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A`c CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 10/28/2019 <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 lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> MARSH USA,INC. NAME: <br /> 501 MERRITT 7 PHONE FAX <br /> (A/C,No.Ext): (A/C,No): <br /> NORWALK,CT 06856 E-MAILDRLSS: <br /> Attn:Norwalk.certrequest@marsh.com Fax:212-948-0929 <br /> INSURERS)AFFORDING COVERAGE NAIC# <br /> CN102809999-GAW--19-20 INSURER A:ACE American Insurance Company 22667 <br /> INSURED INSURER B:Indemnity Insurance Company of North America 43575 <br /> IRON MOUNTAIN'INCORPORATED <br /> ONE FEDERAL STREET INSURER C:ACE Fire Underwriters Ins.Co. 20702 <br /> BOSTON,MA 02110 <br /> N-2019-238 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: NYC-009768471-22 REVISION NUMBER: 17 <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 ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM1DD/YYYY)I(MMIDD/YYYY) LIMITS <br /> A X I COMMERCIAL GENERAL LIABILITY HDOG71234307 11/01/2019 . 11101/2020 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1,000,000 <br /> MED EXP(Any one person) $ 25,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY PRO- <br /> JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY ISA H25292674 11/01/2019 11/01/2020 ' COMBINED SINGLE LIMIT $ 2,000,000 <br /> ( <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident $ <br /> AUTOS ONLY AUTOS ) <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> ,AUTOS ONLY ,AUTOS ONLY (Per accident) $ <br /> I $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE <br /> AGGREGATE $ <br /> I DED l RETENTION$ I$ <br /> 8 j WORKERS COMPENSATION I I WLR C66038737(AOS) 11/01/2019 1.1/01/2020 x PER I OTH- <br /> !AND EMPLOYERS'LIABILITY STATUTE ER <br /> A ANYPROPRIETORIPARTNERIEXECUTIVE YIN WLR C66038774(AZ,CA,MA) 11/01/2019 11/01/2020 1,000,000 <br /> OFFICERNEMBEREXCLUDED? N N/A E.L.EACH ACCIDENT $ <br /> C (Mandatory in NH) SCF C66038816(WI) 11/01/2019 !11/01/2020 E.L.DISEASE-EAEMPLOYEE'$ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT I$ 1,000,000 <br /> I <br /> i I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate holder is included as an additional insured on the general liability policy but only as relates to services and limits required by written contract or agreement. This insurance is primary and non-contributory <br /> over any existing insurance as it pertains to the general liability and limited to liability arising out of the operations of the named insured and where required by written contract. <br /> S' E i<<. APPROVED <br /> ; °y/1F�4r�r'El- & <br /> '� <br /> )t: i,.72:i1 E1• • ENT DIVtStON <br /> ' <br /> CERTIFICATE HOLDER r CANCELLATION <br /> THE CITY OF SANTA ANA l �� <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> ATTN:LYNDA KELLY J�e THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. <br /> SANTA ANA,CA 92701 SAMANTH M. UlVIDERT <br /> AUTHORIZED REPRESENTATIVE <br /> of Marsh USA Inc. <br /> Sam Baliga <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />