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AC O® CERTIFICATE OF LIABILITY INSI IPAlI I DATE(MMIDDRYm <br />10/2/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES CERTIFNOT ICATE <br />F INS RAN 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 certffcate holder is an ADDITIONAL INSURED, the policy1, 1: must be al mold, if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certifcate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />NAME: Fernando Rivas <br />ISU Insurance Services - Centinel Agency, LLC PHONE (415)657-2000 FAX <br />250 Executive Park Blvd IAIQ III <br />EMAIL AIC No. Ialslfis7-:o92 <br />Suite 4800 ADDRESS: fernando@19aC8.COm <br />San Francisco INSURERS gFFOR01N0 RACE <br />Nplt Y CA 9913 INSURERA:Scottsdale Insurance Company INSURED47297 <br />California Barricade Rentals Inc WSURERB:Azarican Fire and Casualtyom Can 24066 <br />1550 E Saint Gertrude Place INSURERC:Trisura Specialty Insurance Co an 16188 <br />INSURERO:Stats Co Densation Ina. Fund 35076 <br />INSURERE:Hi9Cox Insurance Coupan Inc 10200 <br />Santa Ana CA 9270$ <br />COVERAGES INeuRERF: Riasale Insurance CO an 38920 <br />CERTIFICATE NUMBER: GL.xO.wa rR cs r,.. __..._._.. _...__ _ <br />Nls 15 IV CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOC <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 REOUCEO BY PAID CLAIMS. 19 <br />A <br />CIAIMSMpOE <br />EACH OCCURRENCE <br />S 11000,000 <br />X OCCUR <br />A A D <br />X <br />Br9003]96d <br />PREMISES Ea 9rcuee ce <br />S 100,000 <br />7/1/2019 <br />7/1/2020 <br />MED IMP (A,ry ono pan9n) <br />$ Exciudad <br />PERSONAL aAOV INJURY <br />S 1,000,000 <br />Gw'LAGGREGATE MMR APPLIES PER: <br />X PDDCY ❑ ERo-T ❑ LOC <br />GENERALAGGREGATE <br />S 2,000,000 <br />OTHER: <br />PRODUCTS - COMPIOPAGG <br />5 2,000,000 <br />AUTOMOBILELD&DUTY <br />@^Noy. 111 <br />5 11000,000 <br />MBINED SI IGLE LIMB <br />s <br />B <br />X ANYAUTO <br />Eae�en <br />11000,000s 11000,000 <br />AILOMW SCHEOVLEO <br />BODILY INJURY Per <br />( person) <br />b <br />AUr03 AUTOS <br />X NON MEO <br />BAA 120) 59 05 63 03 <br />7/1/2010 <br />7/1/2020 <br />BODILY INJURY IPer acW.1) <br />S <br />HIREDAUTOS X AUTOS <br />DA GE <br />PeOPEE <br />ne <br />5 <br />UMMIXUALIAB X <br />5 <br />OCCUR <br />C <br />EXCESS UAe <br />X CIAIMEMADE <br />TM 0001052-00 <br />EACH OCCURRENCE <br />S 5 000 000 <br />7/1/2019 <br />7/1/2020 <br />ern9crem <br />D <br />OFRCERNEMBER EXCLUDED? - uNIA <br />(MmtleKry In INC <br />9Ofi3609-19 <br />E.L. EACH ACCIDENT <br />5 <br />1 DDD DDD <br />I MRIIIWMN m% <br />DESCRIPTION OF PERATIONB h9lalu <br />7/1/2019 <br />T/1/2020 <br />E.LDISEASE-EAEMPLOYEE <br />b <br />1, coo 000 <br />E <br />PiOYe99ional Liability <br />EL DISEASE. POLICY LIMIT <br />b <br />11000,000 <br />F <br />pollution Liability <br />MPL1B6Dd90.19 j <br />7/1/2019 <br />1/l/2020 <br />Ex DHIm <br />$1,000,000 <br />0100052798-02 <br />7/312019 <br />711/2020 <br />EaGI PKu11on C011tlilon: <br />$1,000,000 <br />OESCRIPn"OFOPrdf MBILOCAnON51VEHICLES(ACWRD101. A2d019.1RamnFaSchedule may 9e mmHw <br />if mom apnea meuhetll The City of Santa Ana, Risk Management, it's officers, employees, Ia <br />agents, representatives, and volunteers <br />are named as additional insured per form CG 20 12 04 13 On the <br />GL polic wording applies. y. primary and Non -Contributory <br />Certificate of Insurance shall provide thirty (30) day prior written notice <br />form <br />UTS-4109 (2-11). Of Cancellation per attached <br />City Of Santa Ana <br />Risk Management Division <br />20 Civic Canter plaza <br />4th Floor <br />Santa Ana, CA 92702 <br />ACORD 25 (2014101) <br />INS02512014011 <br />�I •••'^'-T--I..^�^• `�� 4 "'SHVULO ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />T 112019 ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESFNTAIiVE <br />AM N,T44A M. I AMBEI jasn Ferene/ER <br />The ACORD name and logo are registered marks of ACORD RD CORPORATION. All rights resen <br />