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<br />.41CoRL7" CERTIFICATE OF LIABILITY INSURANCE
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<br />D11101AM 120118
<br />1110112018
<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 License # 0757776
<br />C TA CT
<br />Los Angeles, CA -Center Drive -HUB International Insurance Services Inc.
<br />6701 Center Drive West, Suite 1500
<br />Los Angeles, CA 90045
<br />PHONE FAX
<br />(A/Ctp, No, Ext): (310) 568-5900 AIc, No :(310) 568.9098
<br />AEMLS:
<br />INSURER( ) AFFORDING COVERAGE
<br />NAICN
<br />INSURERA:VI gantInsurance Company _
<br />20397
<br />INSURED
<br />INSURER B: Atlantic S ececlalty Ins. Co.
<br />27154 _
<br />Public Media Group of Southern California
<br />INSURER C: Federal Insurance Company
<br />20281
<br />INSURER D:
<br />2900 W. Alameda Blvd, Suite 600
<br />Burbank, CA 91605
<br />INSURER E
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER- 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 />IN
<br />TYPETYPE OF INSURANCE
<br />ADDLSUBR INSD
<br />POLICY NUMBER
<br />POUCV EFF
<br />0-
<br />POLICY EXP
<br />fMMIDDffYYY)
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS-MADELAJ Fy IOCCUR
<br />X
<br />X
<br />79565975
<br />0710112018
<br />07/0112019-
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAG-EREMI,EETO RENTED r
<br />$ 1,000,000
<br />ALE-DEXP fA ny one arson
<br />$ 10'000
<br />PERSONAL B AOV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER
<br />POLICY n PROOT- InJ LOC
<br />GENERAL AGGREGATE
<br />$ 2,0011000
<br />GENT
<br />PRODUCTS - COMP/OP AGO
<br />$ _...__._..._2,000 ,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />ICOMBINED SINGLE LIMIT
<br />LLE�cE.del>a
<br />$ 1,000,000
<br />BODILY INJURY ParPelson)
<br />$
<br />_X
<br />F"
<br />ANY AUTO
<br />X
<br />71001462100114
<br />107101/2018
<br />07101/2019
<br />OVJNEO SCHEDULED
<br />AUTOSONLY AUTOS
<br />H REED NON-oVJNED
<br />Al)TOS ONLY ..._.. AUTOS ONLY
<br />i
<br />BODILY INJURY (Per accident
<br />ROPERTY DAMAGE
<br />Per accident) ;_,_____
<br />F _$
<br />$
<br />C
<br />X4UMI
<br />LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10:000,000
<br />AGGREGATEFRETENTION$
<br />10,000,000
<br />R
<br />CLAIMS -MADE
<br />79565976
<br />07/01/2018
<br />07/0112019
<br />0
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY
<br />FICERIM IIM6OR/ EXCLUDED?ECUTIVE j
<br />(Mandatory In NH) L—J
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />IPER OTH-
<br />ISTATUTE
<br />E. L. EACH ACCIDENT
<br />$
<br />E, L. DISEASE - EA EMPLOYEE
<br />$
<br />E. L. DISEASE -POLICY LIMIT
<br />$
<br />B
<br />Commercial Property
<br />D100286.09
<br />07/01/2018
<br />07/01/2019
<br />Misc. Equipment
<br />2,250,000
<br />B
<br />Commercial Property
<br />D100286.09
<br />07101/2018
<br />07/01/2019
<br />Misc. Equipment Ded.I
<br />I
<br />2,500
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be adached a more apace Is mqulmd)
<br />The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are Included as Additional Insured in respects to the General Liability
<br />Policy but only as respects to claims arising out of the negligence of the Named Insured. Coverage is Primary and Nan"ributory. a30 Days' Notice of
<br />Cancellation except 10 Day's for Non -Payment of Premium. NN o
<br />�
<br />GeV �,S
<br />City of Santa Ana
<br />Parks, Recreation and Community Services Agency
<br />20 Civic Center Plaza
<br />P.O. Box 1988 M-23
<br />Santa Ana, CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved,
<br />The ACORD name and logo are registered marks of ACORD
<br />
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