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KOSM&AS-01 TE OF LIABILITY INSURANCE DATE(Matoon YYY) THIS CERTIFICATE IS ISSUED AS MA ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TH CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMA IVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE FFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF 1 SUR I CE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUI G INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, NO TH CERTIFICATE HOLDER. IMPORTANT: If the certificate hold r is an I DDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. It SUBROGATION IS WAIVED, subj ct to t e terms and conditions of the policy, certain policies may require an 4ndomement. A statement on this certificate does not confer rights 0 the rtificate holder in lieu of such endorsements . PRODUCER License # OC35391 g2gjAcT Brett R Sternberg Lyddy Martin Company ac°r,'r o, Eat ; (310) 476.2625 317 Mt No): 20300 Venture Blvd. Suite 340 - Woodland Hills, CA 91364 11Mh,,-bmft ELyddymartin.com INSURED Kosmont & Associates, Inc IN URER B: Dba: Kosmont Companies INSURER C: See other named insured INSURER E: 1601 N. Sepulveda Blvd. #3 Manhattan Beach, CA 9026 1 2 INSURER F: clrarc an nee OG. QC\/ICIr1N IJI IMRCQ• THIS IS TO CERTIFY THAT THE POLICI INDICATED. NOTVATHSTANDING ANY I 1EQUiR CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF SUCH =S OF PER POLICI NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS N. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, S. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ME OF INSURANCE AeIsnDDLS eR POLICY NUMBE0. POUCYEFF POUCYEXP LIMITS A X COMMERCIALGENERALUABILITY CLAIMS -MADE aOCCUR X 72SBABC3942 612712019 612-1/2020 EACH OCCURRENCE 5 1,000.000 DAMAGETO RENTED e PREMISES (EAccIaIneno 5 1,000,000 M EXP An one rson S 10,000 PERSONAL BA INJURY S 1,000,000 EN'L AGGREGATE LIMIT APPLIES PER'. X POUCY LOC OTHER GENERAL AG RELATE 2,000,000 PRODUCTS- OMPIOPAGG 2,000,000 I s A AUTOMOBILELIABIUTY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X All T'& ONLY X AUTOS ONLY 2SBABC3942 612712019 612712020 COMBINEDSI GLE LIMIT 5 1,000,000 BODILYINJUR Per son 5 BODILY INJUR Per acddenl S �H PP.ERTY 4AMAGE 5 S A X UMBRELLA UAS EXCESS LAB X OCCUR CAIM&MADE X 72SBABC3942 6127I2019 CJ2712020 EACH OCCURFiENCE S 3,000,000 AGGREGATE s 3,000,000 DED I X I RETENTIONS 10,000 MRKENSCOMPENSATION ANDEMPIAYER9'LABILTTY YIN AppNFFFICcPEMAEEIEP9ORqUPXCL EXCLUDED?❑ IMan d e.tn NH) I/ /es. descnhe order DESCRIPTION OF OPERATIONS below NIA PTR OTM- EL. EACH AC W S E.L DISEASE - EMPLOYEE _ S E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCAmONS l VEHIC The City of Santa Ana, Its Officers, Employ contract. The Insurance is primary and no Other Named Insured under the policy: Ko ES (ACOIRD s, Agents, contrit.utory men%Real I 101, Addlaonal Remarb schedule, maybe attached a more space Is re ulred) and Representatives are named Additional Insured as respects to General Liablity as per written and waiver of subrogation applies. see Business Liability Form Sttched Estate Services rPOTIGIrATR herAMrrI I ennN -------. gy Ris CI of Santa Ana ry A EMENT DIVISION 20�1t L .7J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management DI isiQn 20 Civic Center Plan, 4th or AUTHORIZED REPRESENTATIVE Santa Ana, CA 9270,Sf�MA M. LAM13ERT H �r//pp1/1/.•�rylr.+•.+/ ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The A ORD name and logo are registered marks of ACORD