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A� a® CERTIFICATE OF LIABILITY INSURANCE
<br />FATE
<br />D10/011/2018Dn vv)
<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 />Marsh USA, Inc.
<br />1166 Avenue ofthe Americas
<br />CONTACT
<br />NAME:
<br />PHONE AIC, No:
<br />EMAIL
<br />New York, NY 10036
<br />Attn: NewYork.Certs@mamh,com Fax, 212-948-0500
<br />ADDRESS:
<br />EACH OCCURRENCE $ 2,000,000
<br />DAMAGE TO RENTED
<br />REMISES(Ea occurrence $ 2,000,000
<br />INSURERS AFFORDING COVERAGE NAIL#
<br />INSURER A: Travelers Property Casualty Company of America 25674
<br />PERSONAL &ADV INJURY $ 2,000,000
<br />INSURED
<br />PRUDENTIAL FINANCIAL INC,
<br />INSURER B: XL Specialty Insurance Company 37665
<br />INSURER C:
<br />ENTERPRISE RISK MANAGEMENT
<br />655 BROAD STREET
<br />NEWARK, NJ 07102
<br />INSURER 0:
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />IN URERE:
<br />INSURER F:
<br />01/01/2018
<br />COVERAGES CERTIFICATE NUMBER: NYC -010361469-03 REVISION NUMBER: 3
<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 15 SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />ILTR
<br />TYPE OF INSURANCE
<br />JUM
<br />SU D
<br />POLICYNUMBER
<br />MMID�IYEFF 1 YY
<br />MMID� YYXVY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FX1 OCCUR
<br />of Marsh USA Inc.
<br />TC2J-GLSA-8045X417-TIL-18
<br />01/01/2018
<br />01/01/2019
<br />EACH OCCURRENCE $ 2,000,000
<br />DAMAGE TO RENTED
<br />REMISES(Ea occurrence $ 2,000,000
<br />MED EXP (Any one person) S 5,000
<br />PERSONAL &ADV INJURY $ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY ❑ JECT D LOC
<br />OTHER:
<br />GENERAL AGGREGATE $ 4,000,000
<br />PRODUCTS - COMPIOP AGO $ 4,000,000
<br />$
<br />A
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />TC2J-CAP-8045X405-TIL-18
<br />01/01/2018
<br />01/01/2019
<br />COMBINED SINGLE LIMIT $ 2,000,000
<br />Ea accident
<br />BODILY INJURY(Par person) $
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE $
<br />Per accident
<br />X
<br />I UMBRELLA LIABX
<br />EXCESS LIAB
<br />OCCUR
<br />CLAIMS -MADE
<br />US00074166LI18A
<br />01/01/2018
<br />01/01/2019
<br />EACH OCCURRENCE $ 5,000,000
<br />AGGREGATE $ 5,000,000
<br />DED RETENTION$
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETORIPARTNERIEXECUTIVE ❑
<br />OFFICER/MEMBEREXCLUDED?
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />10TH-
<br />PERT
<br />STUTE ER
<br />E.L. EACH ACCIDENT $
<br />E.L. DISEASE - EA EMPLOYEE $
<br />E.L. DISEASE -POLICY LIMIT $
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />CERTIFICATE HOLDER CANCELLATION
<br />Finance and Management Services Agency
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn: Sergio Vidal, CPA, Assistant Director of Finance
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza, M-17
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh USA Inc.
<br />Manashi Mukherjee
<br />@ 1988.2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks o�/�(1f�ACORD "24
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