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Francine R. Villareal hill m.n(,ism ry r,������s <br />1A, r?0 npo nm,a<neoo <br />AoiCi�® CERTIFICATE OF LIABILITY INSURANCE <br />D1110212020DYYYY) <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 <br />CONTACT <br />NAME: "' <br />MARSH USA INC <br />FAX <br />1717 Arch Street <br />AHC Ent),(A/C, No): <br />E-MAIL <br />ADDRESS: <br />Philadelphia. PA 19103 <br />Arm Philadelphia.carLs@marsh.com I Fax:(212) 94M360 <br />INSURER(S) AFFORDING COVERAGE <br />NAICN <br />INSURER A: Lexington Insurance Company <br />19437 <br />CN118025105-ALL-Prof-19-21 <br />INSURED Allied Universal Topco, LLC <br />INSURER B : Greenwich Insurance Company <br />22322 <br />INSURER C : XL Insurance America <br />24554 <br />(See Attached for Additional Named Insureds) <br />161 Washington Street, Suite 600 <br />INSURER D : Indian Harbor Insurance Company <br />36940 <br />Conshohocken, PA 19426 <br />INSURER E: XL Specialty Insurance Company <br />37885 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CLER 6447772-20 REVISION NUMBER: 10 <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 />R <br />OF INSURANCE <br />ADDTYPE <br />INSD <br />WVDSUBR <br />POLICYNUMBER <br />POLICY MMIDDYVYV <br />MML ICY EXP <br />DDYVYV <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />082695264 <br />1110112019 <br />0110112021 <br />EACH OCCURRENCE <br />$ 10p00,000 <br />CLAIMS -MADE IX I OCCUR <br />PREMISEB Ea occurrence <br />$ 10,000p00 <br />Professional Liability is included <br />MED EXP (Any one person) <br />$ <br />X <br />SIR $1,750,000 <br />PERSONAL s ADV INJURY <br />$ 10,000,000 <br />in the General Liability limit. <br />GEHL <br />AGGREGATE LIMIT APPLIES PER. <br />GENERAL AGGREGATE <br />$ 10,000.000 <br />POLICY PEGROT ❑ LOG <br />J <br />X <br />PRODUCTS - COMPIOPAGG <br />$ 10,000,000 <br />1 <br />$ <br />OTHER <br />1 <br />B <br />AUTOMOBILE LIABILITY <br />RAD9437818-03 <br />1110112019 <br />0110V2021 <br />COMBINED SINGLE LIMIT <br />Ea accident' <br />$ 5.000.000 <br />BODILY INJURY(P., person) <br />$ <br />AUTO <br />X OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY(Per accident) <br />$ <br />XIANY <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PRO P E RTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAB <br />X <br />OCCUR <br />RES9437994 <br />11/0112019 <br />0110112021 <br />EACH OCCURRENCE <br />$ 10,000,000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />EXCESS OF GENERAL LIABILITY <br />AGGREGATE <br />$ 10p00,000 <br />DED RETENTION <br />$ <br />C <br />E <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYP ERIME BERE EXCLUDED' <br />OFF ICERIM EM BEREY.CLUDED? N <br />(Mandatory in NH) ❑ <br />NIA <br />RIND3001203-04(AOS) <br />RWR3001204-04(Wq <br />1 VOV21020 <br />1110112020 <br />0110V2021 <br />0110112021 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1.000.000 <br />f yes describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L DISEASE -POLICY LIMIT <br />1.000.000 <br />$ <br />A <br />PROFESSIONAL LIABILITY <br />U82695264 <br />liffl U2019 <br />0110112021 <br />LIMIT <br />2,000.000 <br />COMBINED WITH GL LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEH IC LES (AC 0RD 181, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured wham required by written contract with respect to General Liability and Auto Liability. <br />Liability coverage shall be primary and nun -contributory where required by written contract. Waiver of subrogation is applicable where required by written contract. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <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 />of Marsh USA Inc. <br />Manashi Mukherjee <br />© 1988.2016 ACORD C <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Rifle MattagmadDivisi in <br />e�REVIEWED & APPRO�VpEDBY. <br />' Fncr �. V:�bnaF.t <br />�EFT371i,' Risk Management Analyst <br />