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rraneme h. Francine RVillareal <br />Date: 1120.09.02 <br />Villareal <br />10:18:53-07'00' <br />"� CERTIFICATE OF LIABILITY <br />°ATo`M11202'o"Y' <br />INSURANCE <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, me policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Northeast, Inc. <br />Plaza New York NY Office <br />One Liberty P1dZd <br />165 Broadway, Suite 3201 <br />New York NY 10006 USA <br />CONTACT <br />NAME: <br />PHONE (866) 283-7122 FAX <br />(AIC. No. Exq: A� No : (800) 363-0105 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC k <br />INSURED <br />LOS Angeles SMSAwire LP <br />dbaes <br />vAvenuezon wireless <br />INSURERA: Nat l Onal Union Fire Ins Co of Pittsburgh <br />19445 <br />INSURER B: AIU Insurance Company <br />19399 <br />109 <br />1095 Avenue of the Americas <br />New York NY 10036 USA <br />INSURER c: American Home Assurance Co. <br />19380 <br />INSURER D: New Hampshire Insurance Company <br />23841 <br />,SURER E. <br />INSURER F: <br />rnvoonr_oc .��..r.�.---------- ----...--------_ <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 />Limits shown are as requested <br />INSKLTR <br />TYPE OF INSURANCE <br />IN <br />MIDSUBF <br />POLICY NUMBER <br />MMIDD <br />MMIppIYYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />GL <br />EACH OCCURRENCE <br />$2,000,000 <br />CLAIMS -MADE ❑% OCCUR <br />D E O D <br />PREMISES Ea occunence <br />12,000,000 <br />% XCU Coverage is Indutled <br />NED EXP (Any one person) <br />$10, 000 <br />PERSONAL &ADV INJURY <br />$2,000, 000 <br />GEN-LAGGREGATE UMITAPPLIES PER <br />PRO <br />% POLICY <br />GENERALAGGREGATE <br />$5,000,060 <br />PRODUCTS - COMPIOP AGG <br />$5,000,000 <br />�JECT LOC <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />CA 4594298 <br />06/30/202006/30/2021 <br />COMBINEDSINGLE LIMIT <br />ADS <br />Ea accident) <br />$1,000,000 <br />BODILYINJURY( Perpemon) <br />A <br />X ANYAUTO <br />CA 4594299 <br />06/30/2020 <br />06/30/2021 <br />A <br />OWNED SCHEDULED EO <br />MA <br />BODILY INJURY((P., acosI <br />AUHIRTOS ONLY NON -OWNED <br />CA 4594300 <br />06/30/2020 <br />06/30/2021 <br />PROPERTYDAMAGE <br />ONLY AUTOS ONLY <br />VA <br />Per amident <br />A <br />See Next Page <br />06/30/2020 <br />06/30/2021 <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />DED <br />RETENTION <br />B <br />WORKERS COMPENSATION AND <br />WC045886576 <br />06/30/2020 <br />06/3U/Z021 <br />X PER STATUTE <br />OTH- <br />EMPLOYERS' LIABILITY YIN <br />ADS <br />ER <br />G <br />ANY PROPRIETOR I PARTNER I <br />OFFICERIMEMBER EXCLUDED? IN INNIA <br />WC045886575 <br />06/30/2020 <br />06/30/2021 <br />EL EACH ACCIDENT <br />$1,000,000 <br />(atandatory in NH) <br />It <br />CA <br />EL DISEASE -EA EMPLOYEE <br />$1,000,000 <br />DESCRIPTION <br />NOFO <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addaienal Remarks Schedule, may be attached if more space is required) <br />The above -referenced General Liability policy shall cover the tort liability of the Certificate Holder assumed under the ' <br />underlying agreement between parties for which the certificate has been issued. City of Santa Ana, its council members, <br />officers and employees are included as Additional insured with respect to the General Liability policy. The General Liability <br />policy shall apply as Primary and Non -Contributory Insurance to each Additional Insured listed herein. where permitted by law, <br />the Named Insured parties listed herein waive all rights against City of Santa Ana, its council members, officers and. employees <br />. <br />listed herein for recovery Of damages to the extent these damages are covered by the above -referenced General Liability policy = <br />and, as further limited by written contract between the parties. <br />I+CR 1 iFiGA I E HOLUER CANCELLATION =' <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />City of Santa Ana AUTHORIZED REPRESENTATIVE <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor a� <br />Santa Ana en 92701 USA <br />©1988-2015 ACORD <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />`m <br />Fu-b w[ y YAtX.AVAI <br />Risk managLyneni Analyst <br />