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ACoORO® CERTIFICATE OF LIABILITY INSURANCE `i DATE(MMIDWYYYY) 119/ 9 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 NAME Gwen Harvey RFP INSURANCE AGENCY, INC. PHONE 310 -1933 1PMC.Na,: (310)645-3150 5601 W Slauson Ave #250 a'"AIL aess, ahar—y—ev011ainsures.com INSURERS AFFORDING COVERAGE NAIC0 Culver City, CA 90230 INSURER A: State Compensation Ins. Fund 1 3507 _ INSURED Civic Collections Inc INSURERS: Penn -Star Insurance Co. 10 INSURERC: INSURER D: 1565 Eldertree dr. INSURER E : 1 INSURER F: Diamond CA 91765 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 TYPE OF INSURANCE ADDL SUS pOUOY NUMBER POLICY EFP MMMDNYYVI Y UCYEXP WDDFYYM LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE UX OCCU0. Y I ( I CPV0028541 07/18119 107/18/20 I EACH OCCURRENCE It 1,000,000 1AGE TO RE D PREMISES Eaaaurr nca $ 100,000 MED EXP IAny one anon) $ 6,000 PERSONAL3AOVINJURY $ 1,000.000 GENL AGGREGATE LIMIT APPLIES PER: X POLICY ❑.IEC DLOC OTHER I GENERAL AGGREGATE , S 2,000,000 PRODUCTS-COMPIOPAGG $ Include S B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS NON -OWNED AUTOS ONLY X AUTOS ONLY I Y CPV0028541 07118/19 1 B7118/26 i COMBINED SINGLE LIMITjEe $ 1,000,000 BODILYINJURYeraon) S BOOILYINJURY P (er XHIRED PROPERTYOAMgGE T. aecid.0 $ _ UMIRILIALIAS EXCESS UAS OCCUR CLAIMS -MADE , - I EACH OCCURRENCE S AGGREGATE S DIED I I RETENTIONS $ A WORKERS LUIMUTY AND MPLOOERs YIN (ANYPROPRIETORIPARTNEREXECUTIVE IOFFICEMdMBER EXCLUDED? (Manddese in NH) �N yyaass destnbe OF O DESCRIPTiGN Of OPERATIONS below , NfAI I I 9067373.18 Oa/02N9 { ( 08/02/20 XMPENSATION PEAT ETH E E,L. EACH ACCIDENT $ 1� Q�Q�� QQQ E.L.DISEASE-FAEMPLOYE $ J.VVV QQ EL DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remade Schedule. maybe attached R more space is required) City of Santa Ana, officers, agents, employees, and volunteers are named as additional insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. 30 day notice of cancellation or 10 day for non-payment City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza, 4tREll WrWED & APPRO EtPCORDANCE WITH THE POLICY PROVISIONS. Santa Ana. CA 92702 y Risk NACEMEw DIV A )FD REPRESENTATNE A 2 2019 e CD 1988 015 ACORD RPORATION. All rights reserved. ACORD 25 (2016103) Th jlpMpMh rrffegistered marks of AC