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ACOR& CERTIFICATE OF LIABILITY INSURANCE `,f DA EIMMmpY YY, 1 11/20/2019 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polley(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms 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 endorsementlsl• PRODUCER NAME CONCT KnSsy Bresnahan Nickie Heath Insurance Agency PHONE (858) 487-3737 FA (858) 487-3730 AIC o Eat: A/C, No: ADDREss: krissy®nickieheath.com 16855 W Bernardo Dr Suite 230 INSURER(S) AFFORDING COVERAGE NAIC4 San Diego CA 92127 INSURERA: Continental Casualty Company 20443 INSURED INSURER B : Ohio Security Insurance Company 24082 TRB AND ASSOCIATES INSURER C: National Union Fire Insurance 19445 3180 CROW CANYON PL R216 INSURER D Oak River Insurance Company 34630 INSURER E: Argonaut Insurance Company 19801 INSURER F: SAN RAMON CA 94563 COVERAGES CERTIFICATE NUMBER: CL19111264188 REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSO Wi POUCYNUMBER invoolYYYY MMRJDN"Y LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE 5 2,000,000 CtAIMSMAOE ❑X OCCUR 01SENTEL PREMISES Ea orwrtenw s 300,000 MED EXP IAny Ora Peraarn S 10,000 PERSONAL S ADV INJURY S 2.000,000 A Y 2097186534 11/10/2019 11/10/2020 GENL AGGREGATE UMITAPPLIES PER GENERALAGGREGATE S 4.000,000 POLICY � E T ❑ LOC PRODUCTS-COMPtOPAGG S 4,000,000 S OTHER. AUTOMOBILELIABILRY COMMA EDISINGLE LIMIT flaX $ 1,000,000 BODILY INJURY (Per Person) s ANYRUTO g OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y BAS57021999 11/18/2019 11/18/2020 BODILY INJURY (Per accidann S PROPERTY DAMAGE Per acade,d 5 5 X UMBRELtAUAS X OCCUR EACHOCCURRENCE 5 2.000,000 AGGREGATE 5 2.000,000 C EXCESS UAe CLAIMSMADE EBU012934869 1U10/2019 11110/2020 DED I X1 RETENTION S 0 5 D WORKERS COMPENSATION AND EMPLOYERS• LIABILITY YIN ANY PROPRIETOWPARTNER/EXECUTIVE OF ICER44EMSER EXCLUDED? ❑Y (Mandatory In NHl NIA Y TRVVC018894 11110l2019 11/10/2020 PER OTR X STATUTE ER EL EACH ACCIDENT $ 1.000.000 EL DISEASE EA EMPLOYEE S 1,000,000 a ym, RIPTtOe OF O DESCRIPTION OF OPERATIONS below EL DISFJ.SE�POLIDT LIMIT s 1.000.000 Per Claim $1,000.000 E Professional Liability -Reim Date 111101 06, Retention $25,000 121AE000241801 11/10/2019 11/10/2020 Aggregate $2.000.000 Defense Costs Atltltl Lmt $1.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 141. Add'Nonal Remada Schedule, may be attaches if man apace Is required) City of Santa Ana. its officers, employees, agents and representatives are named as additional insured with respect to general liability and auto liability. Insurance is primary and noncontributory. Waiver of subregakon applies to workers compensation. REVIE D & APPROVED Y RIS NAgEMENT I)IIVISION 019 SAMAN*N M. I AMMNYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Manangement Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 I J !,,,,,; 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD