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A-2018-015-01 <br />WOOLINC-01 <br />CERTIFICATE OF LIABILITY INSURANCE I aAT0901nrYn <br />vnalnnnn <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 certlflcslD holder Is an ADDITIONAL INSURED, the policy(los) must have ADDITIONAL INSURED provisions or be endorsed. <br />if SUDROGATION IS WAIVED, subject to the forms and conditions of the policy, Certain policies may require an endorsement. A statement on <br />PRODUCER <br />Amos&: Gough <br />8300 0mensboro Drive, <br />Suite 900 <br />McLean, VA 22102 <br />Woolpart Inc. <br />4454 Idea Center Boulevard <br />Dayton, ON 45430-1500 <br />AA6JCYYh P_ah M1CY,YIC,r+n TG' \,e,\iio:cc,. <br />THIS IS TO CERTIFY THA4 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 TOALL THETERMS, <br />LIMITS SHOWN MAY HAVE BEEN REDUCED PAID <br />CLU81ONS AND CONDITIONS OF SUCH POLADIYII <br />P IC.BY <br />Iflyq CIEs. ICLAIM _..___,__.__..__..._.._.__..._...._.._._...,.„................._ <br />TYp oP INSDRANCE POLICY NUTAaaR LIM149 <br />)( .. <br />commiiRCLALORNERfAL` <br />- <br />1 B99r 9D <br />1LIASILIT'r <br />..� CLAIMS -MADE L_XJ DocLwt <br />X <br />118633 <br />31V2020 <br />311/2021 <br />&8 E roaargwrogncs5-- <br />3®0,060 <br />j( <br />Contractual Llab. <br />% <br />2",OIDO <br />.. <br />»� <br />,N>n0 E3t.'. ifYir.mraawl;u0 <br />'•�, <br />.�1<RSimS1.,S.tJ,2rniduaC ..:4 <br />_ 1 000s000 <br />_g <br />LAOOR tmir �, 9PCRt: <br />t <br />.6dl�NLSOLJ]ra9f3052At0. ... <br />2,9D9,ODD <br />_ <br />Pol.rcY X � i i IX� r <br />..Pk143aLUC.7.S.:.C.Rh!+'1SlP�a4Li.. <br />l,.�r......_,......2 099Rb00 <br />A AUTOMOBILaLIAEILITY <br />w/' <br />{ <br />-.. <br />-. <br />I, IN UILIMIT <br />.Ri._....._ 1,000,009 <br />X <br />ANY AUTO <br />[ <br />2448855 <br />31112020 <br />311.12021 <br />II.i1Nx11i1xY.LP�f.aB[44Pi_ <br />r — <br />OWNE'n gg(( HppDIAFO <br />AUI�TIOrr.$rONLY ti(L�+pf�t'.NORyy <br />( <br />,,/ <br />✓ <br />'"� <br />.'#w.............Y,..,._.,... <br />p� <br />AN1GS ONLY ., AU'ftN9 UkCY <br />t <br />[H�R@SNLY_IIJ.Il1p1iV <br />V:9S.244�1L9JII.AA'IACE. <br />B X <br />aMBRELAALIAa X OCCUR <br />,.._. <br />O OYRRENCE„� <br />J� 10,0001000 <br />.y_�.............._..wx_ <br />exDCssuAa cLUMS-MADE( <br />__C.. 0 LIAR. ,.. __ _ � <br />, <br />ZUP•31N10802.20•NF <br />311/2020 <br />3111Z021 <br />—... <br />10,000,000 <br />_ <br />I <br />DEA x RETENTIONS <br />A <br />W9qFRD1,kSC%p%Att NEATIpN <br />ANn EMPLOYErid'LIAarL4'rM' <br />X P DTH- <br />srA�LtiT>r, <br />ANY PROPRIET01bPARTMERmxECUTNE <br />F MV&, EXCLUDED? (yIN1A <br />31112020 <br />3�1112021 <br />.1U3 <br />..03_ <br />__ <br />a4 m <br />0DD0© <br />reaIpn <br />1Pro <br />L,L�),iE�U+gr•eA CMP)rSZY_t_' <br />,,D0D000OD0,,,000O1 <br />I <br />C <br />nu <br />H 883 50T2 <br />1 2020, <br />31112021 <br />Per lalmlAggregale <br />2,000,000 <br />I <br />DE90RVPTIONDPOPERATIONSILOCATIONS1VEHKLES IACCRD 10, Ad sJoaal Ramarke Schedule, maybe erWahee I(monospace 1%rJ 40frod) <br />RE: Project #7092 <br />'The Clty of Santo Ana, Its of icer$, employees, agents, volunteers and representatives are Included as additional insumd with respect to General Liability <br />when required by written contract, Donors) Liability Includes Ark ionai Insured coverage for On -Going &, Completed Operations as required by written <br />contract. General Liability is p6mary and ncn•contributory over any oxrsting insurance and limited to Itabrtity arising out of the operations of the named <br />Insured and when required by written contract. 30•day Notice of Cancellation will be issuer) for the General Lia:blllty, Automobile Liability, Umbrella Llablllly, <br />Workers Compensation and Professional Liability policies In accordance with policy termsend conditions. <br />E RPTIFIr!ATF mn1 nFn a 0. T rl_ TT Y..LF 4]I k9r-I'll[t )WJ,IT4 b I AVnna, <br />I�TA?T&EM-ENr:vex(.rN <br />SHOULD ANY OF THE ABOVE 00CRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />28 Civic Cantor Plaza (M•30) <br />a <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />I <br />PO Box 1988 <br />e <br />AVT1111,e REPRP.SENTATIVE <br />Banta Ana, CA 82T02^79B5 �Vil Cir. f)Auvr o <br />Au mu Zo tzu1 olus) 01908.201$ ACORO CORPORATION. Ail rights reserved. <br />The ACORO name and logo are registered marks of ACORD <br />"I., <br />