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ACC)RbP CERTIFICATE OF LIABILITY INSURANCE <br />111 <br />DATE(MMIDDN"Y) <br />03/07/2019 <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 pollcy(ies) 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 rl hts to the certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />Number1 Insurance Marketing Services <br />17111 Beach Blvd Ste 103 <br />Huntington Beach, CA 92647 <br />License #: OC17917 <br />NANEACT Proof <br />PHONE (7141848-4400 (AIDFAX Ne; 714)845-3500 <br />E-MAIL Proof numberiins.com <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Houston Specialty Insurance Company <br />ALS660502.01 <br />INSURED <br />INSURER B; NautIJUS Insurance Company <br />17370 <br />INSURER c: American Family Home Insurance Co <br />23450 <br />CITIGUARD, INC <br />9301 CORBIN AVE. SUITE 1800 <br />INSURER D: Houston Specialty Insurance Company <br />12936 <br />NORTHRIDGE, CA 91324 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 00000000-0 , RFVISInM NUMRFR• 7n <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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />Si <br />POLICY NUMBER <br />POLICY EFF <br />MMIOOIVYYY <br />POLICY EXP <br />MM DD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMB-MADE ® OCCUR <br />Y <br />ALS660502.01 <br />10/17/2018 <br />10/17(2019 <br />EACHOCCURRENCE <br />$ 1,000,000 <br />TAMAGE TO <br />PREM SES Ea coc pence <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 10000 <br />PERSONAL &ADV INJURY <br />_ <br />$ 1,000,000 <br />-L AGGREGATE LI MIT APPLIES PER: <br />POLICY n PECT EILOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />- <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Pereccidant <br />$ <br />B <br />UMBRELLA LIAR <br />X <br />OCCUR <br />AN058423 <br />10/1712018 <br />10/17/2019 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />x <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ 5,000,000 <br />OED I I RETENTION$ <br />$ <br />C <br />WORKERS <br />AND EMPLOVER5EN ABILOItt YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVEE.L. <br />OFFICERIMEMBER EXCLUDED? ® <br />NIA <br />2EA5WC000027302 <br />06/0112018 <br />06101)2019 <br />X STATUTE ER <br />EACH ACCIDENT <br />$ 1,000,000 <br />E. L. DISEASE - EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />$ 1,000,000 <br />(Mandari in NHl <br />If d ascribe under <br />DESCRIPTION OF OPERATIONS he. <br />D <br />Errors & Omissions <br />ALS660502-01 <br />10/17/2018 <br />10/17/2019 <br />Each Occurrence <br />$1,000,000 <br />General Aggregate <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />The City of Santa Ana, It's officers. employees, agent, and representatives are named as additional insureds with regards to <br />CGL when required by written contract with the insured. <br />CERTIFICATE HOLDER CANCFI I ATION <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Printed by BPP on March 07, 2019 at 06:31 PM <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />SANTA ANA, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />I <br />"bon BPP <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Printed by BPP on March 07, 2019 at 06:31 PM <br />