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,trcoRo� CERTIFICATE OF LIABILITY INSURANCE <br />L..1 <br />DATE(MMIDDNYYY) <br />06/17/2021 <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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Newfront Insurance Services, LLC <br />55 2nd Street <br />CONTACT <br />NAME: Brandy Ahearn <br />PH°NE . (415) 754-3635 IAJC No): <br />M. <br />E-MAIL ADDRESS: brandy.ahearn@newfront.com <br />ahearn@newfront.com <br />Floor 18 <br />San Francisco CA 94105 <br />1NSURER(S) AFFORDING COVERAGE <br />NA1C# <br />INSURER A: Everest Indemnity Insurance Co <br />10851 <br />INSURED <br />INSURER S : Everest Denali Insurance CO <br />16044 <br />Citiguard, Inc <br />INSURERC: Everest National Insurance Co <br />10120 <br />INSURERD: Landmark American Ins Co <br />33138 <br />22736 Vanowen St Ste 300 <br />West Hills CA 91307 <br />INSURER E : <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />ILTR <br />TYPE OF INSURANCE <br />AOOL <br />SUBR <br />POLICY NUMBER <br />MMfD�mW <br />MMfD�YfYYYY <br />LIMITS <br />X <br />COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />S 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Eaoccurrencs <br />$ 100,000 <br />MED EXP (Any one person) <br />S 10,000 <br />PERSONAL S ADV INJURY <br />$ 1,000,000 <br />A <br />X <br />51 GLO14701-211 <br />03/26/2021 <br />03/26/2022 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />POLICY O JEfl LOG <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMPIOP AGG <br />$ 2,000,000 <br />PER PROJECT AGGREGATE <br />$ 2,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBaccidentINED SINGLE LIMIT <br />Ea <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person} <br />$ <br />ANY AUTO <br />B <br />ALL <br />AUTOS OWNED <br />AUTODULED <br />51 CAD00588-211 <br />03/26/2021 <br />03/2612022 <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 10,000,000 <br />AGGREGATE <br />$ 10,000,0130 <br />A <br />EXCESS LIAR <br />CLAIMS -MADE <br />51 CC005874-211 <br />03/26/2021 <br />03126/2022 <br />DED I X I RETENTION $ 10000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS" LIABILITY Y / N <br />ANYPROPRIETOPJPARTNERIE.XC OF ICERIM MB REXCLUDED? ECUTFVE <br />(Mandatory In NH) <br />NIA <br />5300004557 <br />03/2612021 <br />03I2612022 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,()00 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />D <br />Errors and Omissions/ <br />Professional Liability <br />Occurrence <br />LHR842349 00 <br />02/10/2021 <br />03/26/2022 <br />Each occurrence: $1,000,000 <br />General aggregate: $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or <br />memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and <br />noncontributory. 30 days notice of cancellation applies. Per Project general aggregate limit applies. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL <br />BE DELIVERED IN <br />Risk Management DivisionACCORDANCE <br />WITH THE POLICY PROVISIONS. <br />20 Civic Center Piz FI 4 <br />AUTHORIZED REPRESENTATVVE 1 tEVIQ <br />WED & APPRQ <br />Santa Ana <br />CA 92701 <br />y I <br />MANACfEMENT DIVI <br />I <br />/ED <br />SION <br />©1988-2014 ACORD CORP RATIO ti%r ed. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1 1�} <br />SAMANTHA M. LAMBERT <br />