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CERTIFICATE OF LIABILITY INSURANCE <br />OAT6129/ D/zo20 <br />o/2s/ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not <br />confer rights to the certificate holder in lieu of such endomement(s). <br />PRODUCER <br />CONTACT <br />USI INSURANCE SERVICES LLC/PHS <br />PHONE (866) 467-8730 <br />(A/C, No, Eat): <br />FAX (877) 905-2772 <br />(A/C, No): <br />41715154 <br />The Hartford Business Service Center <br />3600 Wiseman Blvd <br />E-MAIL <br />San Antonio, TX 78251 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURED <br />INSURER A: Alain Speciality Insurance Company <br />17159 <br />AP TRITON CONSULTING LLC <br />INSURER B: <br />1851 HERITAGE LN STE 138 <br />INSURERC: <br />SACRAMENTO CA 95815-4996 <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />CERTIFICATE <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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />(MMIDDIYYyYli <br />POLICY EXPjUCTS <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE�OCCUR <br />EACH E <br />$1.000,000 <br />DAMAD <br />e ra <br />$100,000 <br />MED Eerson) <br />$5,000 <br />A <br />X <br />CIP406122 <br />03/27/2020 <br />03/27/2021 <br />PERSONALJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIM IT APPLIES PER: <br />POLICY ❑ PRO- ❑ LOC <br />JECT <br />GENEATE <br />$2,000,000 <br />PROD/OP AGG <br />$2,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accdent <br />BODILY INJURY (Per person) <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per accident <br />( ) <br />HIRED NON-OAMED <br />PROPERTY DAMAGE <br />AUTOS AUTOS <br />(Per accident) <br />UMBRELLA LIAB <br />JOCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIMS - <br />MADE <br />AGGREGATE <br />DE <br />RETENTION $ <br />WORKERS COMPENSATION <br />PER <br />OTH- <br />ANDEMPLOYERTUABILITV <br />STATUTE <br />E <br />ANY YIN <br />PROPRIETOR/PARTNEREXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />EL. EACH ACCIDENT <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Those usual to the Insured's Operations. City of Santa Ana Risk Management is an additional insured per the General Liability Coverage. 30 day Notice <br />of Cancellation will be provided in accordance with the General Liability Coverage. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />Risk Management Division <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />20 CIVIC CENTER PLZ FL 4 <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA CA 92701-4058 <br />AUTHORIZED REPRESENTATIVE <br />d'411rot� 1�r <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />