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Francine R. o'amima�b.rw�.n Villareal w,..romaw 142:,a� ACil CERTIFICATE OF LIABILITY INSURANCE `� DATE(MMIDDIYYYY) 1 7/31/2020 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 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 endorsement(s). PRODUCER CONTACT ln 0 NAME: Yg Q1a New Century Insurance Services License #0B07085 PHONE (626)300-9000 AJC2908 ADDRESS, 16 N. 2nd Street INSURERB AFFORDING COVERAGE NAIC# INSURERA:Zurich American Insurance ComToany 16535 Alhambra, CA 91801 INSURED INSURERB$artford Accident And Indemnity 22357 INSURERC:HiSCOX Insurance Company Inc 10200 Managed Career Solutions, SPC INSURER D:Travelera Casualty and Surety Co 31194 DBA: MCS Rehab & FTI-LA & American Medical Careers INSURER E: 3333 Wilshire Blvd #405 Los Angeles CA 90010 INSURER F: COVERAGES CERTIFICATE NUMBER:CGL UMB 20-21 REVISIONNUMBER' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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. INSR LTR TYPE OF INSURANCE ADDL BURR POUCYNUMBER POLICY EFF MMDD POLICY EXP laminglyrrri LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR EACH OCCURRENCE $ 1,000,000 ETO-RENTED MISES lEa ante $ 100,000 MED UP(Any one person) $ 10,000 $1,000 DED BI/PD X PRA 9314811-06 7/1/2020 «'( )S ]W per occurrence PERSONAL& ADV INJURY $ 1,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: X POLICY 0 JEST FLOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGO $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY EaMacBcINED SIN LIMIT ident $ 1,000,000 BODILY INJURY (Per person)ALLOW $ B X ANY AUTO AUTOS NED ASCHEDUTOS UTOS X 7210ECR17939B 7/7/2020 7/7/2021 BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per acciden $ X UMBRELLAUAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS UAB I CLAIMS -MADE DED RETENTIONS $ VMS 03691117-00 7/1/2020 7/1/2021 B WORKERS COMPENSATION AND EMPLOYERS'LIABILOY YIN ANY PROPRIETOR�PARTNERI ECUTIVE (Mandatory MBE EXCLUDED? ( rP 1E.L. If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y 72WECAD0503 7/1/2020 7/1/2021 X PER OTH- STATUTE ER El. EACH ACCIDENT $ 1 000 000 DISEASE -EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1 000 000 C PROF. LIAB: RETRO 1/11/2011 MPL1601430.20 7/25/2020 7/25/2021 RETENTION:$10,000; LIMIT 3,000,000 D EMPLOYEE THEFT 106547315 7/1/2020 7/1/2021 RETENTION:$10,000; LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD fill. Additional Remarks Schedule, maybe attached If more space is required) CITY OF SANTA ANA, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS IS RESPECTED AS AN ADDITIONAL INSURED PER FORM CG 20 26 04 13 ATTACHED. SUCH INSURANCE IS PRIMARY AND NONCONTRIBUTORY PER UGL1327B ATTACHED. WAIVER OF SUBROGATION PER WC0403 ATTACHED. 10 DAYS NOTICE OF CANCELLATION FOR NONPAYMENT. 30 DAYS OTHERWISE. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Angela Lin/AGL RVREiWED&ApPRoVEDBYn ©1988-2014 ACORD 91." ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Risk Management Analyst INS02512m4D11