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Client#: 581763 <br />INFOSENDI <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />DarE IMMIODn'YY1 <br />5126/2020 <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 poliey(les) must have ADDRIONAL INSURED provisfone or be andorsed. <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 any rights to the certificate holder in lieu of such endorsement(0- <br />PRooucER <br />Rocio Gutierrez <br />Marsh & McLennan Agency LLC <br />Moue _--- <br />A/C E EMR 949.425.7301 ____.- �LAX,N1._ <br />Marsh & McLennan Ins. Agency LLC <br />E-MAIL <br />occerts@marshmma.com <br />-aDOBEes, @ --- <br />1 Polaris Way #300 <br />— <br />i IN$UI AFFORDING COVERAGE <br />SAM0 <br />Allso Viejo, CA 92656 <br />. INSURER A: Federal Insurance Company <br />20281 <br />INSURED InfoINSURER 8: NOVA Casualty Company <br />Inc. <br />42552 <br />555555 <br />4240E Laend, <br />240 La Palma Avenue 1 INSURER C, Undenwriters at Lloyd's London <br />Anaheim, CA 92807 INSURER 0: <br />INSURER E : <br />^^, ^^•^� ____ :INSURER F: <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 CONTRACTOR 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 />NLITR <br />TYPE OF INSURANCE <br />ADD <br />SUB <br />POLICY NUMBER <br />PO EFF <br />MMIDD <br />Pa``IC EXP <br />MMI00 <br />_ <br />DMRB <br />A <br />X <br />COMMERCIAL GENERAL UABILITY <br />36031148 <br />4/011I2020 <br />02/01/2021 EDApCWH� occTURRENCE <br />f t 000 000 <br />CLAIMS -MADE a OCCUR <br />✓ <br />PRi�MR 5 eENTEO <br />$1 000,00 <br />$10000 <br />-- <br />. NED EXPSAny one perFoni <br />. 0,000,000 <br />PERSONAL S ADV INJURY <br />AGGREGATE LIMIT APPLIES PER <br />[:1JECOT <br />f2,000 O00 <br />GENL <br />X <br />GENERAL AGGREGATE <br />POLICY LOC <br />PRODUCTS -COMPIOP AOG <br />, fIRCIDd@d <br />OTHER: <br />f <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />i <br />j73587120 <br />4/O1/2020 <br />O�IOtI2O.21 COMSI(118 eNEDI3INGLE LIMIT <br />1,000,000 <br />OWNED SCHEDULEO <br />✓/ BODILY INJURY (Per pemn) <br />f <br />f <br />AUTOSONLY AUTOS <br />iBODILV INJURY (Peraamenq <br />HIRED NONOWN <br />AUTOS ONLY AUTOS ONLY <br />'., <br />I'PROPERtY <br />DAMAGE <br />fPer ecrAtlentl _ -- <br />f <br />8 <br />A <br />X <br />UMBRELLALIA9 <br />X <br />OCCUR <br />79896856 <br />4/01/2020 <br />02/01/2021 <br />EACHOCcuRRENCE <br />a50�00,D00 <br />E%CE33 LIA9 <br />CLAIMS -MADE <br />AGGREGATE <br />TS OOOyODO <br />OED RETENTIONS <br />S <br />B <br />MOWERS DENIPL YERS'LI ATION <br />AND EMPLOYEgB' LIABILITY <br />' BBVVWK1000066300 <br />2/01/2,02a <br />02101/202 X PER IOTw <br />0FFICMY &PRIETORPEAXCLNEWE%ECUTIVE IN <br />OFFICERWEMBER E%CLUDEOi � <br />N/A: <br />,/ <br />E.LEACHACCIDENT <br />$1000000 <br />St OOO OOO <br />(Maod" in NH) <br />R yee tleuebe under <br />I E.L. DISEASE - EA EMPLOYEE <br />$1 00O 0 <br />DESCRIPTION OF OPERATION36&ow <br />.L. DISEASE - POLICY LIMIT <br />C 'Tech <br />E&C 8 Cyber <br />.TRICE01263 <br />ti S5,000,000 Agg./Claim <br />Retro 12/01/06 <br />=A/n117nJA <br />E25,000 Retention <br />A <br />Crime <br />:88054862 <br />202f $300 000 IS5 000 Rot. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 1101, Additional Remark. Sehetlule, may be aaachetl II men epeee is reeobed) <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; Its <br />officers, employees, agents, <br />volunteers and representatives are included as additional insured as respects to General Liability per ✓ <br />attached endorsements. Waiver of Subrogation applies to Workers Compensation per attached endorsement. <br />Primary and Non -Contributory Wordin applies to G n I ayI�p( hed endarsement.Cancellation <br />provisions apply per the attached. REVIEW � AYYI�tS�ED <br />By Risk MANAGEMENT DivisiON <br />City of Santa Ana SHO ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division ANCtiE ACEVE ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 Civic Center Plaza, 4th Boor <br />SANTA ANA, CA 92701.0000 AUTHORIZED REPRESENTATIVE <br />C 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S48563331M4842093 WOJKL <br />