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�1 HOWRGEN-02 DOR
<br />A�ORO CERTIFICATE OF LIABILITY INSURANCE r
<br />DATE(MMaOrvYVV)
<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 holler is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED previsions or be endorsed.
<br />N 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 endorsemenust.
<br />PRODUCERCONTACT
<br />MG Skinner 8 Associates
<br />11030 Santa Monica Blvd., Suits 207 _ , : (310) 478-5041
<br />Lw Angeles, CA 90025 g —
<br />INSURED / mse MSUREIt a:AmerkaIs GwMAnd Liability Insurance
<br />The Act 1 Group, Inc., dba ATIMS J =:M c: Ate American iris Co
<br />P.O. Box 29048
<br />Glendale, CA 91209-9048 aHIRM D,
<br />COVERAGFS reoTW.n. c
<br />THIS
<br />INDICATED.
<br />CERTIFICATE
<br />EXCLUSIONS
<br />__.....,,...,
<br />IS TO CERTIFY THAT THE POLICIES
<br />NOTWITHSTANDING ANY REQUIREMENT,
<br />MAY BE ISSUED OR MAY
<br />AND CONDITIONS OF SUCH
<br />OF
<br />PERTAIN,
<br />POLICIES.
<br />�,...,.,,....,.
<br />INSURANCE
<br />LISTED BELOW HAVE BEEN
<br />TERM OR CONDITION OF ANY
<br />THE INSURANCE AFFORDED BY
<br />LIMITS SHOWN MAY HAVE BEEN
<br />ISSUED
<br />CONTRACT
<br />THE POLICIES
<br />REDUCED BY
<br />TO THE INSURED
<br />OR OTHER
<br />DESCRIBED
<br />PAID
<br />REVI InN NIIURPR:
<br />NAMED ABOVE FOR THE
<br />DOCUMENT WITH RESPECT
<br />HEREIN IS SUBJECT TO
<br />POLICY PERIOD
<br />TO WHICH THIS
<br />ALL THE TERMS,
<br />MMI
<br />TYPE OF INSURANCE
<br />OOL
<br />immm
<br />POLICY NUMBER
<br />POLICY HPF
<br />4/112020
<br />,/
<br />CLAIMS.
<br />POLICY EXI
<br />41112021
<br />✓
<br />LIMRS
<br />--
<br />A
<br />X
<br />I COMMERCIALGENFJTALLIAmury
<br />CLAIMSAIADE 0 OCCUR
<br />Contractual Liab.
<br />X
<br />PRA 9698691-08
<br />EACH OCCURRENCE
<br />s 3,000,000
<br />DAMAGESETO RENTl¢e�w1
<br />S 1,000,000
<br />X
<br />MEp EXP fAnp s29
<br />s 10,000
<br />PERSONAL & ADV UUURY
<br />s 3,000,000
<br />GENL AGGREGATE
<br />pLRMpR APPLIES PER:
<br />X POLICY ❑ JECT LOC
<br />tOTNER.
<br />GENERAL AGGREGATE
<br />s 3,000,000
<br />PRODUCTS-COMPATPAGG
<br />$ 3.000,000
<br />p
<br />AtITfANYAU LMRJTY
<br />X OWNED O
<br />OWNED
<br />ONLY SNliosuLED
<br />EEpp Hpµ SULEp
<br />X qUM ONLY X AUrO$ONLY
<br />PRA 9698691-08
<br />4/112020
<br />4112021
<br />COMBINED SINGLE LMR
<br />BODILY INJURY Par
<br />s
<br />S 1,000,000
<br />s
<br />BODILY MJURr Par amaan
<br />P COPE AMAGE
<br />s
<br />EACH OCCURRENCE
<br />s 16.000,000
<br />8
<br />X UMBRELLq LMe X OCCUR
<br />EXCESS LIAa DUMsaADE
<br />MB946721"8
<br />411/2020
<br />4/1r2021
<br />AGGREGATE
<br />18,000,000
<br />DEO X RETENnoms 0
<br />C
<br />A
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS L eesurrY
<br />ANY PROPREIETORPARTNER,E%ECUTIVE YIN
<br />OFFICE In BEf2 EXCLUDED' ❑Y
<br />((NNaen oryl NNl
<br />K ryes MP 'N'OF
<br />DESCRIPi'D OFOPERATIONS CaIPa
<br />Crimel3rd Party)
<br />EEO/Prof. Liab.
<br />N/A
<br />I
<br />CS6921815
<br />9698891-OB
<br />PRA 9698691-08
<br />4/112020
<br />4/1I2020
<br />4/112020
<br />M1/2Q21
<br />4f1Yl021
<br />411/2021 ;Aggregate
<br />X PER OTH-
<br />TATUTE
<br />EL EACH ACCIDENT
<br />s 1.000,000
<br />E L. DISEASE - EA EMPLOYE
<br />s 11000,000
<br />I. DI A$E-PIX YLIMR
<br />OccurrencelAggrepate
<br />Limit
<br />1,�'�
<br />3,000,000
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS
<br />I VEHICLES (ACORD 101, Additional Remarks Schedule, may W attached if more space Is required) ✓ Santa Ana Police DepartmentICky of Santa Ana, Its officers, employees, agents, volunteers and representatives are additional Insureds under the Go
<br />nersl
<br />Liability policy. Primary and Non -Contributory coverage clause will apply. Separation of Insureds clause applies under the General Liability policy. Noticed Cancellation under General L4bility�r/- jQ,Q
<br />30 day a& APPROVment premium. ✓
<br />Entof
<br />BY Risk MANAGEMENT DIVISION
<br />M!
<br />ANGiE ACEVEdO/
<br />Santa Ana Police DepartmentlCity of Santa Ara
<br />Attn: Boris Duran- Police Systems Manager
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<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 />AUTNOM77O REPRESENTATIVE
<br />ACORD 25(2016/03) ©1988-2015 ACORD
<br />The ACORD name and logo are registered marks of ACORD
<br />All rights reserved.
<br />
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