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Francine R. Digitally signed by Francine R. <br />Villareal <br />Villareal Date: 2021.07.29 12:05:57-07'00' <br />ALC�RD® <br />v CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDNYYY) <br />02/24/24/20212021 <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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />McGriff Insurance Services, Inc. <br />P.O. Box 10265 <br />CONTACT grid ette Taul <br />NAME: 9 <br />A/CC No Ext : 800 476-2211 PHONE FAX <br />No): <br />Birmingham, AL 35202 <br />E-MAIL riff.comlaume <br />ADDRESS: bt@ 9 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA :The Charter Oak Fire Insurance Company <br />25615 <br />INSURED <br />ARC Document Solutions, Inc. <br />INSURER B :Travelers Property Casualty Company of America <br />25674 <br />INSURER C :The Travelers Indemnity Company <br />25658 <br />345 Clinton Street <br />Costa Mesa, CA 92626 <br />INSURER D <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER:EW5N834J 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />P6307R80315ACOF21 <br />02/26/2021 <br />02/26/2022 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGE(RENTED <br />PREMISES Ea occurrence <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />X <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY X PRO LOC <br />JECT <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />8107R8493842143G <br />02/26/2021 <br />02/26/2022 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />x <br />HIRED XNON-OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />B <br />X <br />UMBRELLA LAB <br />X <br />OCCUR <br />CUP7R9404682143 <br />02/26/2021 <br />02/26/2022 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I RETENTION $ <br />$ <br />B <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />UB2L7502841951 K (AOS) <br />UB2L6010821951 R (AZ, MA, WI)ER <br />02/26/2021 <br />02/26/2022 <br />X STATUTE OTH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />N / A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Reprographic Services. <br />City of Santa Ana, its officers, agents and employees are Additional Insured under General Liability which applies on a primary and non-contributory basis as required by <br />written contract. In the event of cancellation by the insurance companies, the policies have been endorsed to provide 30 days notice of cancellation (except for non <br />payment) to the certificate holder as required by written contract. <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor <br />Santa Ana, CA 92701 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCR <br />THE EXPIRATION DATE THEREO <br />ACCORDANCE WITH THE POLICY PR( <br />AUTHORIZED REPRESENTATIVE <br />Risk Management DMsian <br />REVIEWED &/APPROVED BY. <br />o : <br />T "4� R. VAVA'd <br />®, Risk Management Analyst <br />ACORD 25 (2016/03) <br />Page 1 of 3 © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />