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A-2018-024-01 Dig¢xny signed by Fan d ne R Francine R. Villareal Villareal pp co ACCIll CERTIFICATE OF LIABILITY INSURANCE onrE (MMIDDmvYI Isi 1 06/14/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jeff Forbes NAME: ECBM, LP AIC NNo (610) 668-7100 FAX (610) 667-2208 Ext : AIC, No: 1400 N Providence Road E-MAIL forbecbm.com ADORES$: I es Suite 5025 INSURER(S)AFFORDING COVERAGE NAIC# Media PA 19063 INSURERA: Lloyds of London INSURED INSURER B: Evanston Insurance Company 35378 Partners in Control, Inc., Di Enterprise Automation INSURER C: Federal Insurance Company 20281 210 Goddard INSURER 0: INSURER E [Nine CA 92618 INSURERF: COVERAGES CERTIFICATE NUMBER: 20 M REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICWR INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WH CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYV X COMMERCIAL GENERAL LIABILITY �OCCUR EACH OCCURRENCE0CLAIMSMADE Ea occunencx 0PREMISES MED EXP(Any one personA Contractual Liability PERSONAL a ADV INJURY $,,00 Y ARG11212A20 06/15/2020 06/15/2021 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY � PRO- POLICYECT � LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2.000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 x BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS A00005433 06/15/2020 06/15/2021 BODILY INJURY(PeraCCMent) $ HIRED NON,OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Peraccitlent $ $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 x AGGREGATE $ 2.000,000 B EXCESS LIAB CLAIMS -MADE MKLV7EUL100820 06/1512020 06/15/2021 DEC RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? NIA I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) lives, tlesolbe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Liability ARG11212A20 06/15/2020 06/15/2021 Each Claim Aggregate $2,000,000 $2,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re: Contract: 17-112 - The City, its officers, employees, agents, volunteers and representatives are included as additional insured on the General Liability as required by written contract. The policy includes a 30 days' notice of cancellation, except for non-payment of premium, which is 10 days plus mailing. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th FI Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Q CA 92702 ! �111 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD lilelrMotagemmf.Dldafan -• REVIEVIIED SpAPPROVY DBE' = cl F4"cG -r1 r1. vs,` lr/K Risk Management Analyst