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OF A�� CERTIFICATE OF LIABILITY INSURANCE DATE 2/1 s/2ozo 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 Risk Strategies Company 700 Airport Boulevard, Suite 300 Burlingame, CA 94010 CONTACT NAME: Tiifan Chinn PHONE a No: Ea . 650-762-0400 EMA IL ADDRESS: tchinn risk -strata Ies.com INSURER S AFFORDING COVERAGE NAIC k INSURER A: Federal Insurance Company 20281 INSURED NiIA 723 West Woodbury Road Altadena CA 91001 INSURERS: INSURERC: INSURER D: INSURER E : INSURER F 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE ADDL SUER wvDPOLICYNUMBER EFF MMIDDYIYYYY EXP MMMDY LIMITS A �/ COMMERCIAL GENERAL LIABILITY ✓ 35892515 12/27/2019 12/27/2020 EACH OCCURRENCE $1,000000 DAMAGE REN ED PREMISES Ea occurrence $1 000,000 CLAIMS -MADE �✓ OCCUR MED EXP (Any he person) $10 000 PERSONAL& ADV INJURY $1.000 000 GEN'L AGGREGATE LIMIT APPLIES PER: E PROJECT El GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $2,000000 POLICY LOC $ OTHER: A AUTOMOBILE LIABILITY 73588466 12/27/2019 12/27/2020 COMBINED MB deDcINGLE LIMIT $1 000000 ANY AUTO BODILY HAIRY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ ✓ HIRED NON-OWNFD AUTOS ONLY ✓ AUTOS ONLY PROPERTY DAMAGE Per accident ACV S A ✓ UMSRELLAUAB ✓ OCCUR 78182245 6/30/2019 6/30/2020 EACH OCCURRENCE $1 000,000 AGGREGATE $1,000 000 MCESS LWB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETORIPARTNER/EXECUTIVE OFFICER(MEMBEREXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers are named Additional Insured per attached Form 80029020. This insurance is primary and non-contributory with respect to insurance or self-insurance maintained by the City. Certificate of Insurance shall provide thirty (30) day prior written notice of Cancellation. REVIEWED & APPROVED City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Santa Ana CA 92702 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 Mike N7b Cl� ACORD 25 (2016103) ACORD The ACORD name and logo are registered marks of ACORD 54173002 139-20 cL/AL & OMB I Lucy Faleota 1 2/19/2020 9:39:37 AN (PST) I Page 1 of 5 All rinhte