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CERTIFICATE OF LIABILITY INSURANCE I DAM ',""y"�" <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />Deals , Renton & Associates <br />PHONE SiD<65-3O9D _ r'ix — <br />P. O. ox 12675 510-452-2193 <br />Oakland CA 94604-2675 1 nnr�ieass Dertificatest8dealevrentnn Dom <br />INSURED <br />MIG, Inc. <br />800 Hearst Ave. <br />Berkeley CA 94710 <br />COVERAGES (HCRTICIr1ATC MIIMCCG. mcowna cwc <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 />WTSR0. <br />TYPE OF INSURANCE <br />AD <br />9UBR� <br />POLICYNUMBER <br />POLICY EFF POLICY E%P"- <br />MMIDDM'W NMIOD/YYYY '. LIMITS <br />B X COMMERCIALGENERALLIABILn't Y I Y 6801HB99998 8/3112019 8/31/2020 <br />L- EACH OCCURRENCE $1.000,000 <br />li---- CLAIMSJMDE X PAMAG <br />OCCUR <br />'PREMISES IEa oca,ran�$1,000,000__ <br />_ . _ MED EXP.Q o Person) 1 $ 5,000 __. <br />PERSONALAADVINJURY 51,000,000 <br />GEN'L AGGREGATE UMRAPPUES PER GENERAL AGGREGATE 52,000,000 <br />'�� <br />POLICY X ! JET LOG PRODUCTS-COMP/OP G 52.000,000 <br />OTHER: $ <br />C AUTOMOBILE LIABILITY Y Y BAW9312eg <br />813112019 a/31/2020 I COMBINED SINGLE LIMIT <br />$1.000,000 <br />X ANY AUTO <br />Laociderstri <br />BODILY INJURY(P. person) <br />5 <br />i OWNED SCHEDULED <br />- '---—'------- <br />----- <br />5 <br />AUTOS ONLY AUTOS <br />BOOILY INJURY (Per acCdenll <br />X AUTOS ONLY I X ! AUTOS ONLY <br />PROPERTYDAMAGE <br />$---_ -" <br />SXM*al _ <br />B X UMBRELLA LUIB X OCCUR Y Y CUPOH758762 <br />~ <br />8r312019 8,31/2020 EACHOCCURRENCE <br />510,000.000 <br />EXCESS LIAB 71CLAIMS -MADE <br />_ <br />AGGREGATE <br />510,000,000 <br />`_ <br />-_ <br />S <br />QED...I RETENTIONS <br />c WORKERS COMPENSATION '! UB2L553909 8/312019 B/31/2020X <br />STATUTE, ER. <br />AND EMPLOYERS' LIABILITY YIN <br />$ 1,000.000 <br />ANYPROPRIETOWPARTNERIEXECUTIVE <br />OFFICERA/EMBEREXCLUOEOt N jNIA <br />l El EACH ACCIDENT <br />E.L. DISEASE -EA EMPLOYEE <br />- —__ <br />S1,000,000 <br />(Nomiata In NN <br />A ) <br />It yes. desmbe under <br />.— <br />'EL. DISEASE -POLICY LIMIT <br />- <br />31,000,000 <br />DEOCRIPTIONOFOPERATIONShaiov. <br />A Proleesimal AEC903162701 <br />l mbiDty B/31/2019 813112020 PsKCN-m <br />$3, 000DOO <br />LAnnuel Aggmgate <br />i $5,000.000 <br />DESCRIPTION OF OPERAMNS I LOCATION31 VEHICLES (ACORD 101, Addleonal Remarks Schedule, may he aeachad If man apace ie ms uhmd) <br />RE: All operations of the named insured. <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insureds as respects General and Auto Liability <br />as required per written contract or agreement. General Liability insurance is Primary/Non-Conlnbutory per policy form wording. Insurance coverage includes <br />Waiver of Subrogation per the attached. 30 Days Notice of Cancellation. <br />APPR <br />CVULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />The City of Santa Ana <br />EMENT DI <br />�FIi� EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ISIBIDCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Divison <br />20 Civic Center Plaza, 4th Flo7 <br />Santa Ana CA 92701 <br />JR1-skA <br />ZO O <br />AUTHOR DREPRESENTAME <br />U 1333-Z015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />