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AC"RU CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYVVY) llkc 8/1/2020 1 2/19/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER LACld011 Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT A PHONE ) MAILo Ex IA/XX No)' D -APDRE98 —.�.` INSURED WACHTER, INC. � 6969 16001 WEST 99T'H STREET LENEXA KS 66219 _ INSUREft(SI AFFORDING COVERAGE INBURERA Zurich American Insurance CoUlp&11} _ INSURER R Great American Insurance CO Of New York NAILO _ j653$ 22136 INSURER C, _INSURER 0: _ INSURER E--�— INSURER F I COVERAGES * CERTIFICATE NIIMRFR• I A.c00000 o."... I., r'.I ., �• AAAAAAA THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, _ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR TYPE OF INSURANCE T �gp D POLICY NUMBER POLICYEFP PODdiYEXP-'—""-- MMIODIYYYV MMIDD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N GLO552579907 8/1/2019 8/l/2020 EACH OCCURRENCE $ 1000000 _ T_E PREM9E50(Eagccure ._ $ 300000 MED EXP (Auy one person) $ 5,000 _....._ PERSONAL &ADV INJURY $ 1,000OQQ _ LIMIT APFL�IES PER: POLICY ❑X PRO- JECTJ LOG _ GENERALAGGRFGATE $ 2,000000 GERLAGGREGATE PRODUCTS-COMP/OPAGG $ 2 QQQ OQQ� —mac--- — OTHER: A AUTOMOBILE X A LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLYMAUTOS AUTOS ONLY HIRED AUUTOS ONLY Y N BAP552579907 8/1/2019 8/1/2020 COMBINEDSINGLELI IT $ 1,000 QQQ ` BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per eccitlenl) _ $ XXXXXXX PROPERTY DAMAGE$Per eccidentJ XXXXXXR PHYS DAM Conno/Coll Deds. $ 5,000 B UMBRELLAUAB X OCCUR N N UMB2623301 8/1/2019 8/I/2020 EACH OCCURRENCE $ 2 QQQ,00Q X EXCESS LIAR CLAIMS.MADE AGGREGATE $ 2 QQQ QQQ DER RETENTION$ $ XXXX A A WORKERS COMPENSATION AN BEM PLOYERS'DABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN Off-ICERIMEMBER EXCLUDED? -1 (Mandatory in NH) Il yes, describe under N/A N WC552580007 [EXCL. ND, OH, WY, & WAj 8/1/2019 8/l/2019 $/I/2020 8/1/2020 X aATUTE ERH EL.EACH ACCIDENT 1.000QQQ �_$ E.L. DISEASE -EA EMPLOYEE $ 1 000 000 E.L. DISEASE -POLICY LIMIT $ IQQO QQQ` DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached IT more space is required) FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER(S) WILL SEND 30 DAYS NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER. CITY, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES IS/ARE ADDITIONAL INSUREDS) ON A PRIMARY AND NON-CONTRIBUTORY COVERAGE BASIS AS RESPECTS LIABILITY COVERAGE FOR THISPROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT. REYIEWED & APPROVED 16595729 CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA C SANTA ANA CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE TFIE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. riahts AUUKU 25 (ZU1(i1U31 The AGORD name and logo are registered marks of ACORD