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�® <br />CERTIFICATE OF LIABILITY INSURANCE <br />OATE(MM02/121120192019 YY) <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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions Of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such enclorsement(s). <br />PRODUCER <br />Aon Risk insurance services West, Inc. <br />Los Anggeles CA Office <br />707 Wilshire Boulevard <br />Suite 2600 <br />CONTACT <br />PHONE (866) 283-7122 FAX (800) 363-0105 <br />(AIC. No. Extp AAD. No.: <br />E-MAIL <br />ADDRESS: <br />Los Angeles CA 90017-0460 USA <br />INSURER(S) AFFORDING COVERAGE NAIC k <br />INSURED <br />INSURERA: Travelers Property Cas CO of America 25674 <br />Willdan Homeland Solutions <br />2401 East Katella Avenue <br />INSURER B: Lexington Insurance Company 19437 <br />INSURER C: <br />Suite 300 <br />Anaheim CA 92806 USA <br />INSURER D: <br />INSURER E: <br />E( RENTED $1,000,000 <br />PREMMISESSEa occurrence <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570075058305 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 TERMS, <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br />LTR <br />TYPE OF INSURANCE <br />INSD9 <br />SUBIR <br />WVO <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />IFMCLICY EXP <br />MIDDIYYYV <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />P 7J TIL <br />EACHOCCURRENCE $1,000,000 <br />CLAIMS -MADE EOCCUR <br />TIE <br />E( RENTED $1,000,000 <br />PREMMISESSEa occurrence <br />MED EXP (Any one person) $15,005 <br />ployea Benefits Liability <br />X Con,actual Liability Included <br />PERSONAL B ADV INJURY $1,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER. <br />G E NERAL AGGREGATE $2,000,000 <br />X POLICY PRO- <br />JECT LOC <br />PRODUCTS - COMPIOP AGO $2,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />P -810 -7J365332 -TIL -18 <br />11/09/201811/09/2019 <br />COMBINED SINGLE LIMIT $1,000,000 <br />En accident <br />BODILY INJURY( Per person) <br />X ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HI RED AUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />BODILY INJURY(Pereccidenp <br />PROPERTY DAMAGE <br />Per awiident <br />UMBRELIALIAB OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB CLAIMS -MADE <br />AGGREGATE <br />DED RETENTION <br />A <br />EMP WORKERSYERS' AND YIN <br />ANYPROPRIETOR I PARTNER I EXECUTIVE <br />on FIOERIMEM6ER EXCLUDED? <br />NIA <br />USOL6636781843G <br />11/09/2018 <br />11/09/2019 <br />X STATUTE °pIT <br />E. L. EAC H ACCIDENT $1,000,000 <br />E.L. DISEASE -EA EMPLOYEE $1,000,000 <br />(Mandatory in NH) <br />yea, describe Ind., <br />DESCRIPTION OF OPERATIONS below <br />E L. DISEASE -POLICY LIMIT $1,000,000 <br />B <br />Archit&Eng Prof <br />028174912 <br />11/09/2018 <br />11/09/2019 <br />Aggregate $2,000,000 <br />SIR applies per policy terns <br />& condi <br />ions <br />Per Claim $1,000,000 <br />SIR $250,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) <br />RE: Orange County Active Shooter Incident Drill Toolkit, RFP NO. 18-095. <br />city of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured in <br />accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability and <br />Automobile Liability policies evidenced herein are Primary and Non -Contributory to other insurance available to Additional <br />Insured, but only in accordance with the policy's provisions. A Waiver of subrogation is granted in favor of Certificate Holder <br />in accordance with the policy provisions of the General Liability, Automobile Liability and workers' compensation policies. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Attn: Clerk of the Council <br />20 Civic Center Plaza (M-30) <br />Santa Ana CA 92701 USA <br />ACORD 25 (2016/03) <br /><— M&C &C n1 *V — <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />AUTHORIZED <br />`REPRESENTATIVE <br />� <br />RX/FN✓UYk! ✓ LYf 'Ydt6Nfd VibfIL�MH //d0� �!!4 <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of A�Rv % 7 j <br />