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W\A-- cLavV� 9 os4 A -7 ao1— 03b CALIFOR-02 EV LY OS . Ia O CERTIFICATE OF LIABILITY INSURANCE `� DAM 121111201 YYI 12/11l2019 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. It 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 C TACT NFP Property & Casualty Services, Inc. 1551 North Tustin Avenue Suite 500 OE EX11: (714) 5055550 FAX INC, No:(714) 975-8966 Santa Ana, CA 92705 INSURERISI AFFORDING COVERAGE NAIC 9 INSURER A: Evanston Insurance Company 35378 INSURED wSURERBStarNetInsurance Company 40045 NSURERC:__ California Forensic Phlebotomy 5753 E. Santa Ana Cyn Rd. Suite G-653 Anaheim Hills, CA 92807 INSURER D - INSURER E INSURER F COVERAGES CERTIFICATE NIIMRFR• orvimnM AJUM!?So. 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. INSFt TYPE OF INSURANCE AWL SUER POLICY NUMBER POUCY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LMASIUTY CLAIMS4ADE a OCCUR X SM933591 11117/2019 11/17/2020 EACH OCCURRENCE 2,000,00 DAMAGE TO RENTED 50,000 MEDEXP An . nat S 5,000 PERSONAL &AOV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY jEgT LOC GENERAL AGGREGATE S 3,000,000 PRODUCTS - COMPIOP AGO s Included OTHER A AUTOMOBILE UA,BIUTY COMBINED SINGLE LIMIT S 11000,000 BODILY INJURY Par eraan $ IXANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOSSWryE SM933591 11/17/2019 11/17/2020 BODILY INJURY Par acadern AUTOS ONLY X AUTOS ONLY P�OPPEERTeYn1l DAMAGE UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS UA8 CLAIMS.MADE DEO RETENTIONS r B ANDEMPLOVERSNNSSATIOITY r�g ANY PROPREIETOFRPARTNER,EXECUTIVE n IMa ISXtdry In NNi, EXCLUDED' LLJJ dearneeorder00 DE MIPTION OFOPERATIONS below NIA BNUWC0147453 411212 �411=0210 )( PER OTH' 1. EACH ACCIDENT 1,000,000 E. L. DISEASE -EA EMPLOYE 00 1,000,gls, E.L. DISEASE - POLICY UNIT S 1,000,000 A E&01Prof Liab SM933591 1111712019 11117/2020 Aggregate 3,000,000 A E&OITrof Llab SM933591 1111712019 11/17/2020 Occurence 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I WHWLE5 (ACORD 101, Additla al Renurta ScMduia, mX bX attached r.. XPaca la r•qubedl The City of Santa Ana, its officers, employees, agents & representatives are named IYdditional Insured as respects to General Liability. This Insurance is primary and non-contributory with any other Insurance of the additional insured, so long as a written contract or agreement to such exists prior to a loss, per attached endorsement Manuscript-1. City of Santa Ana Attn: Risk Management D 20 Civic Center Plaza, 4th Santa Ana, CA 92702 ACORD 25 (2016103) IN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2015 ACORD CORPORATION. All rights reserved. marks of ACORD SAMANTHA M. LAMBERT