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WESTCOM-16
<br />CERTIFICATE OF LIABILITY INSURANCE I onrE------Yrn
<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 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />PRODUCER L,Lensa a etar110 L BGI
<br />N
<br />HUB International Insurance Services Inc. PHHO�No,Ea: (951 788$500
<br />3390 University Avenue
<br />Suite 300ss
<br />Riverside, CA 92501
<br />INSURED
<br />Westbound Communications, Inc.
<br />625 The City Drive, Suite 480
<br />Orange, CA 92868
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER'
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />I TOINSD
<br />TYPE OF INSURANCE
<br />AWL
<br />9Ve0.
<br />pUCY NUMBER I POLICY OFF POLICY EXP
<br />LWTS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />X
<br />72SBAIS4627 5/6/2020
<br />5/612021
<br />FACH OCCURRENCE
<br />2,000,000
<br />DAMA SE TccO RE�MIEO
<br />1000000
<br />& 10,000
<br />LED EXP (AnY o,w Persanl
<br />_
<br />PERSONAL E ADV INJURY
<br />s 2,000,000
<br />GEN'L AGGREGATE pLIRM�IT APPLIES PET?
<br />X POLICY. JECT LOC
<br />GENERAL AGGREGATE
<br />4,000,000
<br />PRODUCTS-COMPgPAGG.1
<br />4,000,000
<br />OTHER.IS
<br />A
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />$ 2,000,00
<br />BODILY IMURY Par ersan
<br />$
<br />ANYAUTO
<br />OWNED SCHEDULED
<br />AMOSX AUTOS
<br />72SBAIB4627
<br />5/612020
<br />516/2021
<br />BODILY INJURY (Per actldenl
<br />AUTOS ONLY X AUNOS ONLQOPEAMAGEONLY
<br />S
<br />S —
<br />A
<br />X UMBRELLA LIAR
<br />MCESS LIAO
<br />X
<br />OCCUR
<br />CUVMSaIADE
<br />�21IEIAIB4627
<br />51612020
<br />51612021
<br />EACH OCCURRENCE
<br />S 2,000,000
<br />AGG���
<br />2,000,000
<br />DEO X IRETENTION$ 10,000
<br />B
<br />W00.KERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY CcPROPRIETgO�RqIPARTNEFUEXECUTiVE IN
<br />(Mentlaldrylin NH1 EXCLUDED? Y
<br />NN)
<br />kIf yyes, descnbe under
<br />DESCRIPTION OF OPERATIONS telex
<br />NIA
<br />72WECLR3783
<br />9/2812019
<br />9128/2020
<br />jt PER OTH-
<br />EL EADH AcciD Nr
<br />E 1,000,000
<br />EL DISEASE -EA EMPLOYE
<br />1,000,000
<br />E. SEASE- CY LIMN
<br />1,000,000
<br />C Professional Liab
<br />P00100017481501
<br />912512019
<br />912512020
<br />Per Claim
<br />3,000,000
<br />C Retention:$10,000
<br />POOIOOO17481501
<br />9125/2019
<br />9125/2020
<br />jAggregate
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additimal Remarks SchedWe, may be attached If more a ace Is required)
<br />The City of Santa Ana, it's officers. employees, agents, volunteers and representatives are Additional rnsured in regards to General Liability per form
<br />IM12001185 which Includes 30 Day Notice of Cancellation. Primary 8 Non -Contributory wording and Waiver of Subrogation coverages apply to the General
<br />Liability policy when required by written contract per the attached endorsement SSOD08 04105 (pgs. 16-17 of 24) 8 SS1215 03100.
<br />RgE VIEWiskED &�APPRANACIEN,pOV oDISN
<br />City of Santa Ana '3 S
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<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 />AGUKU 90 t[U10111131 W 18tlt1-ZU10 ACUKD GOKPONATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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