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ACC?R[3 CERTIFICATE OF LIABILITY INSURANCE <br />F GATE IMM-.IvvYYI <br />05/03/2018 <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 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 Ileu of such endorsement(s). <br />PRODUCER <br />I NARTAcT Nancy Stodiealyer <br />Insurance Brokers of MD - Hagerstown <br />PHONE (301)790.06$2�— <br />A/C o (AIC. Nob (301)790.0962 <br />13126 Pennsylvania Ave. <br />EMAIL <br />s: nancy.stoltiemyer(ollIMOfmd.Com <br />PO Box 3767--- <br />Hagerstown MD 21742 <br />INSURER(SIAFFORDINGCOVERAGE <br />NAICIf <br />INSURERA: Atlantic Specialty Ins, CO <br />27154 <br />INSURED AA aa^^�� _! <br />INSURER B: <br />The Library Corporation 7.1'-vL,1� 7 'PL <br />INSURER C: <br />Carl Corporation and Tech -Logic Corporation <br />INSURER 0: <br />i Research Park <br />INSURER E: <br />Inwood WV 25428 <br />INSURER F: <br />UVVCRAVCO CCKIIrn:AI t NUmutK' coin-no,z RPVISMIM MIIIMGCQ. <br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR TYPE OFINSUfU1NCE POLICY <br />P a POLICYNUMBER LI E POLICY XP JIM MOYYY MMIELIMITS <br />COMMERCIALOENE LLIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />GL MMS�MADE ® OCCUR <br />PREMISES Ea dccurtenca1 <br />S 1,000,000 <br />MED E%P (Anyone person) <br />$ 10,000 <br />PERSONAL&A01 INJURY <br />IT 1,000,000 <br />A <br />Y <br />711015864-0001 <br />05/08/2018 <br />05/08/2019 <br />jLIMITAPPLIE�S IPER', <br />GENERALAGGREGATE <br />g 2,000,000 <br />GEN'LAGGREGATE <br />PRODUCTS -COMP/OPAGG <br />S 2.000,000 <br />POLICY ® JEOT � LOC <br />OTHER: <br />Employee Benefits <br />S 1,000,000 <br />AUTOMORILELIAOILITY <br />COMBINED SINGLE LIMITg <br />Ea attNe 1 <br />1,000,000 <br />ANYAUTO <br />_ <br />BODILY INJURY (Percerwnl <br />S <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />711016804-0001 <br />05/08/2018 <br />05/08/2019 <br />BODILY INJURY (Per accident) <br />S <br />HIRED NOl*AUTO NED <br />AUTOS ONLY AUTOS ONLY <br />ONLY <br />PROPERTY DAMAGE <br />Per wadeno <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACHOCCURRENCE <br />g 6,000,000 <br />A <br />EXCESS Mae <br />CUIMSMADE <br />711015864-0001 <br />05108/2018 <br />06108=19 <br />AGGREGATE <br />g 6,000,000 <br />CEO <br />I X RETENTIONS 0 <br />S— <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ST NTE FOR <br />E.L. EACNACCIDENT <br />$ 1,000,000 <br />A <br />ANYPROPRIETOR/PARTNDED? CUTIVE a <br />EXCLUDED? <br />OPFICERryR <br />NIA <br />400044542-0001 <br />05/08/2018 <br />0&0812019 <br />E.L. DISEASE -EAEMPLOYEE <br />S 1,000,000 <br />NHR <br />If V.. foryin NX) <br />under <br />EL. DISEASE - POLICY MIT <br />S 1,000,000 <br />DESCRIPTION <br />DESCRIPTION OF OPERATIONS below <br />I <br />E&O, Information Risk & Communication <br />Combined Liability Limit <br />$5.000,000 <br />A <br />Liability <br />760010008-0001-Claims-Made <br />05/0812018 <br />05/082019 <br />Max Policy Aggregate <br />$5,000,000 <br />Retention <br />$25,000 <br />_ <br />DESCRIPTION OF OPERATIONS ILOCANONS I VEHICLES (ACbRD tal,Atlditionar RemarSs Scaatlule, may Da aaAThatl if mare spew b rcgalmd) <br />City of Santa Ana, It's Officers, employees, agents, volunteers and representatives are additional insured as indicated, and Coverage is <br />Primary, non-contrstutory when required by written Contract per attached form VCO207 (11113) A��' <br />90;A <br />SHOULD ANY OF THE ABOVE DESCRIPbLICIES BE CANCELLED BEFORE <br />i a <br />THE EXPIRATION PATE YHEREOFI Tire BE DELIVERED IN <br />City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 Civic Center Plaza M-30 <br />Santa Ana, CA 92701 <br />All Items <br />ACORD 25 (20181113) The ACORD name and logo are registered marks of ACORD <br />