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`a ' CERTIFICATE OF LIABILITY INSURANCE °A�29t2019 <br />L-� e12s2o1s <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(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 an <br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(sl. <br />PRODUCER <br />Woodruff -Sawyer & CD. <br />2 Park Plaza, #500 <br />Irvine CA 92614 <br />INSURED <br />IteriS, Inc. <br />1700 Carnegie Avenue, Suite 100 <br />Santa Ana CA 92705-5551 <br />rvnEiE: "' Katharine Tiller _ <br />IMC.No, EX,1; 949,435.7353 <br />FMI [n C, Net: 949.476.3118 <br />n_omreSS; <br />kliller@casandco.com <br />INSURERS( AFFORDING COVERAGE _ <br />NAICN <br />_ <br />INSURER A <br />; Valley Forge Insurance Company <br />20508 <br />ITERING-01 <br />IYSURERO: <br />Continental Insurance Company <br />i <br />35289 <br />INSURER c: <br />Columbia Casually Company <br />31127 <br />INSURER D <br />: <br />INSURER E <br />; <br />COVFRArFS rcorinrnrcn <br />THIS 15 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 <br />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 />IPISR TYPE OF INSURANCE .ADOL SUOR j P°GCYEFF r PER EXP <br />1.Tli POLICYNUMBER MMIDDRYYY I ypubefrYYY <br />LIMITS <br />A X COMMERCIAL GENERAL LIABILITY I V SUS7362701 4112019 4/1/2020 <br />EACHOCCURRENCE MI$?000,000 <br />OLAIMS-MADE I X j OCCUR - <br />DATd\GE TO RENTED -- - - - <br />PREMISES H1.,,.RdhEL- S 2.000,000 <br />V ED EXP (ny one person) s 15.000 <br />X 1910ed. Nunn _ <br />PERSONAL &ADV INJURY 152.000,000 <br />GEN'L AGGREGATE LIMIT APPLIE5 PER. <br />GENERAL AGGREGATE 54.000.000 <br />I PRO- r-..., - <br />_.._ <br />POLICY L JECT `X LOG <br />PRODUCTS-COMPIOPAGG S4,000,000 <br />X OTHER: <br />- - <br />s <br />A AUTOMOBILE LIABILITY 6057362682 1/1/2019 1/1/2020 <br />_ <br />`tONIINII"SINGLELIMIr c51,000,000 <br />X ANY AUTO <br />BODILY INJURY (Per person) S <br />Au OS PSCHEDULED <br />I AUTOSCS <br />BODILY INJURY P <br />( fir acc,dent) $ <br />HIREONLY <br />D <br />HIRED N0NL­CVNEDONLY <br />PROPER",sell. AGE <br />AUTOS ONLY ', I AUTOS ONLY � <br />1Pm amldm'n1 - <br />Ownc-An fired Coat ua SDed'e $1000 <br />_ <br />A X UMBRELLA LIAR X OCCUR 1 6057362679 4/1/2019 4/112020 <br />EACHOCCURRENCE <br />EXCESS UAB _ CLAIMS WOEi - <br />_525,000.000 <br />AGGREGATE 525,000,000 <br />❑En X RErF011ON5a <br />g <br />B WORKERS COMPENSATION <br />G AND EMPLOYERS' LIABILITY 6057544401 1 4/1/2019 <br />! 4/112020 <br />PER pin_ <br />X 5TTT1!Te TER <br />Y/N 6057544415 4/1/2019 <br />ANYPROPRIETORIPARTNERIEXEGUTIVE <br />OV2020 <br />EL EACH ACCIDENT51,000,000 <br />OFFICER/MEM°ER EXCLUDED? �IN!A <br />(Mandatary in NH) <br />E L DISEASE - EA EMPLOYEE S 1,000.000 <br />II yes, describe mKI., <br />DESCRIPTION OF OPERATIONS helow <br />EI. DISEASE -POLICY Dial S1.0000000 <br />Liability 652092957 411/2019 4/112020 <br />C Cie. <br />LImiIS10.000,0Det Agg$10.000, 000 <br />Mad <br />)alms Made Farm <br />Dedrehele Stan 000 <br />Reim Dale 04ro11200] <br />I I <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACDIiD 101, Additional Remark& Schedule, maybe attached It more space Is required) <br />Re. On -Call ITIS Agreement <br />City of Santa Ana, its officers , employees, agents, volunteers and representatives are designated as Additional insured with respects General Liability. <br />REVIEWED & APPROVED <br />By RISK MANAGEMENT DIVISION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />;REPRESENTATIVE <br />Vt. LrAIL.Iv VE <br />TIr)N All cin Hia ..curved! <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />