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Francine R. woaro-aan,,.x,.a <br />Villareal aanas,aaa <br />AC RDF CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM DD YYyy) <br />7/31/2020 <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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />xnktE. Ying giao <br />New Century Insurance Services <br />PHONE_HcI (626)300-9000 FAC p, (6261670-0908 <br />License #OB07085 <br />-MAIL <br />ADDRESS: <br />16 N. 2nd Street <br />INSURERS)AAFFORDING COVERAGE <br />NAIG If <br />Alhambra, CA 91801 <br />INSURERA:2urich American Insurance Company <br />16535 <br />INSURED <br />INSURER B Hartford Accident And Indemnity <br />22357 <br />Managed Career Solutions, SPC <br />NSURERCHieCOR Insurance Compsuay Inc <br />10200 <br />DBA: MCS Rehab & FTI-LA & American Medical Careers <br />INSURER 0Mravelers casualty and Surety CO <br />31194 <br />3333 Wilshire Blvd #405 <br />FIR <br />Los Angeles CA 90010 <br />INSURER F: <br />COVERAGES CERl1E1CAlENUMBERCGL ONE, 2O-21 pCTBSION uunecve. <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 />R <br />TYPEOFINSURANCE <br />A D <br />UB <br />POOCYNUMBEft <br />tIPMADMI <br />POIGp EXP <br />LIMITS <br />A <br />R <br />I COMMERCIAL GENERAL LIABILITY <br />CINMS-MADEOCCUR <br />EACH OCCURRENCE <br />g 11000,000 <br />EAGE Enc <br />$ 100,000 <br />MED EXP(Any one person) <br />$1,000 DED BI/PD <br />R <br />PRA 9314811-06 <br />7/1/2020 <br />,7.( I'' <br />$ 10,000 <br />par occurrence <br />PERSONAL BADV INJURY <br />$ 11000,000 <br />GENL AGGREGATE LIMIT APPLIES PER <br />R POLICY EljEG LDC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS-COMPIOPAGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIMILITY <br />COMB ED u IMI <br />Ea accld n <br />$ 11000,000 <br />B <br />R <br />ANY AUTO <br />ALLOOVJNED SSCCHHEEDULED <br />HIREAUMS D AUTOS NOWOWNED <br />AUTOS <br />X <br />72URCR19398 <br />7/7/2020 <br />7/7/2021 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Par accident) <br />$ <br />PPReOaPCEMRtl DAMAGE <br />$ <br />8 <br />X <br />UMBRELLA LIM <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 11000,000 <br />A <br />EXCESS LAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ 11000,000 <br />DEO I <br />I RETE IO <br />$ <br />DNB 0369817-00 <br />7/1/2020 <br />7/1/2021 <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTWE <br />OFFlCERIMEMBER EXCLUDEB, <br />(Mandatory In NH) <br />H yyes, tleccdbe antler <br />DESCRIPITON OF OPERATIONS below <br />NIA <br />Y <br />72WECAD0503 <br />7/1/2020 <br />7/1/2021 <br />PE 0 - <br />X TA ER <br />EL EACH ACCIDENT$ <br />1 000 000 <br />EL DIBEASE-EA EMPLOYE <br />$ 1 000 000 <br />E.L DISEASE -POLICY LIMIT <br />$ 1 000 000 <br />C <br />PROF. LIAR: RETRO 1/11/2011 <br />MOL1601430.20 <br />7/25/2020 <br />7/25/2021 <br />RETEMION:$10.000: LIMIT 3,000,000 <br />D <br />EMPLOYEE THEFT <br />106547315 <br />7/1/2020 <br />7/1/2021 <br />RETEMIOR$10,000: LIMIT 11000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is nqulred) <br />CITY OF SANTA ANA, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS IS RESPECTED AS AN ADDITIONAL INSURED PER <br />FORM CG 20 26 04 13 ATTACHED. SUCH INSURANCE IS PRIMARY AND NONCONTRIBUTORY PER UGL1327B ATTACHED. WAIVER <br />OF SUBROGATION PER WC0403 ATTACHED. 10 DAYS NOTICE OF CANCELLATION FOR NONPAYMENT. 30 DAYS OTHERWISE. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2014101) <br />INS025 on1a0n <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />(Angela Lin/AGL <br />01988-2014ACORD <br />The ACORD name and logo are registered marks of ACORD <br />.v' °e, RlskMane$oRenED[vfefoR <br />��& REMEYh9fi APPRov®Rr. <br />' f'IFs�e:.s.d �., if�Cl�uCL <br />`� Risk Mamgement AnalyT[ <br />