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ACORO® CERTIFICATE OF LIABILITY INSURANCE 8/1/2019 DATE(MM/DD/YYYY) 1 7/24/2018 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 policy(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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960-9000 COO NTE CT PHONE FAX A/C No Ext): A/C No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # N INSURER A: Zurich American Insurance Company 16535 GL0552579806 INSURED WACHTER, INC. 6969 16001 WEST 99TH STREET INSURER B: Great American Insurance Co of New York 22136 INSURER C : LENEXA KS 66219 INSURER D: INSURER E: INSURER F: COVERAGES * CERTIFICATE NUMBER: 14711719 REVISION NUMBER: XXXXXXX 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 THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IY LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER EF MMD /YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N N GL0552579806 8/1/2018 8/1/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE T RE ED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10 000 PERSONAL & ADV INJURY $ 1,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY FX]JERT 1-1 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY N N BAP552579906 8/1/2018 8/1/2019 COBINED SINGLE LIMIT Ea Maccident $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS IAUTOS (Per accent) BODILY INJURY id $ XXXXXXX NON -OWNED ONLY AUTOS ONLY X HIRED Exx PROPERTY DAMAGE$XXXXXXX Peraccident Corrin/Coll Deds. $ 1,000 PHYS DAM B UMBRELLA LAB X I OCCUR N N UMB9999737 8/1/2018 8/1/2019 EACH OCCURRENCE $ 2 QQQ 0-0-0— QQX AGGREGATE $ 2,000,000 XEXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ XXXXXXX A WORKERS COMPENSATIONN AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECLITIVE OFFICER/MEMBER EXCLUDED? NI N / A WC552580006 8/1/2018 8/1/2019 X STATUTE ITER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEEI $ ] QQQ QQQ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1.000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM. THE INSURER(S) WILL SEND 30 DAYS NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER. CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES IS/ARE ADDITIONAL INSURED(S) ON A PRIMARY AND NON-CONTRIBUTORY COVERAGE BASIS AS RESPECTS LIABILITY COVERAGE FOR THIS PROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT. REVIEWED BY: EUNICE HEREDIA (PG I OF t,C1'1 I Iris m I m nULUCn GANL;tLLA I IUN See Attacnment ' 14711718 CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (M-30) SANTA ANA CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED CC) 1988-',2015 ACORD CORPORATION_ All rinint¢ racaruarl ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD