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MAYCIf1 <br />MIpIA A, Polido <br />FIAT OR PRO TEM <br />C'adoa Rmum:une <br />COUNCILMCM895, <br />f'Iaurlia Alvnev <br />P D wO Flonwlva <br />flit 1.:IF Mdl t1w., <br />M1111t CiMf S'nft1112M6 <br />Sal Trull•. u <br />Insurance <br />CITY OF SANTA ANA <br />FINANCE & MANAGEMENT SERVICES AGENCY <br />PURCHASING DIVISION <br />20 CIVIC (ENTER PI APA M.I f, <br />P D. FJOA 108.11 - NANTA AIdA. CALIFOR141A 9710 <br />PHONE (71 a1 547.5420 - FAX. (7141 bd7L949 <br />CITY MANAC,FR <br />('IIY Al l OKNE'/ <br />lust trh W rluo,cl <br />CLERK OF THE COIaNCII <br />Pauitrl E. Htal) <br />As a condition of, and throughout the term of the contract, the vendor shall have and maintain the insurance <br />described below: <br />Certificate of Insurance (Acord's 25-S form no.) to include: <br />• General Liability —$1,000.000each occurrence <br />• Worker's Compensation —Within the limits required by the <br />State of California <br />• Automotive Insurance -- x1,000,000 combined single limit <br />A notation in the Caucellation clause (in the bottom right hand corner) of the Certificate must be made that the <br />City will be nulled 30 days writen norice of zoipcngcellation and the references "godgavor to' and "allure to <br />representatives" shall be <br />or <br />The attached "Additional Insured Endorsement"' provided by City must be completed and signed by the ins <br />broker, or the insurance companies provided form number CG20 10. The forms must include the fo <br />statement: "Tlte City of Sa►►ta Alla. it's officers, etnnlovees, ag_ews fend rep resagat pe are namgr( as ads <br />insured' 'rhe form must reference the Certificate of Insurance Policy number on the Additional Insurance. <br />Additionally, vendors working on City vehicles housed on the vendor's property are required to carry Garage <br />Liability. <br />Exhibit D <br />25A-37 <br />