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ACORO <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE9/19/2019 <br />�� <br />09/19/2019 <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(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 Ilou of such endorsement(s). <br />PRODUCER <br />NAME CT Stacey Campbell <br />KIA Insurance Associates, Inc. <br />PHONE .EA0. (661) 835-4542 (661)835-4500 <br />License # 0415101 <br />AOOHH38. scampbell@kernins.com <br />' <br />P.O. Box 11390 <br />INSURERISI AFFORDING COVERAGE <br />NAICM <br />Bakersfield CA 93389-1390 <br />INSURERA: Travelers Casualty Insurance Co of America <br />19046 <br />INSURED <br />INSURER 8: Travolor& P & C CD America <br />25674 <br />Infinity Communications & Consulting, Inc. <br />INSURER C: National Fire Insurance of Hartford <br />00478 <br />P.O. Box 999 <br />INSURER D: Certain Underwriter at Lloyds <br />INSURER E: <br />Bakersfield CA 93302 <br />INSURER F: <br />GuVCI Urb CERTIFICATE NUMBER: la-Zu REVISION NUMBER: <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 OFANY CONTRACTOR OTHER DOCUMCNT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />MAVDCDF <br />IYYYY <br />POLY <br />-LMMIODIYExP <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACHOCCURRENCE <br />_ <br />f 2.000,000 <br />CLAIMS -MADE OCCUR <br />PREMISES rg <br />f 300.000 <br />MEDEXP Arone run <br />f 5,000 <br />_ <br />PERSONAL&ADV INJURY <br />f 2.000.000 <br />A <br />fi60001J742131 <br />0211712019 <br />D2M7/2020 <br />GENLAOOREGATELIMITAPPLIES PER: <br />M <br />GENERALAGGREGATE <br />f 4.000.000 <br />PRODUCTS - COMPIOPAOG <br />f 4,010,000 <br />X POLICY jEP LOC <br />f <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />_ _ <br />C HINEUSINGLELIMIT <br />ffi..c0d.II_ <br />f 1,000,000 <br />X <br />ANYAUTO <br />BODILY INJURY (Par parson) <br />f <br />A <br />OwneD SCHEDULED <br />ONLY AUTOS <br />BASN27639719 <br />10/2412019 <br />10/24/2020 <br />OD <br />BILYtNJURY(PB,acckNn) <br />I;AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOSONLY <br />PeOPEar a Mm,fde D) AGE <br />l <br />f <br />Uninsured motorist <br />It 1,000,000 <br />UMBRELLALIAS <br />OCCUR <br />EACH IXw•, -C(C URRE;;;Z7 L ^•• <br />:NCE <br />f 210001000 <br />B <br />EXCESS LIAB <br />CLAIMS.ADE <br />CUP002J349555 <br />02/17/2019 <br />02/17/2020 <br />AGGREGATE <br />f 2.000.000 <br />DEO I I RETENTION S <br />S <br />WORKERS COMPENSATION <br />PER 0 <br />AND EMPLOYERS' LIABILITY y/N <br />STATUTE R <br />E.L. EACH ACCIDENT <br />f 1,000,000 <br />C <br />ANYPROPRIETORIPARTNDECXECUTIVE N <br />OFFANY PROPRIETOMEMBER EXCLUDEDI <br />NIA <br />4018266026 <br />07/01/2019 <br />07/01/2020 <br />EL. DISEASE - EA EMPLOYEE <br />f 1-000,000 <br />In NH) <br />es, <br />11 dvac <br />DESCRIPTION OF OPERATIONS bebx <br />E.L. DISEASE - POLICY LIMIT <br />f 1-000,000 <br />Professional Liability claims made <br />per claim <br />$2,000.000 <br />D <br />CR-164984 <br />08/19/2019 <br />08/1912020 <br />aggregate <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 1ai, Addiflenal Remarks Schedule, may be beached If more apace le requlretl) <br />RE: Santa Ana Public Library. The City of Santa Ana, Risk Management 20 Civic Center Plea, Santa Ana, California 92701; its officers, employees, agents <br />and representative are named as additional insureds and coverage is primary and non-contributory for General Liability per written contract and attached <br />endorsements <br />REVIEWED & APPROVED <br />By RISk MANAGEMENT DIVISION <br />D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana Risk ManagementWITH FRANCINE R. VILLA ?EXORDAEXPIRATION <br />DATE <br />THER OF. ROVISIWILL BEOELIVEREOIN <br />20 Civic Center Plaza M-23 <br />AUTHORIZED REPRESENTATIVE <br />�I <br />Santa Ana CA 92702 <br />t01988-2015 ACaRn CORPORATinto AU .inhi.,... <br />.,.ed <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD <br />