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LINESYS-01 <br />OATD1I <br />CERTIFICATE OF LIABILITY INSURANCE I S110190911 <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(iss) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER License # 0757776 2.23JACT <br />INSURED <br />ational Insurance Services Inc. <br />45 <br />CA 92517 <br />Linear Systems, Inc. <br />8403 Maple Place <br />Rancho Cucamonga, CA 91730 <br />,q, (951) 779-8686 A c H� <br />arlene.campos@hubinternational.com <br />INSURER(S) AFFORDING COVERAGE _ NAIC0 <br />.INSURER A. Citizens Insurance Company of America _31534 <br />INSURER e.Alimerica Financial Benefit Insurance Company 41840 <br />INSURER C: Beezley Insurance Company _ _37540 <br />INSURER D <br />INSURER E <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />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 <br />TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ITR TYPE OF INSURANCE N)DL SUER POLICY NUMBER UPMLICY EFF I POLICY EXP <br />LIMITS <br />A X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE .5 <br />1,000,000 <br />CI_UMS.MAOE X OCCUR 0/339898815 412512020 4/2512021 <br />X X .PRESSES <br />DAMAGE ro REMED <br />IEietfufr9PtfL. _�1.__. <br />_ <br />_ <br />MEDEXPLMyw pe,w, .g_— <br />10,000 <br />PERSONAL IS MY INJURY :5 <br />1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />_ GENERAL AGGREGATE_ _ 5 <br />2.000.000 <br />_ POLICY jELQT LOC <br />PRODUCTSCAMPDPAGGS <br />2,000,000 <br />OTHER <br />5 <br />_ <br />B AUTOMOBILE LIABILITY <br />. COMBIINNESINGLE LIMIT S <br />XaA_X <br />1 000,000 <br />ANVALfrO _ AW3989880907 4/25/2020 412512021 <br />BODILY IMURY(Per parsc�.. <br />OWNED SCHEDULED <br />_5___ <br />AUTOS ONLY AUTO.pSSWWNNEEpp <br />INJURY Poracndem! 5 _ <br />A�T'OS ONLY AUTOSONLY <br />_BODILY <br />O=DMAC 5 <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE .5 <br />EXCESS LIAB CLAIMS -MADE <br />AGGREGATE _S <br />DED RETENTIONS <br />B WOMERS COMPENSATION <br />PER OTw <br />X STATUTE ER <br />AND EMPLOYERS' LIABILITY YIN W239871564 31112020 31112021 <br />_ <br />1,000,000 <br />ANY PROPMETORIPARTNERLEXECUTNE <br />REXCLUDED? NIA <br />EL EACH ACCIDENT 5 <br />- .. - - <br />pF�FlCEZ4EM <br />IMeR4Lary Mil�il <br />1,000,000 <br />El t)ISEAS_E_�EA EMPLOYEE S _ <br />X yyeess tlewAe under <br />1,000,000 <br />DESdRd=10N OF OPERATIONS bek <br />E L DISEASE -POLICY LIMIT 5 <br />C Professional Llab V102F2201101 31112020 31112021 <br />Each Claim <br />2,000,000 <br />C IPROF DED: $10,000 V102F2201101 3/1/2020 31112021 <br />I <br />Aggregate <br />2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addltldell Remade Schedule, may hatlached a more a ace iA reRulndl <br />City of Santa Ana It's officers, agents, employees, agents and volunteers are named additional insure and waiver of subrogation apply when required by <br />written contract per attached endorsements, as respects general liability and such insurance as is afforded by this policy shall be primary, and any insurance <br />carried by City shall be excess and noncontributory. <br />Thirty (30) day notice of cancellation, except (10) days for non-payment of premium. <br />REVIEWED & APPROVED <br />J <br />2 3 2020 <br />ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Flook <br />A (,I <br />2. VnA RE <br />CO EXPIRATION <br />WITH THE POLICY THEREDATE O. NOO S. TICE WILL BE DELIVERED IN <br />L <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />