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Francine R. Di91WBy signed by Francine R. <br />Villareal <br />Villareal Date: 2020.10.010817:10-07'00' <br />Policy Number Date Entered: 9 / 30 / 2 020 <br />A11M- ® CERTIFICATE OF LIABILITY INSURANCE F <br />OpIE MMIDD"YY) <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: O the ceAIVED. holder is an ADDITIONAL INSURED, the policy(las) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and can Billions 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 endarsement(s). <br />PRODUCER p <br />H. Linwood Insurance NAME: CT Hadley Wood <br />4021 Layang Layang Circle ANC NoExr (760) 720-4632 Ic,NO(760)720-0574 <br />E44pIL hadle <br />Ste H ADofless: YShlinwood-insurance. cam <br />Carlsbad, CA 92008 INSURER(S)APFORDINGCOVEMCIE "—SON <br />INSURED <br />2710 Laker Avenue W <br />#300 <br />Carlsbad, CA 92010 <br />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 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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />,He <br />LTR TYPE OF INSURANCE IN80 WVO POLICYNUMBER POLICY EFF POLICY EXP <br />A COMMERCIAL GENERAL LIABILITY MMIDOttvYT MMIDoIYTYT <br />LIMITS <br />CLNMSMADE OCCUR X UDC-2220435-BOP <br />EACH OCCURRENCE $ 11000,000 <br />-4/04/2020 04/04/2021 <br />PREMISES EarmuIleow $ 100,000 <br />MEDEAP(ABy.pea.) $ 5,000 <br />GENL AGGREGATE LIMIT APPLIES PER <br />PERSONAL BAW INJURY $ 0 <br />POLICY P CT LOC <br />GENERALAGGRECATE $ 4,000,000 <br />OTHER <br />PRODUCTS -COMPIOP AGG $ 2,000,000 <br />AUTOMOBILE LIABILITY <br />$ <br />A �ANYALTO <br />Fe eccMenl $ Included <br />—UDC-2220435-BOP 04/04/2020 04/04/2021 <br />_---. <br />OWNED SCHEDULED <br />DI <br />BOLY INJURY I, Pelson) $ <br />IfE0.50NLYAUTOS <br />HIREDNON-O <br />BODILY IPLIt1RY(PER eaddBnt) $ <br />6UTOS ONLY AUTOS ONLY <br />,/X, <br />Per actldenl $ <br />$ UMBRELLA LIAB OCCUR <br />$ <br />E X C ES LIAB CMNIEHNACE 8271-3002-Ex 34/04/2020 04/04/2021 <br />EACH OCCURRENCE S 11000,000 <br />OEO NON N $ <br />AGGREGATE $ 1,000,000 <br />WORKERS COMPFN.1TIBpiION <br />$ <br />AND EMPLOYERS' LIABILITY YIN <br />BTATUIE ER <br />ANY PROPRIETOWFARTNERIEXECUTIVE <br />OFFICERINEMBER EXCLUDED' ❑ NIA <br />(Mandatory in NH) <br />EL EACH ACCIDENT is <br />I(yy�ss, descNre under <br />DESCRIPTION OF OPERATIONS be. <br />EL DISEASE EA EMPLOYEE $ <br />A Professional <br />E.L.DI <br />E.SFhSE-POLICY LIMIT $ <br />UDC-2220435-EO 04/04/2020 04/04/2021 <br />Liability (E&O) <br />Each Claim 2,000,000 <br />C C bar Liability <br />Y Y C9LBM239817CYBER,. Bs/D1/2o2D 0$/01/2az1 <br />Aggregate 2, 000, 000 <br />Agq s Occ Limit <br />OPE ATIONSComm 1LOCATIONS/VEHICLES IACORO 101, ptltlltlonel Remake 8eketlula, may Ea atlavM1eY Irmore <br />Marked <br />2, 000, 000 <br />gOF <br />apacebrapubatll <br />Marketing & Communications <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives <br />insured to the above General Liability by attached Endorsement. <br />are additional <br />Certificate <br />thirty (30) day prior written notice of cancellation. <br />of Insurance shall provide <br />CERTIFICATE HOLDER CAN ' - <br />ILLATION <br />The City of Santa Ana <br />Risk Management Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 Civic Center plaza, 4th Fl THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Santa Ana, CA 92701 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Risk Management DMeian <br />REVIEWED & APPROVED BY; <br />Risk Management Analyst <br />