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A i ®® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />07/25/2018 <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(les) 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 />CONTACT Mary Pojar <br />NAME: <br />ISU - Dunlap Agency <br />AICNNO Exl : (714) 838-3158 ao Net: (714) 922-6157 <br />700 West 1st St., Suite 8 <br />E-MAIL ma dunla Ins.com <br />ADDRESS: ry@ p <br />INSURER(S) AFFORDING COVERAGE NAIC4 <br />INSURERA: GreatAmerican Assurance Group 26344 <br />Tustin CA 92780 <br />INSURED <br />INSURER B: Travelers P&C of America 25674 <br />Heritage Museum of Orange County <br />INSURER C <br />3101 W. Harvard Street <br />INSURER D <br />INSURER E : <br />Santa Ana CA 92704 <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: 2017-2018 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />LTR <br />TYPE OF INSURANCE <br />AUULdUbK <br />HIM <br />MO <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMS -MADE X OCCUR <br />DAMAGE TRENTEDI <br />PREMISESBe occurrence $ 100,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL&ADV INJURY $ 1,000,000 <br />A <br />PAC 4296301-03 <br />07/01/2018 <br />07/01/2019 <br />GENLAGGREGATE LIMITAPPLIES PER: <br />GENERALAGGREGATE $ 2.000,000 <br />X POLICY PROJECT 7 LOC <br />PRODUCTS - COMP/OP AGO $ 2,000,000 <br />Employee Benefits $ 1,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />PAC 4296301-03 <br />07/01/2018 <br />07/01/2019 <br />BODILY INJURV(Per accident) $ <br />X <br />HIREDHNON-OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />Per accident <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOPoPARTUDED'ECUTIVE ❑ <br />MandyOFFICEtory EMBER EXCLUDED? <br />(Mandatory <br />(fyes,doryln NH) <br />NIA <br />UB-OG542168 <br />07/01/2018 <br />07/01/2019 <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />Dyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS ]VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) <br />The City of Santa Ana, it's officers, employees, agents, and representatives are named ad Additional Insured in regards to General Liability per attached <br />CG20151188 Additional Insured form. <br />MoicIda C(a qe <br />CERTIFICATE HOLDER CANCELLATION U <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />oe— <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />