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A� o CERTIFICATE OF LIABILITY INSURANCE <br />DAM(MMIDGWYYY) <br />11/1312019 <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(les) 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 Brryyson Casualty Insurance Services, Inc. <br />CONTACT Liz Borbon <br />3777 Long Beach Blvd., 5th Floor <br />Long Beach, CA 90807 <br />PHONE — FAX <br />AICAINq ESII;— 562-435-4267 u95 vc NoI: 562-1-5747 <br />EM <br />AGGRESS: _ lizbrysonfinancial.com <br />_ INSURIERISIAFFORDINGCOVERAGE_ <br />NAICN <br />www.brysonfinancial.com OF89838 _ <br />INSURER A: Travelers Casualty Insurance Co. of America <br />19046 <br />INSURED <br />Bunnell Enterprises <br />Total Network Soultions <br />MSunER a: Scottsdale Insurance COmDRW <br />41297 <br />INSURER C: Property and Casualty Ins Cotof Hartford <br />_ <br />3469D <br />INSURER D: <br />5150 E. Pacific Coast Hwy, Suite 530 <br />Long Beach CA 90804 <br />INSURER E: <br />INSURER F : <br />COVERAGES CFRTIF)CATF NIIMRFR- cwnn¢¢a ocvlainu uuucco. <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 />LTR <br />TYPE OF INSURANCE <br />AD L USR. <br />POLICYNUMBER <br />LICYEFF POPOLICYE)Us <br />MMRIDn"Vin MNIDD <br />LIMRs <br />A <br />✓ <br />COMMERCLLLGENERALLIABILITY ✓ 680-3BO82519-19-42 <br />Ci_AIMS,MADE OCCUR <br />3/5/2019 13/52020 <br />EACHGCCURRENCE <br />$i 000 O00 <br />DAMAGE R TED <br />PREMISES Es occunanca <br />$300000 <br />MEO E%P (Any ore person) <br />SS OOO <br />_ <br />PERSONN_&ADVINJURY <br />$1000,000 <br />_ <br />GENERALAGGREGATE <br />52,000.000 <br />GERL <br />✓ <br />AGGREGATE LIMIT APPLIE) S PER. <br />� <br />POLICY E. JE j L J LOC <br />PRODUCTS - COMPIOP AGG <br />S2,000,000 <br />Hired/NonOwned <br />$Included <br />OTHER: <br />A AUMOSILELIABILOY <br />i� TOANY <br />AUTO <br />Ea BINEED$M LE LIMB DI <br />51000000 <br />50DILY INJURY (Per Damn) <br />5 <br />I OWNED SCHEDULED <br />AUTOS ONLY AUTOS 680-38082519-19-42 <br />HIRED NON -OWNED <br />AUTOS ONLY ✓ AUTOS ONLY 680313082519-18-42 <br />3/5/2019 3/5/2020 <br />315/2019 3/5/2020 <br />BODILY INJURY (PeremdenU <br />S <br />PROPERTYDAIWk E <br />Per aa9dent <br />S <br />S <br />A <br />I UMBRELLA LUIB ,7 GGCUR ''CUP-BD959001-19-42 <br />—1 <br />3152019 3/5/2020 <br />EACHOCCURRENCE <br />51 000,000 <br />EXCESS LIAR ClA1M5-MADEI <br />AGGREGATE <br />SI DDD DDD <br />$ <br />DEC RETENTIONS <br />C WORKERS COMPENSATION tZWBCAA4ILl <br />AND EMPLOYERS' LIABILITY YIN ✓ <br />ANVPROPRIETOR(PARTNERa"ECUTIVE <br />OF FICERAIEMBEREXCLUDEDT ❑Y �INIA <br />7112019 7/1/2020 <br />PER OT& <br />✓ STATUTE ER <br />EL EACH ACCIDENT <br />S1 OOO OOO <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />(Mandatory in—, <br />It yen. desvibe under '., <br />E.L.DISEASE-POl1CY Lim <br />S1000.000 <br />DESCRIPTION OF OPERATIONS Wt. <br />A <br />Business Personal Property 680-3B082519-19-42 - 3/5/2019. 3l5/2020 <br />$29,546/ $500 Deductible <br />B <br />Errors & Omissions EKS3308006 10/24/2019 10/24/2020 <br />$1.000,000 / $5,000 Deductible <br />B <br />Employment Practices Liability EKS3295481 6/19/2019 6I19/2020 <br />$1.000,000 / $15,000 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached it more space is required) <br />City of Santa Ana• officers, agents, employees, and volunteers are named as additionally insured as their interests may appear with <br />respects to the General. Liability, Hired/Non-Owned Auto Liability included. Primary and Non -Contributory applies. <br />Workers Compensation Waiver of Subrogation applies. <br />30 Day Notice of Cancellation / 10 Day Notice of Nonpayment <br />MMq P41112i"A rgr:Lrlgslq:� a's I WAII 9\)1✓•RT��rM•12tNtleF►iTAII <br />y IS ANAGEMENT DjV1510 <br />City Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />of <br />Risk Management Division <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza, 4th floor <br />5 2019 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />M. LAMBERT <br />I <br />Brelt H Hlista <br />91938.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />5/340863 1 •19 Pkg/Y5: ':9 ESO. '19 YPi3; '19 NC I Lu bo:bon 1 :I/1Jf2Ji9 3:1::29 TM Ie5T1 I Page 1 0: E <br />