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Page 1 of 2 <br />ACORO@ CERTIFICATE OF LIABILITY INSURANCE <br />osiz9iyDDnm <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(lea) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate class not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />Willis (Becmuda) Ltd. <br />Wellesley Howe, 2nol Tlooc <br />NAM Willis Towers Watson Certificate Cancer <br />PHONE 1-877-945-7378 ( 1-089-467-297e <br />90 Pitb Say Road <br />Pembroke, "a RHU <br />EJH qLN1ES. asrtlficacea@ed111a.coa <br />NSU ! A"ORMNG COVERAGE <br />NMI <br />INSUIIERA: Anerican Unity Group Limited <br />C0929 <br />INSURED <br />Ta11ar:: sa ,"'4: <br />INSURER B <br />S01 H.-aroailiay <br />NSURERC: <br />Sent. Aaa;!G 92101 <br />NeURPJt 0: <br />NSURER E : <br />INSURER F : <br />mcn. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 <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 />NBR <br />LTR <br />ME W NSURAMCE <br />AWL <br />S�R <br />IOLICYNU1a1ER <br />WIND <br />EXP <br />LIMITS <br />I X <br />COMMERCIALGENERALLUVAITY <br />EACH OCCURRENCE <br />S 3, 000,000 <br />X CIAIMS-MADE ❑ OCCUR <br />/ <br />PREWS <br />3 <br />MED UP one mann <br />3 <br />A <br />T <br />PERSON0L6 PDYINNRY <br />f <br />1-14601-00-20 <br />09/01/2020 <br />06/01/2021 <br />AOOREOATE LIMT APPIIEl PER: <br />❑ <br />GENERAL AGGREGATE <br />E 31000,000 <br />OENL <br />X <br />PRODUCTS-COMP,OP AGO <br />3 <br />POLICY MCI❑ LOC <br />S <br />R: <br />AUiOMeeadtMNLITYCOIRUNLDMSINGLE <br />LIMIT <br />S <br />ANY AUTO <br />8ODEY INJURY (Per parson) <br />L <br />OWNED SCHEDULED <br />80OLY uMRY(Per.c or) <br />3 <br />AUT08ONLY AUTOS <br />HIRED r1-0WN <br />AUTOS ONLY WTOS <br />PROPERTY OAMA E <br />S <br />s <br />UMSRELLALIAe <br />OCCUREACH <br />OCCURRENCE <br />6 <br />W EXCESlL <br />AGCOECLYTE <br />3 <br />CLUM9.MADE <br />DEC <br />RETENnON3 <br />3 <br />MRKERSCOMPENSATION <br />PE <br />ANO EMPLOYlW'LWeJTY YIN <br />ITµ <br />E.LEACHACCIDENT <br />3 <br />OWFICE P EMBEIPARTNI)ED1 UTNE <br />WFICEMAEMBERE%CWOEpI ❑ <br />NIA <br />E1.01SEASE-EAEMPLOYEE <br />3 <br />(Mandatory In NH) <br />H pyee. deavipe MNm <br />E.L. DISEASE -POLICY LIMIT <br />3 <br />ESCRIPTON OF OPERAOONS blow <br />DESCRIPTION OF OPERATION! I LOCAIONt I VEHICLES IACORO lei, AdeMona,Re,nwl,s 6tAWWa,n, M waded a Ma, epaee M requkaq <br />If this Certificate of Insurance is for Professional and / or General Liability insurance this provides evidence If <br />coverage for 1) employees while acting within the scope and during the course of Chair arlployment with Providence at. <br />Joseph Health and /or 21 contracted parties far their acts, arrara or emissions in rendering or failing to candor <br />Medical Her.ioes outlinld by such contract with a Providence St. Joseph Health entity including Na Insured identified <br />an this aertiricate. �/ <br />City of saute Aes <br />Risk Nap►gif�aCTD4wiplen <br />20 Civie Caatin`V1asa <br />Santa Ana, CA 22702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Min(� 2020 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />l in ACCORDANCE WITH THE POLICY PROVISIONS. <br />ANGIE ACEVEdo <br />01988-2016 ACORD CORPORATION, All rlahts <br />AUUMU 4a l4U1elui) The ACORD name and logo are registered marks of ACORD <br />21 ID: 199SO047 erica' 1693072 <br />