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WOODRCII-01 VSANTOSIIOSSO <br />. kii. J ' CERTIFICATE OF LIABILITY INSURANCE <br />`� <br />DATE I8/202 YYY <br />s/sno2o <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />N 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 endorsements . <br />PRODUCER <br />C ACT <br />Ames & Gough <br />859 Willard Street <br />P' NNa,E,u; 617 328-6555 FAX,817 328-8888 <br />Miss. boston ames ou h.com <br />Suite 320 <br />Quincy, MA 02169 <br />INSURER(SI AFFORDING COVERAGE <br />NNC# <br />INSURER A: Continental Casualty Company CNAI A XV <br />20443 <br />INSURED <br />INSURERS: Transportation InsuranceCom an A) <br />20494 <br />INSURER C: <br />Woodard 8: Curran, Inc. <br />INSURER D : <br />2175 N. California Blvd., Suite 315 <br />Walnut Creek, CA 94596 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NIIMRFR- RFVISInN NIIIMRFR- <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 />TYPE OF INSURANCE <br />ADDLSUSR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIM OCCUR <br />X <br />014561812 <br />2I2312020 <br />✓ <br />2123/20/21 <br />/ <br />EACH OCCURRENCE <br />S 1,000,000 <br />��PREMISES(Ea TO RENTED <br />500,660 <br />MED EXP An one <br />15,000 <br />GENY <br />PERSONAL S ADV INJURY <br />S 11000,000 <br />AGGREGATE UgMIITAPPLIES PER: <br />POLICY � JECT 1XI LOC <br />OTHER: <br />GENERAL AGGREGATE <br />2,000,000 <br />PRODUCTS - COMPROP AGO <br />2,000,000 <br />A <br />AUTOMOBILE <br />LIABILRY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUONLYAAUUTTO$$WNEp <br />�S <br />pTEO <br />AUTOS ONLY AUTOS ONLY <br />6014561843 <br />/ <br />2/2312020 <br />V2312021 <br />COMBINED SINGLE LIMIT <br />-(FAACddeO <br />BODILY INJURY Per anonIf <br />11000,000 <br />X <br />BODILY INJURY raccKord <br />d3t08E ant AMAGE <br />UMBRELLA LIAS <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />AGGREGATE <br />DED I I RETENTIONS <br />B <br />WORKERS COMPENSATIONOTH- <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/E%ECUTIVE YIN <br />OFFICER/MEEM� EXCLUDED? <br />aMatory in <br />If yes dsscdbe mMer <br />DESCRIPTION OF OPERATIONS <br />NIA <br />C676061276 <br />./ <br />2/2312020 <br />2/2312021 <br />E.L. EACH ACCIDENT <br />1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />1,000,000 <br />.. DISEASE -POLICY LIMB <br />11000,000 <br />A <br />A <br />Professional Liab <br />114135520 <br />114135520 <br />21231202 <br />2/23/20 <br />2/2312021 <br />2/23120221 <br />Per Claim <br />Aggregate <br />1,000,000 <br />2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATmNS I VEHICLES (ACORD 101, Additional Rernaft Schedule, ma M aeacfrd If more spa. Is required) <br />N At box is checked, GL Endorsement Form# CNA75079XX, Auto Endt Form# SCA23500D to the extent providetl therein applies and all coverages are In <br />accordance with the policy terms and conditions. <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives shall be Included as additional insured with respects to General <br />Liability where required by written contract. General Liability is primary and Noncontributory as required per written contract. A 30 Day Notice of <br />Cancellation is provided in accordance with the policy terms and conditions. <br />REVIEWED & � <br />City of Santa Ana By Risk MANAGEf <br />Executive Director, Public Works Agency <br />20 Civic Center Plaza (m-21) JUN 16 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />N DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ITH THE POLICY PROVISIONS. <br />r_ <br />M <br />Arnnn ne tone unor <br />The ACORD name and logo are registered marks of ACORD <br />