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ACORc►� CERTIFICATE OF LIABILITY INSURANCE <br />�.. 7/l/2019 <br />FDATE(MMIDDIYYYY) <br />1 6/20/2018 <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 policy(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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER LOckton Companies <br />Three City Place Drive, Suite 900 <br />St. Louts MO 6314I-708I <br />(314) 432-0500 <br />CONTACT <br />PHONE <br />LAIC,N uc Na <br />EMAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAICIt <br />INSURER A: XL Insurance America Inc. <br />24554 <br />INSURED COrrpro Companies, Inc. <br />1316349 5643 N. 52nd Avenue <br />INSURER B: ACE American Insurance Company <br />22667 <br />INSURER C: IndemnityInsurance Co of North America <br />43575 <br />Glendale AZ 85301 <br />INSURER D : Starr Indemnity & Liability Company <br />38318 <br />INSURER E:Indian Harbor Insurance Company36940 <br />INSURER F : <br />COVERAGES CORC002 CERTIFICATE NUMBER: 105937R5 REVISION NUMRFR• xxxxxxx <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 />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDNYYY <br />POLICY EXP <br />IN /DD/YYYYI <br />LIMITS <br />A <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />L ��] <br />CLAIMS -MADE X OCCUR <br />Y <br />N <br />CGD300084903 <br />XCU / BROAD FORM PD <br />7/1/2018 <br />7/I/2019 <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 2,000,000 <br />- <br />$ 1 000 000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GEVL AGGREGATE LIMIT APPLIES PER: <br />POLICY �X LOG <br />GENERAL AGGREGATE <br />$ 4 000 O00 <br />I <br />PRODUCTS - COMP/OP AGO <br />$4000000 <br />$ <br />OTHER <br />B <br />AUTOMOBILE <br />LIABILITY <br />N <br />N <br />ISA H25158945 <br />7/1/2018 <br />7/1/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 5000000 <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ XXXXXXX <br />$XXXXXXX <br />D <br />UMBRELLA LIAB <br />X' <br />OCCUR N <br />N <br />t000095154181 <br />11112111 <br />7/1/2019 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE' <br />AGGREGATE <br />$ 5 000 000 <br />DED RETENTION $ <br />$ X'j(X'X'X'X'X' <br />B <br />G <br />G <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOWPARTNEWEXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED' �', NIA <br />(Mandatory in NH) <br />Dyes, describe under <br />NPER <br />WLRC65224997(CA/MA) <br />WLIZC6522494A(AOS) <br />(EXCLUDING MONOPOLISTIC <br />7/1/2018 <br />7/1/2018 <br />7/1/2019 <br />7/1/2019 <br />OTH- <br />X STATUTE I ER _ <br />E.L. EACH ACCIDENT <br />_ <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 000 000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1000000 <br />DESCRIPTION OF OPERATIONS below <br />E <br />E <br />Contr Prof, Liab <br />Contr Poll. Liab <br />N <br />N <br />CE0742002406 <br />CPL742035805 <br />7/1/2018 <br />7/1/2018 <br />7/1/2019 <br />7/1f2019 <br />Per Policy <br />$ 10,000,000 per claim/Agg, <br />E <br />(PROP -CLAIMS MADE) <br />$500,000 SIR each loss <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND EMPLOYEES ARE ADDITIONAL, INSUREDS UNDER GENERAL LIABILITY <br />WHEN REQUIRED BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF TIT NAMED INSUREDS OPERATIONS. <br />XX "SEEAT'TACHEDENDORSEMENTS" <br />i' �'l"^ " ✓` �� `T' 2 IIfI mil <br />P.1 <br />10593785 <br />CITY OF SANTA ANA <br />ATTN: PURCHASING DEPARTMENT <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701-4010 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />0 <br />0 <br />I/ <br />GI <br />!J <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />All <br />