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AC Ro® CERTIFICATE OF LIABILITY INSURANCE DATvfireo2o THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER (OC) Heffernan Insurance Brokers 18004 Sky Park Circle, Suite 210 Irvine CA 92614 CONTACT PHOMNE----- --f�� �alr 949-771-3400 we Nal' 949-771-3401 MAII ADDRESS, INSURERS AFFORDING COVERAGE NAM$ INSURER A: Nonprofits Insurance Alliance of California 1184 Llcensep. 0564249 INSURED 21 ioc 0 INSURER B : 211 Orange County 1505 E. 17th Street, Suite 108 INSURERC: INSURER D: Santa Ana, CA 92705 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1293531446 REVISION NUMRER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICYNUMBER POLICY EFF M POLICY EXP MMI OMITS A X COMMERCIAL GENERAL LIABILITY Y Y 202003104 2/1/2020 21"-112021 EACHOCCURRENCE $1.000,000 PR MI ES (Ea NTrIYnce $500.000 CLAIMS -MADE �, OCCUR MED EXP (My one person) $20,000 PERSONALSADVIMURY $1.000,000 AGGREGATE LIMIT APPLIES PER. POLICY ❑ JECT ff] LOC GENERAL AGGREGATE 52000.000 GENL PRODUCTS -COMPIOP AGO $2.000,000 $ OTHER: A AUTOMOBILEIJABILITY Y 202003104 211/2020 21112021 OMBINem SINGLE LIMIT (Ea accira $1,000.000 BODILY INJURY (Per pe adn) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AON-O I (Per ecadem) S X HIRED X AUTOS NLY AUTOS ONLY AUTOS ONLY PROILY PERTY DA PROPERTY DAMAGE par eefidenl S $ A X UMBRELLAILUM X OCCUR 202003104UM8NPO 2/112020 VV2021 EACH OCCURRENCE $5,000,000 AGGREGATE $6,000.000 EXCESS UAB CLAIMS -MADE DED I I RETENTIONi 1 3 I WOMMMCOMPENSATN)N AND EMPLOYERS' LWBIUTY YIN ANYPROPRIETORIPARTNERlEXECUTIVE OFFICERAIEMBEREXCLUDED? NIA -- PE H. STATUTE ER . E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S IMenlatory In NH) It Yn, d,s ,xMar DESCRIPTION OF OPERATIONS tadpx EL.DISEASE - POLICY LIMIT $ i I DESCRIP K)N OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may Ira adached B more apace M ra tulredl Re: As Per Contract or Agreement on File with Insured. City of Santa Ana, its officers, agents, employees, representatives, and volunteers are included as an additional insured (primary and non-contributory) on General Liability policy per the attached endorsement, if required. The Cancellation notice endorsement has been requested for the General Liability policy from the insurance company and if approved will be forwarded when received. REVIEWED & APPROVED off e yy)-C4� CERTIFICATE HOLDER By IS ANIQCVF-I CANCELLATION SHOULD ANY OF THE ABOVE DESC F O •2020 THE EXPIRATION DATE THERE( City of Santa Ana ACCORDANCE WITH THE POLICY PI �� Risk Management Division Risk Management Divisio Is te` Plaza t AD PRESENTATIVE Santa Ana CA 92702 iL.. 05,_"e/"0' a / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD