Interval House P.O. Box 3356 INSURER C : Seal Beach, CA 90740 D: IINSURER NSURER E INSURER P: COVERAGES CERTIFICATE NUMBER: 1071070208 REVISION NUMBER' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN6R T TYPE OF INSURANCE INSO VNO POLICY NUMBER 01 EPP Do POLICYEXP IDO LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Y HH58525626^11 101112017 10/1/2018 EACH OCCURRENCE $100Q000 PREMISES IEeEa cur $100,000 MED EXP Any ere arson $6.000 PERSONAL &ADV INJURY $10000U0 AGGREGATE LIMIT APPLIES PER: POLICYJ[b uLOC GENERALAGGREGATE $3000000 GEN'L X PRODUCTS - COMPIOPAGG $3000000 $ OTHER: AUTOMOBILE LIABILITY Ee aocident INUILL LIMIT $ BODILY INJURY (Per person) $ ANY AUTO 0 AUTOS�ONLY AUTOSULEO AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY AM G PeY ac NYt $ A UMDRBLLA LIAR X OCCUR THIN8565362-11 10/1/2017 10/1/2018 EACH OCCURRENCE $2,000,000 X EXCESS LIAB CLAIMS MADE AGGREGATE $2,000,000 DED X RETENTION $0 Be%UAL m16CeOduct $Included B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOMPARTNEWEXECUTIVE ❑N/A OFFICERIMEMBER EXCLUDED? (Mandatory In NH) It yyea dwarlbe under W0201800006678 211/2018 2/1/2019 PER X STATUTE ER E.LEACH ACCIDENT $1,000000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE• POLICY LIMIT $1,000000 DAMIPTION OF OPERATIONS below A Property Coverage HH88525626.11 101112017 10/1/2018 Limit: $4689,200 Deductible: $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD IDt, Addltlonal Remarks Schedule, may be atlacbod If moro space Is required) Policy: Crime Coverage Policy Term: 12/01 /2017 - 12101 /2018 Policy Number: UC11717955.17.040 Carrier. Underwriters at Lloyyd's, London Employee theft :Limit : $2,000,000 !Deductible : $25,000 ERISA : Limit: $2,000,000 a� See Attached... `f \.../ CERTIFICATE HOLDER CANCELLATION SHOULD ANY of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Community Development Agency(M-25) Administrative Services Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Terri Eggers 20 Civic Center Plaza, M-25 Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE � @ 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/03) The ACORD name and logo are registered marks of ACORD