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ACORO® CERTIFICATE OF LIABILITY INSURANCE DAM(MMIDDIYYYY) 10/07/2020 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 CONTACT Nicole Hardin NAME: Advanced Brokers Insurance Services AICNNo Ext: (858) 436-7999 FAX, No: (858) 436-7998 E-MADDRESS: service@advancedbrokersinc.com 360 N El Camino Real 1A INSURERS) AFFORDING COVERAGE NAICN INSURERA: Liberty Mutual Insurance Co 23043 Encinitas CA 92024 INSURED INSURER B: AXIS Surplus Insurance Company 26620 INSURERC: Eco/Nomics, Inc. dba Ecal/nomics, Inc. INSURER D: 832 Camino Del Mar Stet INSURER E 1 INSURER F: Del Mar CA 92014 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 R TYPE OF INSURANCE ADDL MDSUBR POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDI, YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR PREMSEs Ea occ EO nce $ 500,000 MED EXP (Any one person) $ 15,000 PERSONAL SADV INJURY $ 1,000,000 A X X BKS57048355 12/09/2019 12/09/2020 GENU AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY PRO-JECT LOC X PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER'. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1000000 BCD I LV INJURY (Per person) $ MY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS X X BKS57048355 12/09/2019 12/09/2020 BODILY INJURY (Per accident) $ X HIRED INON-OWNEDAUTOS AUTOS ONLY ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E. L EACHACCIDENT $ OFFI CER/MEM BER EXCLUDED? ❑ NIA E. L. DISEASE - EA EMPLOYE $ (Mandatory in NH) f yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE - POL ICY LIM IT $ Professional Liability Each Claim $1,000,000 B X X EMP19001661-01 10/01/2020 10/01/2021 Aggregate $2,000,000 Deductible $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may beattached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division, 4th floor 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Cassie Morris ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD IUBa Manag¢ nadDivision ram. REVIEWED &{APPROVm By., oll lli111.1� /-z' rb6HlM�e vdt i t¢bl. ® Risk Management Analyst