PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (2)

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CERTIFICATE OF LIABILITY INSURANCE DATE (Mi 101011201820181Y Y) zole 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 Marsh USA, Inc 1166 Avenue of the Americas New York, NY 10036 Attn: NewYork,Ceds@mamh.com Fax: 212-948-0500 CONTAC NAME: PHONE FAX (AIC, A/C No: '6 ADDRESS TC2J-GLSA-0045X417-TIL-18 INSURERS AFFORDING COVERAGE NAIC4 INSURER A: Travelers Propeqy Casualty Company of America 25674 EACH OCCURRENCE $ 2,000,000 INSURED PRUDENTIAL FINANCIAL INC. INSURER 8: NIA NIA INSURER C: ENTERPRISE RISK MANAGEMENT 655 BROAD STREET NEWARK, NJ 07102 INSURER D: PERSONAL &ADV INJURY Is 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECT LOC OTHER: INSURER E: INSURER F $ COVERAGES CERTIFICATE NUMBER: NYC -010361469-01 REVISION NUMBER: 1 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. ILTR TYPE OF INSURANCE ADDLSUBR INSD Santa Ana, CA 02701 POLICYNUMBER POLICY EFF (MM/DD(YYYYT POLICY EXP MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY OCCUR TC2J-GLSA-0045X417-TIL-18 01101/2010 01/01/2010 EACH OCCURRENCE $ 2,000,000 DAMACLAIMS-MADE ETORENTED 2,000,000 PREMISES Ee RENTED PREMISES ca $ MED EXP (Any one person) Is 5,000 PERSONAL &ADV INJURY Is 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECT LOC OTHER: GENERAL AGGREGATE It 4,000,000 PRODUCTS - COMPIOP AGO $ 4,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY TC2J-CAP-8045X405-TIL-18 01/01/2018 01/01)2019 COMBINED SINGLE LIMIT Is 2,000,000 Ea accident BODILY INJURY (Per person) Is tid Per accident) BODILY INJURY ( ) $ PROPERTY DAMAGE $ Per accident $ UMBRELLA ILIAD EXCESS LIAB El OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ OED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOPJPARTNERIEXECUTIVE OFFICER/MEM BER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E. L. EACH ACCIDENT $ E.L. DISEASE EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AC ORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION Finance and Management Services Agency City of Santa Ana Attn', Sergio Vidal, CPA, Assistant Director of Finance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-17 Santa Ana, CA 02701 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee _...%d.n.ua. " ©1988.2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD