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Francine R. Digitally ed <br /> Francine R.sign Villareal <br /> Villareal Date:2020.08.10 <br /> 11:55:28-07'00' <br /> COUNTY OF ORANGE <br /> o <br /> 0 ca CERTIFICATE OF SELF-INSURANCE <br /> o r tis- <br /> �'ziros <br /> Office of Risk Management, 601 N. Ross Street, 5th Floor, Santa Ana, CA 92701 <br /> Coverae: 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 /> 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 ot'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-157. • <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 /> Rise Msysseanent nivisiwt <br /> R &AP ROVEDBy: <br /> ATTN: Risk Management Division `' ItS d^ �REVIEWEDF 6s.4s•e Z. V LLw4 <br /> Risk Management Analyst <br /> LOCATION 2102 S. Flower St., Santa Ana, CA 92702 � <br /> RE: Ballot Drop Box <br /> DATE: July 31, 2020-Until Terminated Rhonda Marshall <br /> a+ewrwnin..soa <br /> Manager, Risk Management <br /> (714)285-5500 <br /> Date Certificate Issued: 07/29/20 <br />