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�Is CERTIFICATE OF LIABILITY INSURANCE DATEIMMADYVVY) 2/19/2020 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) 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 endorsement(s). PRODUCER Risk Strata [as Company 700 Airport Boulevard Suite 300 Burlingame, CA 94016 CONTACT Tiffanychino PHONE 650-782-0400 FA Ac "°: EMAIL ADDRESS- tchinn risk-stmt ies.com INSURERS AFFORDING COVERAGE NAG 9 INSURER A; Federal Insurance Company INSURER 8: 20281 INSURED NiIA INSURER C: 723 West Woodbury Road AltadenaCA 91001 INSURERD: INSURER E : INSURER F ----------^ wNIv1Y Nuf91Dcm; 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE DD We U POLICY NUMBER POLICYEFF MMIDDIYYYY) POLICYEXP IMMMDNYYYI LIMITS A �/ COMMERCIALGENERALLIABILITY CLAIMS -MADE ❑✓ OCCUR ✓ 35892515 12/27/2019 12/27/2020 EACH OCCURRENCE $1000000 AMA E PREMISES Ea eccumence $1 00O 000 $10 000 MED EXP (Any one person) PERSONAL& ADV INJURY $1,000,000 GEHL AGGREGATE LIMIT APPLIES PER: POLICY ❑ JRO PRO- ❑OC GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000 000 OTHER: A AUTOMOBILELIABILITY ✓ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS ONLY ✓ AUTOS ONLY 73588466 12/27/2019 12/27/2020 COMBINED SINGLE LIMIT Ee aaklen $1 000,000 BODILY INJURY (Par person) $ BODILY IWURY(Perac,,dd) $ Px arccid DAMAGE $ACV $ A �/ UMBRELLA LIAR EXCESS LIAR pCCUR CLAIMS -MADE 78182245 6/30/2019 6/30/2020 EACH OCCURRENCE $1 Ogg 000 AGGREGATE $1.000,000 PER OTH- STATUTE ER $ DEB RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICEMMEMBEREXCWDED? NIA E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE -EA EMPLOYE $ E.L.DISEASE-POUCYLIMIT $ Dyes, RIPTIOdescribeentler DEBCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule. maybe attached if more space is required) City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers are named Additional Insured per attached Form 80029020. This insurance is primary and non-contributory with respect to insurance or self-insurance maintained by the City. Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation. REVIEWED & APPROVED ...-.,r.�,...r� .,,.. ._�., v Ic _ City of Santa Ana Risk Management Div 20 Civic Center Plaza, Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Mike W U AGVKU ZO (ZU1DI03) 5 ACORD CORPORATION. All rinhtc roccn,o.J the ACORD name and logo are registered marks of ACORD 54173002 119-20 GWAL 5 UNA I Lucy falaofa 1 2/19/2020 9.19:37 AM IP531 I Page 1 of 5