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l � Ei CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br />06/26/2019 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL. INSURED, the policy(les) must have ADDMONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certficata does not confer rights to the certificate holder in lieu of such endoreement(S), <br />PRODUCER <br />N ME: <br />Automatic Data Processing Insurance Agency, Inc. PatoN� FA,. <br />1 Adp Boulevard <br />INaURIiR(S} AFFORDi <br />Roseland _ NJ 07068 INSURERA.- AmIrust Technology Insurance <br />INSURED <br />INSURER B <br />BLUERAY MANAGEMENT LLC INSURERC: <br />4131 GLNWOOD ST INSURER D: <br />IRVINE CA 92604 1 INSURERF: <br />COVERAGES r`FRTIFIr`AT'R IJIi6MRK1a• 11AQ797 om%11a1^k1 Al"Annno. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LT R TYPE OF INSURANCE POLICY EF'T" O G P <br />L7R POLICY NUMBER MM1UDNYYY MIDDIYYYY LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ _ <br />$ <br />E"7CERq <br />PREMISESjF�_nccurraaoe <br />MED EXP (Anyone person) <br />$ <br />PERSONAL $ ADV INJURY <br />$ <br />GkTI'L AGGREGATE LIMIT APPLIES PER: <br />POLICY a JEC LOG <br />GENERAL AGOREGATE <br />$ <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />I <br />(En accldw)_ <br />$ <br />ANYAUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />F_ <br />HIRED AUTOSNON-OWNEDP <br />AUTOS ONLYE AUTOS ONLYY <br />$ <br />BODILY INJURY (Per accident ) <br />HTY VA <br />Parptxldertt) <br />$ <br />UMBRELLALIAB _ OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB CLAIMS -MADE <br />AGGREGATE <br />$ <br />$ <br />❑ED RETENTION$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YI N <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICEMMEMBEREXCLUDED? N <br />NJA <br />N <br />TWC3778799 <br />02/10/2019 <br />02/10/2020 <br />PER OTH- <br />STATUTE ER <br />E,L EACH ACCIDENT <br />- •- -- <br />$ 1,000,000 <br />$ 1,000,000 <br />(Mandatory In NH) <br />If yes describe undar <br />DESGIR PTION OF OPERATIONS below <br />EX. DISEASE -EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (A R may Ica attached IF more space Is required) <br />YINSchedule, <br />: <br />k M nag men D110sion <br />City of Santa Ana, Risk Management <br />Attn: Risk Management <br />20 Civic Center Plaza <br />Santa Ana <br />VHIVIiFhLH 1 IVR <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 REPRESENTATIVE <br />CA 92702 <br />[CJ 1!18B-YUTh AL;L)RD S:DIiP(7RATI(7N All Arthtu rncnrvnd <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />