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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />09/05/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does <br />not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT NAME: <br />PAYCHEX INSURANCE AGENCY INC <br />76210705 <br />PHONE (877) 287-1312 <br />(A/C. No, Ext): <br />FAX (888) 443-6112 <br />(AIC, No): <br />150 SAWGRASS DRIVE <br />ROCHESTER NY 14620 <br />E-MAIL ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURER A: Property and Casualty Insurance Company of Hartford <br />34690 <br />INSURED T <br />INSURER B <br />PARTNERS IN CONTROL INC DBA ENTERPRISE <br />INSURER C <br />AUTOMATION <br />210 GODDARD <br />INSURER D <br />INSURER E <br />IRVINE CA 92618-4625 <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 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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />iNSR <br />TYPE OF INSURANCE <br />ADOL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />CLAIMS -MADE ❑ OCCUR <br />DAMAGE TO RENTED <br />PREMISES (EH uccUr1wral <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />POLICY ❑ PRO ❑ LOC <br />JECT <br />OTHER: <br />COMBINED) SINGLE LIMIT <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />By Risk MANAq <br />.MENT DIVI51 <br />N <br />yt,-ccidunU <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED NON -OWNED <br />SEP 1 <br />2019 <br />PROPERTY DAMAGE <br />AUTOS AUTOS/5nJx <br />(Per accident <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />EXCESS LIAB <br />CLAIMS- <br />MADE <br />DED <br />RETENTION $ <br />WORKERS COMPENSATAflN <br />AND EMPLOYERS' LIABILITY <br />ANY YIN <br />X PER <br />STALE <br />OTH- <br />E,L EACH ACCIDENT <br />$1.000,000 <br />A <br />PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />X <br />76 WEG GB1737 <br />11/13/2018 <br />11/13/2019 <br />El. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$1 ,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />R PTION OF Q I N el <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If morn space Is required) <br />Those usual to the Insured's Operations. Blanket Waiver of Subrogation applies in favor of the Certificate Holder per the Waiver of Our Right to <br />Recover from Others Endorsement WC040306, attached to this policy. <br />City of Santa Ana <br />Risk Management Division <br />20 CIVIC CENTER PLAZA FL 4 <br />SANTA ANA CA 92701-4058 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />