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• <br /> Francine R. Digitally signed by Francine R.Villareal <br /> Dare.2020.051011:95g-0T00' <br /> Villareal <br /> o � <br /> >, COUNTY OF ORANGE <br /> 8' CERTIFICATE OF SELF-INSURANCE <br /> Rx <br /> Office of Risk Management, 601 N. Ross Street, 5th Floor, Santa Ana, CA 92701 <br /> Coverage: This is to certify that the County of Orange is self-insured for the following <br /> coverage: <br /> Type of Coverage Self-Insurance Limit <br /> General Liability: Bodily Injury and Property Damage $1,000,000 per occurrence <br /> $2,000,000 per aggregate <br /> Automobile Liability-Vehicles owned, non-owned, and hired $1,000,000 per occurence <br /> • <br /> Workers'Compensation -$20,000,000 SIR applies Statutory <br /> Employers' Liability $1,000,000 per occurrence <br /> Terms,Conditions and Special Items: <br /> The provisions under General Liability,above, shall apply only with respect to claims arising out of the <br /> negligent acts or omissions of the County of Orange, its officers, agents and employees. <br /> Cancellation: <br /> Should any of the above described self-insured coverage be modified or cancelled before the <br /> expiration date shown below,the County of Orange will provide 30 days written notice to the named <br /> certificate holder. <br /> Indemnified Party: <br /> City of Santa Ana, its officers, employees, agents, volunteers and representatives pursuant to the terms <br /> and conditions of License Agreement LA-156. <br /> Certificate Holder Certificate Effective Date; 07/31/20 <br /> City of Santa Ana Certificate Expiration Date: Until <br /> 20 Civic Center Plaza,4th Floor Terminated <br /> Santa Ana,CA 92701 <br /> 4 N on�nr Risk Division <br /> t REVIEWED&APPROV®BY: <br /> ATT'N: Risk Management Division <br /> LOCATION 706 N.Newhope St., Santa Ana, CA 92703 RiskMlrnagementAnayst <br /> RE: Ballot Drop Box <br /> OkrwgaKaN.loy�e.rtb <br /> DATE: July 31, 2020- Until Terminated Rhonda Marshall , -� a.- <br /> D.00,07]f1La:U91W <br /> Manager, Risk Management <br /> (714)285-5500 <br /> Date Certificate Issued: 07/29/20 <br />