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AcoR" CERTIFICATE OF LIABILITY INSURANCE III DAIYYYY) 0991261201/2601DDB I 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 RISK & INSURANCE SERVICES 345 CALIFORNIA STREET, SUITE 1300 CONTACT NAME: AN N Ex • aC No: CALIFORNIA LICENSE N0.0437153 E-MAIL SAN FRANCISCO, CA 94104 ADDRESS: EACH OCCURRENCE $ Afln' Angela Bacon (415) 743-7621 INSURERS AFFORDING COVERAGE NAIL H INSURERA: Chubb Indemnity Insurance Cc 12777 INSURED BLX Group, LLC INSURER B: GENERA -AGGREGATE $ INSURERC : $ 777 South Figueroa Street, Suite 3200 LDS Angeles, CA 90017 INSURER D: INSURER E: INSURER F: COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ COVERAGES CERTIFICATE NUMBER: SEA -003415011-26 REVISION NUMBER: 18 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. INSR LTR TYPE OF INSURANCE ADDL INSO SUBR MD POLICY NUMBER POLICY EFF MMIDDM Y POLICY EXP MMIDDIYYYY LIMITS of Marsh Risk & Insurance Services COMMERCIAL GENERAL LI ABILITY CLAIMS -MADE F7 OCCUR EACH OCCURRENCE $ DAMAGE TO REN I ED PREMISES Ea occunenca $ MED EXP (Anyone person) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE U MIT APPLIES PER: POLICY [] PRO- JECT E LOC OTHER: GENERA -AGGREGATE $ PRODUCTS-COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident)$ PROPERTYDAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNEWEXECUTIVE Y OFFICER/MEMBEREXCLUDEDI N (Mandatory In NH) If yes, describe under OF OPERATIONS below NIA 71756264 00 10/01/2019 X PER OTH- STATUTE ER E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE Is 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Professional Services Contract CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza, M-2 5 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Angela Bacon I�IG/ rp7yt ©1988.2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD qA*-' e.- t Af OrLVV'-°