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A-2016-275-01 MACIGIN-02 LMANZER "M" DATE(MMIDOIYYYYI I CERTIFICATE OF LIABILITY INSURANCE _04/18/2019 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. If 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 Alliant Insurance $erVICBS, Inc, 2355 Gold Meadow Way Ste 260 CONTACT Tracy Dolan NA PHONE AID, No, Ext: (916) 210-0317 Pnlc, NeI:(916) 210-0343 Gold River, CA 95670 E-m/RIEss tracy.dolan@alliant.com INSURERS AFFORDING COVERAGE NAICN INSURER A:Fireman's Fund Insurance Com an 21873 INSURED INSURER e:Oak River Insurance Company 34830 INSURER C: Macias Gin! & O'Connell LLP 3000 S Street, Suite 300 Sacramento, CA 95816 INSURER D: INSURER E NSURER F: COVERAGES CERTIFICATE 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. INSR L A TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L OCCUR ADOL IN p X SUER I POLICY NUMBER A S1 AZC 80910377 DY P_INIOLICEFF 04/30/2019 POLICYEXP h aua�n�n 04/30/2020 LIMITS EACH OCCURRENCE IS 2,000,000 DIAMAGE TO RENTED o $ 100,000 MED EXP An one erson 101000 PERS(Eirl&ADV NJURY Included GEN'L AGGREGATE LIMIT APPLIES PER X POLICY �E� II LOU GENERAL AGGREGATE $ 4,000,000 l PRODUCTS-COMPIOP AGO Included COMBINUgDtSINGLE LIMIT g $ 2,000,000 A OTHER, AUTOMOBILE LIABILITY . BODILY INJURY IPnr oeraom $ ANY AUTO OWNED SCHEDULED _ AUTOS ONLY AUTOS X AIRED X NON -OWNED AU Fos ONLY AUTO'ONLY A S1 AZC 80910377 04/30/2019 0413012020 I DODILY INJURY IPer accitlpnt $ PROPERTY DAMAGE Por accltlent $ UMBRELLA LIAB E%CESS LIAR OCCUR CLAIMS -MADE EACI I OCCURRENCE $ AGGREGAiE DED RETENTION$ WORKERS COMPENSATION ANDEMPLOVERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIM[MHER EXCLUDED? (Mandatory i. I If Dyes, tlescribe under DESCRIPTION OF OPERATIONS below PER OTH- y` STAT ER $ B NIA MAWCO24121 04/30/2019 0413012020 E. L. EncH ACCIDENT $ 1,000,000 E.L. DI SEASE-EA EMPLOYEE $ 1,000,000 EL. DISEASE -POLICY LIMIT 5 1,000,000 Ti� DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is requlretl( The City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional Insured with respect to General Liability as their interest may appear per the attached form. Coverage is primary and non-contributory. Thirty days notice of cancellation applies. l? Zeptnpp'? ■ 1Z� "Insured does not own any vehicles so only non -owned and hired coverage would apply, —aiPIVE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 _ AUTHORIZED REPRESENTATIVE 1� / ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD