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A� " CERTIFICATE OF LIABILITY INSURANCE <br />OATE(MMIDDYYYY) <br />4l6/2020 <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 INSURERS), 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 <br />CONTACT <br />NAME: <br />(BK) Heffernan Insurance Brokers <br />PNONE FAx661-344-4132 <br />1675 Chester Avenue, Suite 310 <br />,C N . 661-327-3321 <br />IL <br />Bakersfield CA 93301 <br />INSURERS AFFORDING COVERAGE <br />NAIC8 <br />INSURER A: Federal Insurance Company <br />20281 <br />INSURED APPLTE"O <br />INSURER B: Scottsdale Insurance Company <br />41297 <br />Applied Technology Group Inc <br />4440 Easton Drive <br />INSURER C: AGCS Marine Insurance Company <br />22837 <br />INSURER D: Insurance Company of the West <br />27847 <br />Bakersfield CA 93309 <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 804783905 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 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 />ILTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />X <br />COMMERCMI-GENERALLIASUM <br />Y <br />36025222WCE <br />7/1/2019 <br />711/2020 <br />EACH OCCURRENCE <br />f1,D00,000 <br />CLAIMS -MADE I A I OCCUR <br />Pft MI6E$ (Eir ocuurrencelf <br />1.000,000 <br />MED EXP (My one erson <br />f 10,000 <br />PERSONALBADVINJURY <br />$1,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />f2,000,0G0 <br />P' LOC <br />X POLICY ❑ JECT <br />PRODUCTS -COMPIOP AGG <br />$2,000,000 <br />S <br />OTHER: <br />I <br />A <br />AUTOIWBILELIASILITY <br />1973584639 <br />7/1/2019 <br />711/2020 <br />COMBINED SINGLE LIMIT <br />(Ea amdant) <br />$1,000.000 <br />BODILY INJURY (Per Person) <br />f <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />IX <br />BODILY INJURY (Per aocslam) <br />f <br />PROPERTYDAMAGE <br />(Pa, axaIsrItI <br />f <br />X HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />f <br />A <br />X <br />UMSRELLAUAB <br />X <br />OCCUR <br />7989-48-22 <br />7/1/2019 <br />7/1/2020 <br />EACH OCCURRENCE <br />$5,000,000 <br />AGGREGATE <br />$5,000.000 <br />EXCESS LIAB <br />CWMSMADE <br />DEO I IRETENTION <br />If <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYYIN <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />WPL503611603 <br />3/22/2020 <br />312:71 <br />✓ <br />PER OT14 <br />STA T UTE <br />E.L. EACH ACCIDENT <br />$1.000,000 <br />OFFICERNIEMBEREXCLUDEDP D <br />(Mantlrtory In NH) <br />NIA <br />E.L. DISEASE - EA EMPI OYEE <br />$1,000,000 <br />E.L DISEASE - POLICY LIMIT <br />E1,000,000 <br />If yes tlescnbe ewer <br />DESCRIPTION OF OPERATIONS W. <br />B <br />C <br />Professional Uab. <br />2019Commeroallnl dMarne <br />EKS3312214 <br />SML93032865 <br />11/19/2019 <br />7/1/2019 <br />11/19/2020 <br />7/1/2020 <br />Per Claim 8 A9y <br />Tower/AMenna Equip <br />2,000 D00 <br />1755,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aeachad if more apace is rpuiml) <br />Re: As Per Contract or Agreement on File with Insured. The City of Santa Ana its officers, employees, agents, volunteers and representatives are included as <br />butory) an additional insured (primary and non-contrion General Liability policy per the attached endorsements, If required. <br />Cancellation notice endorsement for General Liability is attached, if required. ✓ <br />REVIEWED IS APPROVED <br />By Risk R'1ANACeEMENT DIVIs10N <br />CERTIFICATE HOLDER ^ An CANCELLATION <br />LULU <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />-"'—'—"' <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ANgiE ACEVEdo <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division, 4th Floor <br />AUTHORRED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />/ <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />