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ACOR& CERTIFICATE OF LIABILITY INSURANCE 04/24/20 9n 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 DOE§ NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlRwte holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WANED, 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 andomemeM s . PRODUCER Harbor West Insurance Agency, Inc. 2WO Marguerite Parkway, Suite a Mission Viejo, Ca. 92692 W. CT Rick KEYS PAS 949 768 054 1.1.. . (949) 766-1188 NP: _ 1144AIL Ali rick harborwesfinsurance.Dom MSTC fi__ R,_ d 47 INSURERS) AFFORDING COVERAGE NAICI -- INSURED ACTIVE LEARNING w) C I ��'� �)C') C) 505 E Central Ave Santa Ana. CA 92707 INSURER A: Hartford - INSURER B: INSURER c: INSURER o INSURER E : INSURER F : C0VSRknPe rPRTIFIrATP NUMBER! REVISION NUMBER: 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. --... ILrg TYPO OF LNSU-. .... MNCE POLICY MIME"P96 UP LIMITS EACH OCCURRENCE BENERALLVLBILTY 3 1,000,000 S 1,000.000 COMMERCIAL GENERAL LIABILITY PREMISES tEaoxunenu S 10,000 A ICLAIMS•MADE'� OCCUR 172 SBM BA2206 0 /07/19 4/07/20 MED EXP Ir--My ono Penml S 1,000,000 Y PERSONALS ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO 3 2,000.000 _ GENT AGGREGATE LIMIT APPLIES PER: S 2,000,000 3 1 i POLICY PRO• 7 LOC AUTOMOBILEWB w COMBINED SINGLE LIMIT 3 (Ea amdent) ANY AUTO BODILY INJURY (Per person) IS ALLOWNEDAUTOS BODILY NJURY(Perooddars) 2 SChEOUIEDALR08 PROPERTY DAMAGE S ',' HIRED AUTOS (Peremdem) — NONOIANEDAUTO$ 3 ed UMBRELLA IW OCCUR Re e - EACHOCCURRENCE 3 AGGREGATE 3 EXCESS LIAR CLAIMS -MADE ',. i ''.. DEDUCTIBLE 1' f RETENTION S Ici. WORKERS COMPENSATION It r] VRYLI IT FR AND EMPLOYERS` L.NBWTY YIN Oc�<`d — ANYPROPRETORIPARTNER/FJECJTIVE P yyO E. L. EACH ACCIDENT 9 i CsF10ERIAMeER EXC'1IOEOi R/A 'IMendatpy in NN) E. L. O'SEASE - EA EMPLOYE a se.p1 OFF dnTN;`cr OPERA'10 abw Garin et V T� E. L. DISEASE -POLICY JMIT S 4 DESCRIPTION OF OPERATIONS 1 LOCATNINS I VEHICLES (ARSsh ACORDIdt,Addrd Ml Rener3Asdbeeds,9n seenlengUIM4) City of Santa Me. its OMars, Assets. EmOoyessand VVIdIUM rS as Addllbnal imurad 20 CiMc Censer Plan BMda Ms, CA 92701 Such Ineulsnn as H afforded by INS Posey Is PnmarY and is not addifia" m or cmtdbWneMth any other tnsurann carried by or for the West of He Odd ions Insured, CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE ATTN: PURCHASING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. 30 day written notice of 20 CIVIC CENTER SANTA ANA, PLAZA Policy Cancellation to Certincate Hol er ALmoltIZED REPRESeHTATVE Richard Key 01 HS•200 C D CORPODATION. All rights reserve ACORD 25 (201119109) The ACORD name and logo are registered marks of A ORD