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Digitally signed by Francine R. Francine R. Villareal Villareal Date: 2021.03.24 17:05:34-07'00' ��►�o® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 02108/2021 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(ies) 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 CONTACT NAME: Nicole Hardin Advanced Brokers Insurance Services 360 N El Camino Real 1A PHONIE {85$} 436-7999 FAX hlol: {858} d3fi-7998 ADDRE , servic advanoedbrokersinc.com AQQRE I NS U RFRIAI AFFORDING COVERAGE NAIL INSURER A: Liberty Mutual insurance Encinitas CA 92024 INSURED INSURER B : AXIS Surplus Insurance Company INSURER C : Em/Nomics, Inc. dba Ecallnomics, Inc. INSURER D : B32 Camino Del Mar Stet INSURER E . INSURER F Del Mar CA 92014 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER,. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAiVDING ANY REQUIREMENT, TERM OR CONDI-PON 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, ILTR NSR I OF INSURANCE ADDTYPE NNW) wBR POLICY NUMBER POLICY EFF MNOIla fD�Y LIMITS X COMMERCIAL GENERALUABILITY EACHOCCURRENCE $ 1,000,000 _ /\ OCCUR CLAIMS -MADE X - AMAOE T ^NTED _PREMISES {Ea occurrence{ $ 500,000 MED EXP (Any one person) _ $ 155,D00 A _ _ _ X X BKS57048355 12/0912020 12 O912021 PERSONAL &ADV INJURY $ 1,000,000 $ 2,000,000 LIMIT APPLIES PER: GENERALAGGREGATE �GEN'LAGGREGATE PRO - POLICY 11 JECT Li LOC PRODUCTS-COMROPAGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT [Ea accrtlentI $ 1,000,000 BODILY INJURY (Per peram) $ ANY AUTO A SCHEDULED AUTOS ONLY AUTOS X X BAS57048355 12/1112020 12JO912021 XOWNED BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per aceir;er $ V h HIRED NON -OWNED AUTOS ONLY �i+�• AUTOS ONLY $ UMBRELLALIAM OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS $ WORKERS COMPENSATION EMPLOYERS' LIABILITY Y I N ANY PROPRiETORIPARTNERIEXECUTIVE SPA E, L EACH ACCIDENT E OFFiCERIMEMSER EXCLUDED? F NIA (Mandatary in NH) E,L. DISEASE - EA EMPLOYEE $ K yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ Professional Liability Each Claim $1,00%000 B X X EMP19001661-01 10/0112020 10/0112021 Aggregate $2,000,000 Deductible $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space is requlred) City of Santa Ana, its officers, employees, agents, and representatives are Additional Insureds with respect to General Liability, Auto Liability, Professional and Pollubon Liability per the attached endorsements or as required by written contract. Insurance is Primary and Nan -Contributory. *30 Days' Notice of Cancellation with 10 days" notice of Non -Payment Of pre miurn in accordance with the policy provisions. Operations of the insured covered under the above policies. TE HOLDER City of Santa Ana Risk Management Division, 4th floor 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. A U T HORIZ ED REPRE S£ NTATi VE O 1968-2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD - . ttialt hdxnrgemertt t7al+i>�rnL REVIEWED & AFPRavED 8Y: Mr k NtanayenlerTt Anahy;[