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A`CMa CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />5/2/2019 <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 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 Risk Strategies Company <br />CO T Risk 5trat$gias Com an <br />2040 Main Street, Suite 450 <br />Irvine, CA 92614 <br />PHONE 949-242-9240 <br />-E4 ��' )` <br />„F <br />nD syoung_ risk -SUP les-COm <br />INSURER S AFFORDING COVERAGE <br />NAIC # <br />INSLIRERA: Travelers Property Casualty Co. of America <br />25674 <br />www.risk-strategies.com CA DOI License No. OF06675 <br />INSURED <br />INSURERS: Travelers Indemnity Company <br />25658 <br />IDS Group Inc. <br />1 Peters Canyon Rd., Ste 130 <br />INsuRERc: Travelers Casualty. and Surat Co America <br />31194 <br />INSURERD: <br />Irvine CA 92606 <br />INSURER E : <br />INSURER F : <br />rr»rcaAr_c� 1%C0r1CIr ArC 4111"01=10- AO A 004•O RFVI.glnN NIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR LTR TYPE OF INSURANCE Af7D4 ynn POLL NUMBER POLICY EFF I M MLp v/Y,YY LIMITS <br />A <br />✓ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE © OCCUR <br />✓ <br />6809H717919 <br />5/1/2019 <br />5/1/2020 <br />EACH OCCURRENCE <br />$ $2,000,000 <br />TO REN= <br />PAMAGE REMISES CEa e <br />$ $1,000,000 <br />MED EXP (Any one.person) <br />$ $10 000 <br />PERSONAL & ADV INJURY <br />$ $2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$$4,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />POLICY ✓❑ jE LOC <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />✓ <br />BA8F335897 <br />5l1/2019 <br />5/1/2020 <br />COMBINED SlNGLELIMIT <br />auclga"t) <br />$ 1000,000 _ <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />l-t�AUTOS ONLY ✓ AUTOS ONLY <br />PRO TYOAMAGE <br />��rl(% <br />$ <br />B �/ <br />UMBRELLA LIAB OCCUR <br />CUP71<299343 <br />5/1/2019 <br />5/1/2020 <br />EACH OCCURRENCE <br />$$9000;000 _ <br />AGGREGATE <br />$ $9 000 000 <br />EXCESS LIAB CLAIMS -MADE <br />$ <br />DED I ✓ I RETENTION 0 <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPARTNER/EXECUTIVE Y❑ <br />UB41<463295 <br />5/1/2019 <br />5/1/2020 <br />$STATUTE g' <br />E.L. EACH ACCIDENT <br />$ $1 000 000 _ <br />E.L. DISEASE - EA EMPLOYE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />$ 1.0QQ,9Q0 <br />E.L. DISEASE -POLICY LIMIT <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />$ $1 000 000 <br />C <br />Professional Liability <br />107008332 <br />11/12/2018 <br />11/12/2019 <br />Per Claim: $3,000,000 <br />Aggregate: $3,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Agreement N2018-185 & 2016-136; RFP #18-031. Q 11 <br />The City of Santa Ana, it's OffICOFS, employees, agents and representative are named as additional insured <br />on the general and auto liability paficfes-see attached endorsements. Iq <br />rh I <br />City will be mailed 30 days written notice of policy cancellation. I <br />,w <br />Riskiman"age6erit DIVISIon <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Michael Christian <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />48486123 1 19-20 GL-AL-UL-WC, 18-19 PL Sherry Young 1 5/2/2019 10:58:59 AM (PDT) I Page 1 of 8 <br />