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A� d CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDYYYY) a120/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATWELY 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 Marie Swaney Dealey, Renton & Associates 790 E Colorado Blvd #460 Pasadena, CA 91101 PHONE FAX WC N.F.I. AIL mswaneyQdealeyrenton.com INSURERS AFFORDING COVERAGE NAIC It INSURER A: Travelers Property Casualtv Company of America 25674 PROJPAR-01 na Dr ve, Suite 101 E23 tNSURERB: The Travelers Indemn' Com an of Conneeticut 25682 INSURER C: US S ecial Insurance Com an 29599 INSURER D: 92653 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 1927912384 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. LNSIR TYPE OF INSURANCEADDLSUBR POLICY NUMBER POLICY EFF MMID POLICY EXP M D Users; / A X COMMERCWLGENERALUABILITY CLAIMS -MADE 11 OCCUR Y Y 680OJ543236 4/18/21)20 4/18/20/21 ../PREMISES$1,000,000 EACH OCCURRENCE $2,000,000 X ContrWual Uab MED EXP (Ary one $10,000 X XCU IrX WW PERSONAL B ADV INJURY $ 2,000.000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $4,DOO,G00 POLICY�JECTT E-1LOC PRODUCTS -COMPIOPAGG $4,000,000 S OTHER: I B AUTOMOBILE L41BILnY Y V BA93611.484 4/18/2020 4/18QG21 COMBI 1INGLE LIMIT $1,D00,000 ANY AUTO / / BODILY INJURY (Per Pnsan) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Pa actl4mt) $ X PROPERTY DAMAGE ti HIRED X NON- MED AUTOS ONLY AUTOS ONLY X 4 NoOn APtos A X UMSRELLAUAB X OCCUR Y Y CUP8833YS49 4/18/2020 411W021 EACH OCCURRENCE $1.000,000 AGGREGATE $1,000,000 EXCESS LIAB CLAIMS -MADE LIED X I RETENTION E A AND EMPLOYERS' LIABILRY WORKERS COMPENSATWN Y / N ANYPROPRIETOWPARTNEWEXECUTIVE OFFICER/MEMSEREXCLUDEO! N/A Y U83J809976 411W020 4/1812021 / ✓ EAT ORµ E.L. EACH ACCIDENT $1,000.000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (MMWaUNV hNH) �/ If yes aeeat*UWW DESCRIPTION OF OPERATIONS W. E.L. DISEASE -POLICY LIMIT $1AO0,000 C Prohssioru4 Li Irty USS2030764 4/1812020 4/18/2021 Per Claim Amual Aggr $2,000,000 / $2,000,000 DESCRIPTION OF OPE MNS I LOCATIONS I VEHICLES (ACORD 101, A441Oonal Remarks a uls, may 5a eaacM it more space n rapuir dI Insured owns no company vehicles: therefore, hired/non-owned auto is the maximum coverage that applies. Umbrella policy is follow -form to its underlying Policies: General Liability/Auto Liability/Employers Liability. AM Best's Rating for all policies listed are: AIXII or greater. Re: Agreements: A-2018-213, A-2019-117-01, A-2015-235-01 — The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured as respects general and auto liability as required per written contract or agreement. General Liability is Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the attached endorsement(s). / By Risk MANArjEMENT UIVI51V1 City of Santa Ana AP 2020 Risk Management Division 20 Civic Center Plaza, �� Santa Ana CA 92702 ANGiF ACEVEdo 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 © 1988-2015 ACORD CORPORATION. All rights reserved. I ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD