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ACC)RD CERTIFICATE OF LIABILITY INSURANCE <br />QATEA'YYY) <br />v241204/zo2o <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(les) must be endorsed. It 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 endorsements , <br />PRODUCER <br />Cavl Rea & Associates <br />B <br />460 Street, Suite 1800 <br />San Diego CA 92101 <br />CONTACertificate De ertment <br />PHONE FAX <br />619.744-0674 A)C. NO, 619_234.8601 <br />EMAIL <br />Scertificates(filcavignac.com <br />NSaREFULs) AFFORDING COVERAGE <br />RUG <br />_,,, <br />INSURER : Valley Fore Insurance ComDanv <br />20508 <br />INSURED NVBINC0-01 <br />Inc` <br />83 <br />163 Technology Drive Suite 100 <br />Irvine, CA 92618 <br />INSU E a: Continental Casual Co. <br />20443 <br />c Continents Insurance Company <br />INSURER _Z- Y <br />36289 <br />-..—...._,�_----�....P <br />INSURER D:Transeo l,(,ation Insurance Co. <br />20494 <br />a- „-� <br />INSURER,A9;, Bentley (Insurance Company., <br />32603 <br />,-_,- _ <br />INSURER F: w V <br />COVERAGES CERTIFICATE NUMBER: 102664747 REVISION NUMBERR <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 NSR <br />TYPE OF INSURANCE <br />AD <br />UB <br />POLL NU E. <br />POLICDYEFF <br />OLIC(MMADDRYYY <br />LIMIT$ <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE L:: .1 OCC <br />Y <br />607040530 <br />5/1/2020 <br />! <br />6/1R021 <br />EACH OCCURRENCE <br />$1000004 <br />0 <br />..-� <br />St,INi0 W0 <br />X <br />Gvmes Unb/SeAn <br />V <br />MEO EXP An one Gerson <br />$16,000 <br />PERSONA- 6ADV INJURY <br />, <br />$ 1,p90000 <br />X <br />Wu ble <br />GENERAL AGGREGATE <br />$2,000.000 <br />GENLAGGREGATE <br />% <br />LIMIT APP'�LIES PER <br />POLICY K] EP O- 0 LOC <br />PRODUCTS -COMPlOP AGO <br />$2000000 <br />SIMP Get) Uhdlil <br />51,W0,OOD <br />OTHER: <br />a <br />Auromoge <br />X <br />LMa1LRY <br />ANYAUTO <br />Y <br />6057040676 <br />E1112020 <br />61 W2 <br />eBN I <br />$ <br />OODILY INJURY (Per Person) <br />$ <br />ALL OWNED M SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per acddent) <br />$ .. <br />HIRED AUTOS AOTOSWNED <br />WU p.�E <br />$ <br />C <br />X <br />UMBRaLLAL" <br />X <br />OCCUR <br />CUE60760545M <br />5/1/2020 <br />SIUM1 <br />EACHOCCURREN'CS <br />dX1960 <br />AGGREGATE <br />20,000.000 <br />EXCESS LIAO <br />LAIMS,MA E <br />CEO I X I RETENTION <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORMARTNERIEXECUTIVE Y! <br />OFFICERIMEMSEREXCLUDED4 N <br />NIA <br />WA67040656 <br />an/2020 <br />W2021 <br />E.LEACHACCIDENT <br />$100oom <br />EL. DISEASE -EA EMPLOYEE <br />S1000,000 <br />(Mandatory in NH) <br />ayes dBStlibe under <br />DESCRIPTION OF OPERATIONS bdw <br />E.L. D)SEASE-POLICY LIMIT <br />1000000 <br />E <br />PR&OSSIMAY Pollution UabMly <br />AECA03600504 <br />5/112020 <br />5/1/2021 <br />Each Claim $10,000,000 <br />Arr r"Me $20,000.000 ✓'� <br />DESCRIPTION OF OPERA GONE i LOCATIONS I VEHICLES (ACORD 101, Ack ltlanel Remarks Sohedele, may be attached If more spaces Is mauled)-) <br />Re: On -Call Water Resources. Additional Insured coverage applies to General Liability and Automobile Liability for City of Santa Ana, its officers, ampleyees, <br />agents and representatives per policy form. Excess/Umbrella policyy follows form over underlyingpolicies: General LiabiilN Auto Liability &Employers Liability <br />additional <br />(additional Insured and waiver of subrogation a%ly). Professional Liability - Claims made form, OAOTTSe costs Included thin limit. Primary coverage applies to <br />Liability and Automobile Liability per pot cy torm. If the Insurance company elacts,Jo cancel or non -renew coverage a 30 days written nodes of such <br />cancellation or nonrenewai will be provided and 10 days for nonpayment of premium. �L// <br />City Of Santa Ana <br />RSk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92702 <br />1ss <br />ANgiE AmEdo— <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 />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />