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Francine R. Villareal w -e(ne,merrw�„e -alas ACC) of CERTIFICATE OF LIABILITY INSURANCE DATE(MMsD ry Y) 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 endorsement(s). PRODUCER IiU6 IDternabOnal InSUranCe $eNICeS IDC. 3636 American River Drive, Suite 200 Sacramento CA 95864 ONTACT NAME: RDDiD Leon PHONE 1. gis-4a0-ai3a FAX Nn:916-993-7234 ADDRESS: Rocio.Leon hubinternational.com INSURER(S) AFFORDING COVERAGE NAICN INSURER A: Greenwich Insurance Company 22322 License#. 0757776 INSURED WAREDIS-D2 Madison Materials P.O. Box 1318 INSURER B: Westchester Surplus Lines Insurance Co. 10172 y INSURER C: Alaska National Insurance Company 38733 INSURER D: Indian Harbor Insurance Company 36940 Santa Ana CA 92702 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 378299248 RFVIRION NIIMRFR- 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 INSO SUER WVD POLICYNUMBER POLICY EFF MMIDDIYYW POLICY EXP MMIDD)YMYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FV7 OCCUR Y GEC300073D-05 2/28/2020 2/28/2021 EACH OCCURRENCE S1.000,000 DAMA ET RENTED PREMISES Ea ocauvence S100,000 X M ED EXP(Any one person) $5,000 $1,0W PD Dec. Per Occurrence PERSONAL &ADV INJU RY $1.000000 GENL AGGREGATE LIMIT APPLIES PER E GENERAL AGGREGATE S2,000o00 POLICY JJEO CT LOG PRODUCTS-COMP/OPAGG $2,000.000 $ OTHER'. A AUTOMOBILE LIABILITY Y AECOD4538605 2/28/2020 2/28/2021 COMBINED SINGLE LIMIT Ea accident) $1,000,000 X BODILY INJURY (Per Person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 1 (Per accidenBODILY INJURY(Pt ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE per accident) $ BIPD Deductible $10,000 B UMBRELLA LIAB rd OCCUR G46863306003 2/28/2020 2/28/2021 EACHOCCURRENCE S10,000,000 X AGGREGATE S10,000,000 EXCESS LEAD CLAIMS -MADE DED RETENTIONS S G WORKERS AND EMPLOY RSENSATION LIABILITY YIN 20H WS 05450 e/V2020 R/1/2021 X SEATUTE ER E.L. EACH ACCIDENT S1,000,000 ANYPROPRIETORMARTNER/EXECUTIVE OFFICER/MEM BEN EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE 51,000.000 (Mandatory in NH) If yes, describe under EL DISEASEPOLICYLIMIT $1,OD0,000 DESCRIPTION OF OPERATIONS below o Pollution & Remediation Legal HmIAity/CPL PE00056139 2/28/2020 2/28/2023 Each Poll. Condition Aggregate Retention $5,000,000 $l0000.000 $1o000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) (General Liability Per Project Aggregate applies per written contract) Re: Work performed by the insured for Certificate holder per written contract Additional Insured: City of Santa Ana, its officers, employees, agents and representatives are additional insured with respects to General Liability and Auto Liability as required per written contract Forms: CG2010 0413, CG2037 0413, IX1405 0910, XIL431 0605, XIC411 1013 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division, 4th Floor 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 L wokManagonerd5W Im ftEVIEwED&APPROVm Br. ©1988-2015 ACORD C K F,W,We k U:. &bM&d ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD L�'' Risk Management Analyst