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Francine R. es'° b ` 1 <br />�eIr\1Ih—I <br />Villareal „. <br />ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE "MMIDDIYVYV) <br />8/17n020 <br />8/12/2020 <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 Lockton Corri <br />COONEACT <br />NA <br />3280 Peachtree RDad NE, Suite #250 <br />PHONE FAX <br />IC, N. Ext: AIC No : <br />.Atlanta GA 30305 <br />E <br />(404) 460-3600 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURER A: National Fife Insurance CO of Harttol'd <br />20478 <br />INSURED VaCun1 Property Security LLC <br />INSURER B: The Continental Insurance Company <br />35289 <br />INSURER C : American Casualty Company of Reading. PA <br />20427 <br />1446275 1230 Veterans Highway, Suite F3 <br />Bn9tol PA 19007 <br />INSURER D: Berkley Insurance Company <br />32603 <br />INSURER E: Continental Casualty Coinpany <br />20443 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 15367553 REVISION NUMBER: XXXXXXX <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 rypE OF INSURANCE ADDLSUBR POLICYEFF POLICYEXP <br />LEE INSD WVD POLICY NUMBER MMIDDIYVYV MMIDDIYVYV LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />y <br />N <br />6072126021 <br />63/2020 <br />6/32021 <br />EACH OCCURRENCE <br />$ 1,000.000 <br />CLAIMS -MADE I OCCUR <br />PREIM SESOEa occurr0e nee <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 15,000 <br />PERSONAL &ADV INJURY <br />$ 1,000.000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY F— PECT RO- F- LOC <br />J <br />PRODUCTS-COMPIOPAGG <br />$ 2,000,000 <br />OTHER: <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />N <br />N <br />607212664H <br />63/2020 <br />6/32021 <br />COMBINED SINGLE LIMIT <br />Ee eooidanl <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ XXXXX�i <br />ANY AUTO <br />I <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident <br />$ XXXXXXX <br />HIRED NOWOWNEDPROPERTY <br />AUTOS ONLY AUTOS ONLY <br />DAMAGE <br />Per mer, nt <br />$XXXXXXX <br />$XXXXXXX <br />H <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />N <br />N <br />6072126634 <br />6l3/2020 <br />6/3/2021 <br />EACH OCCURRENCE <br />$ 25.000.000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ 25,000,000 <br />DED RETENTION$ <br />$ XXXXXxx <br />G <br />WORKERS COMPENSATION YIN <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatary in NH) <br />NIA <br />N <br />6072L26617 <br />6l3/2020 <br />6/3/2021X <br />STATUTE OIRH <br />E. L EACH ACCIDENT <br />E.L DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />$ 1,000,000 <br />f yes, describe under <br />DESCRIPTION OF OPERATIONS b I <br />I <br />SEPOLICYLIMIT <br />$ 1,000.000 <br />D <br />Crime <br />N <br />N <br />BCCR45000270-14 <br />63/2019 <br />8/172020 <br />S I O,000,000;Ded:S 10Q000 <br />E <br />ProlussionaL Llob. <br />652003615 <br />6'3/2020 <br />6/3/2021 <br />S5,000.000; RET:S50,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />THIS CERTIFICATE SUPERSEDES ALL PRE VIOIISLY ISSUED CERTIFICATES FUR THIS HOLDER -APPLIC ABLE TO THE CARRIERS LISTED AND THE Pn LICti TERNI(S) REFERENCED. <br />The Citv of Santa Ana, its otFcers. employees. agents, and ncteesentatives are included as Additional Insured in accordance with the policy provisions of the <br />General Liability Policy. General Liability coverage is on a pi9maiy and nun-mnh'ibutory basis as requiredby written contact subject to pnhcV tct'ins. <br />conditions and exclusions. <br />15367553 <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th t7ooi <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />IUBR i1t8118.ganerd Diuisinn <br />REVIEWED&APPROVEDBV: <br />'� Risk Management Analyst <br />