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Digitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />ACORO® CERTIFICATE OF LIABILITY INSURANCE U
<br />DATE(MN!i6b YYY)
<br />10/13/2020
<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 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 on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc.
<br />18201 Von Karman Ave Suite 200
<br />Irvine CA 92612
<br />CONTACT
<br />NAME: Gallagher Select Client Service
<br />HONE
<br />E.t: 833-391-6524 alc No:702-854-2444
<br />(AICEMAIL
<br />ADDRESS: selectclientsewice@ajg.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA: Trumbull Insurance Company
<br />27120
<br />INSURED AEFSYST-01
<br />AEF Systems Consulting, Inc.
<br />8502 E. Chapman Ave #376
<br />INSURER B: Philadelphia Indemnity Insurance Company
<br />18058
<br />INSURER C: Continental Casualty Company
<br />20443
<br />INSURER D:
<br />Orange CA 92869
<br />INSURER E
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 859373100 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 />INSR
<br />LTR
<br />OF INSURANCE
<br />ADDLSUBRTYPE
<br />INSD
<br />MD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIDDYYYY
<br />POLICYEXP
<br />MMIDDYYYY
<br />LIMITS
<br />C
<br />COMMERCIAL GENERAL LIABILITY
<br />V
<br />B6045340517
<br />8/23/2020
<br />8/23/2021
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS-MADE1:1 OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurnence
<br />$300,000
<br />MED EXP (Any one person)
<br />$10,000
<br />PERSONAL& ADV INJURY
<br />$1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />POLICY PEP LOC
<br />PRODUCTS-COMP/OP AGO
<br />$2,000,000
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />B6045340517
<br />8/23/2020
<br />8/23/2021
<br />COMBINED SINGLE LIMIT
<br />Ea accident)
<br />$1,000,000
<br />BODI LV I NJURY(Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTO$
<br />BODI LY I NJURV(Per accident)
<br />$
<br />X
<br />HIRED N NON -OWNED
<br />AUTO$ ONLY AUTO$ ONLY
<br />PROPERTY DAMAGE
<br />Per accitlenl
<br />$
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOMPARTNER/EXECUTIVE
<br />72WECABIZ5Q
<br />2/1/2020
<br />2/1/2021
<br />X PER DTH-
<br />STATUTE ER
<br />EL EACH ACCIDENT
<br />$1,000,000
<br />OFFICER/MEMBEREXCLUDED9 ❑
<br />N/A
<br />E. L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />I
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />B
<br />E&0
<br />PHSD1562428
<br />9/9/2020
<br />9/9/2021
<br />Limit
<br />$1,000,000
<br />Aggregate
<br />$1,000,000
<br />Retention
<br />$2,500
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />Certificate Holder is Additional Insured as respects General liability policy, pursuant to and subject to the policy's terms, definitions, conditions and exclusions.
<br />The insurance provided in the general liability policy is primary and any other insurance shall be excess only, and not contributing.
<br />RE: Work performed by the named insured as required per written contract with respects to City of Santa Ana.
<br />Certificate Holder(s) Continued: City, its officers, employees, agents, volunteers and representatives.
<br />The Insurer will issue a 30 day prior written notice of cancellation.
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th floor
<br />P.O. Box 1988
<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 REPRESENTATIVE
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />Rime Mallaganent Diuisian
<br />ram.
<br />rREmEWED &{APPRO�V�ED By.,
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<br />® Risk Management Analyst
<br />
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