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A-2017-154-01 <br />'�'_� CERTIFICATE OF LIABILITY INSURANCE 1 DATBIM101MID11N02019 , <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 cmrtiticale holder Is an ADDITIONAL INSURED, the po Ncy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of has policy, certain pelicans may require an endorsement. A statement on <br />AEG RISk Insurance Services West, Inc, <br />Exu <br />(866) 283-7122 �qr <br />(B 00) 363-0105 <br />Los Angeles CA Office <br />c,xo.1M <br />707 Wilshire Boulevard <br />E.MpIL <br />V—�— <br />Suite 2600 <br />AOCREBe: <br />Los Angeles CA 90017-0460 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC9 <br />INSURED <br />INSURII <br />Zurich American Ins Co <br />16535 <br />'retra Tech, Inc <br />INSURER III <br />American International Group <br />VK Ltd <br />AA11201E <br />17885 Von Karman Ave., Suite 500 <br />IxsuaER c: <br />gton insurance Cam an <br />Lexington Company <br />19437 <br />Irvine CA 92614 USA <br />INSURER 0: <br />IVERAGE3 CERTIFICATE NUMBER; 570078815231 REVISION NUMBER: <br />'fh115 IS TO CERTIFY THAT THE TRI6ES OF INSURANCE LISTED B COW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM CR 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 CCLAIMS, Limits shown ale ae roquvste <br />TYPE OF INSURANCE 86 POLICY NUMOPq (M 1 YYYI MI00 YYa LIMITS <br />% COMMERCIAL GENERAL LIABILITY GLO18174 1 U L EACHOCCURRENCE sa'000,00 <br />CLAIM&MADE 1 p (OCCUR DAMAGE $1, DOO,OO <br />TO PREMISES IED xcu,nxnce) <br />% <br />I %C.0 Cnerse <br />PIED F%P (AnY one person) <br />PERSONAL AUV INJURY <br />GEN <br />L ARGREGATEUNIT Pont IES PER: <br />GENERALAGGREGATE <br />PRO. <br />POLICY V IPRO�LGG <br />JECT <br />PRODUCTS COMPIUPAGG <br />OTHER <br />A <br />AUmMOBILElIA01LITY <br />BAP1857085-01 - <br />10/01/2019101 <br />COMBINED SINGLE LIMIT <br />(En xLods.4 <br />BODILY INJURY( Per p Gory <br />% <br />ANYAUTC <br />OWNEDAUTDS SCHEDULED <br />ONLY UT09 <br />WOILYINJURY( Per 1161,01, <br />PROPERTY DAMAGE <br />IPor e[eldanl <br />HINEO AUTo9 NONOWNEO <br />OryLy AUTOS ONLT <br />0 <br />% <br />UMBRELLA LIAR % OCCUR <br />62785232 <br />16/ 172U19 <br />16O1/2O U <br />1ACH OCCURRENCE <br />EXCESS LIAR CLAIMGMAOC <br />AGGREGATE <br />n Vtq WC15S1US7U1 10/Ul/2UlY lU/Ui/LULU <br />ANY PNOPRIETOgIRIiENFCVTIVE p FLEACH ACCIDENT <br />rrnCEmMEMBEN NIA 5, <br />EL.OEgaEEMPLOYEFMmdneor ACIlyIFII <br />UELDE5CIPTIRAYOLY LIMIT �. <br />5. <br />c Env Contr Prof 028182375 10/01/2019 10/01/2021 Each claim 5. <br />Prof/Poll Liab I Agggregate EI <br />SIR applies per policy to I <br />s & condi ions <br />ESCRIPTION Of OPERATIONS I LOCATIONS I VEHICLE. JAC. RE 101, Ad0111o..I Rome,M S.ISS lq mry he M1mM1otl If mo,o span. Is nyulmJl <br />F.: lob Description: Lincoln Avenue Pedestrian Pathway Connectivity, RFP No. 18-042 also, A-2014-240, A-2017-154, <br />-2018-.160-02. Cityof Santa Ana, officers, agents, employees and volunteers are included as Additional insured in ac <br />ith the policy provisions of the General Liability policy as required by written contract. General Liability policy <br />erein is Primary and Non-contributory tother insurance available to Additional insured, but only in accordance with <br />olicy's provisions as required by written <br />n contract. Stop Gap [overage for the following states: Off, N0, WA, WY. <br />CERTIFICATE HOLDER <br />� ` -I (� � SHBO D ANY OF THE ABOVE OESCRIBEO POLICIES OE CANCELLED BEFORE THE EXPIRATION <br />V J. ti .ATE THEREOF. NOTICE WILL Be DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />city of Santa Ana t Na QM REPRESENTATIVE u� <br />Risk Management DivisionIRANCINE R. VILLA FAL ' <br />20 Civic Center Plaza <br />Santa Ana en 92702 USA P8 9tDLLkLAlAa 6LYI.L'd 9TA <br />©1988-2015 ACORD CORPORATION. All rights reserved <br />ACORD 25 (2018103) The ACORD name and logo are registered marks of ACORD <br />N <br />d <br />W <br />