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CERTIFICATE OF LIABILITY INSURANCE <br />DAM (MWDDNY M <br />112/n019 <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 certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer riohts to the certificate holder in lieu of such endorsementisl. <br />PRODUCER <br />MARSH USA INC <br />1717 Arch Street <br />Philadelphia, PA 19103 <br />Attn: Philadelphia cells@malsh.00m I Fax (212) 940360 <br />CN118025105-ALL-PrbR 19.20 <br />WSURED <br />Allied Universal Topes, LLC <br />(See Attached for Additional Named Insureds) <br />161 Washington Street Suite 600 <br />Conshohocken, PA 19428 <br />COVERAGES CERTIFICATE NUMBER: CLE-006447772-13 REVISION NUMBER: 8 <br />19437 <br />22322 <br />36940 <br />37885 <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 />INTR1 TYPE OF INSURANCE <br />ACo 911—BRi_ <br />INSO'POLICY NUMBER <br />POLICY EFF <br />M OD <br />POLICY E%P <br />MMIDDIYYYY <br />LIMITS <br />A <br />I X <br />'. COMMERCIALGENERALLUIBILITY <br />CLAIMSMADE OCCUR <br />�1082695264 <br />1 <br />1110112019 111,01 020 <br />EACH OCCURRENCE <br />5 10AD0,000 <br />PREMISES Ea oxuvmce <br />S 10.000.000 <br />MED EXP (Any aria peleon) <br />5 <br />ffXSCIR <br />Pmfesumal Liability is included <br />III <br />$1,750,000 <br />PERSONAL a ADV INJURY <br />$ In 000.GOD <br />in 119 General Llabilily limit <br />GENL <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PEOT- LOG <br />GENERAL AGGREGATE <br />S 10,000,0M <br />PRODUCTS - COMPIOP AGO <br />5 10,000,GDD <br />S <br />OTHER: <br />B <br />AUTOMOBILEIJABIL <br />iRAD9437818.03 <br />11012019 11;012020 <br />COMBINED SINGLELIMIT <br />Ea accident <br />$ 5.000.000 <br />BODILY INJURY (Per person) <br />_ <br />$ <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />li <br />X <br />BODILY INJURY (Per amdent) <br />5 <br />-: X <br />PROPERTY DAMAGE <br />raegtlen <br />$ <br />5 <br />IA <br />UMBRELLA LB� <br />X <br />OCCUR <br />RES9437994 <br />11N72019 11ID72020 <br />EACH OCCURRENCE <br />a 10,000,000 <br />X <br />EXCESS LIAR <br />CWMSMAOE <br />E%CESS OF GENERAL LIABILITY <br />AGGREGATE <br />$ 10,000.000 <br />DEC <br />RETENTIONS <br />5 <br />C WORKERSCOMPENSATION <br />E AND EMPLOYERS LMUULm Ylx <br />ANYPROPRIET IRTARTNEPoEXECUTIVE <br />(OFFICER/MEMBEREXCLVDEDI <br />(Mandatory In NN) <br />If yes. das !,e under <br />DESCRIPTION OF OPERATIONS below <br />RWD3001203-03(AOS) <br />RWR3001204.03(WI) <br />N/A <br />I <br />'1 L <br />111N12019 iL0UZD20 <br />X PER OTF <br />STATUTE R <br />E.L. EACH ACCIDENT <br />5 1,W0,000 <br />E.L. DISEASE• EA EMPLOYEE <br />S 1,WO,OiN) <br />E.L DISEASE - POLICY LIMIT <br />S 1,WO,ODO <br />A PROFESSIONAL UABILITY 082695264 <br />1IM12019 1L012020 <br />LIMIT <br />2.000,WO <br />COMBINED WITH GL LIMIT <br />i <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AtltliUanal Remarks Schedule, may W attached H mare span is rpeired) <br />The City of Santa Ana. its officers, empbyees, agems, volunteers and representatives are included as additional insured where required by written contract with respect to General Liability and Auto Liability. Liability <br />coverage shall be primary and non-contn6ulory where required by wrhen contract. Waiver Of subrogation is applicable where required by written contract. <br />REVIEW <br />City of Santa Ana D� 2U19 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92702 <br />SAVANT M.1 AMArPT .,,. a„e o.ao=a.—..eR <br />©1988-2016 ACORD CORPORATION. All riohts reserved <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />