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A-2017-303-01 <br />- T `r° CER-TIFICkTE-OF LIABILITY INSURANCE <br />Francine R. Villareal r.�. s,.an..=... <br />DATE (MMIDO/YYYY) <br />91/19/2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does <br />not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT NAME: <br />PAYCHEX INSURANCE AGENCY INC/PHS <br />PHONE (800)640-0395 <br />FAX (585)389-7894 <br />76210690 <br />150 SAWGRASS DRIVE <br />(A/C, No, Eat): <br />(Att:, No): <br />E4N1AIL ADDRESS: <br />ROCHESTER NY 14620 <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURER A: Property and Casualty Insurance Company of Hartford <br />34690 <br />INSURED <br />INSURER S : <br />PARTNERS IN CONTROL INC DBA ENTERPRISE <br />INSURER C: <br />AUTOMATION <br />INSURER D: <br />210 GODDARD <br />INSURER E : <br />IRVINE CA 92618-4625 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER- RE1nRlnm ki"dui <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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSF <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />VIVO <br />POLICY NUMBER <br />POLICY EFF <br />MM DNYYYI <br />POLICY EXP <br />(MM1DDNYYYI <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />CLAIMS -MADE❑ OCCUR <br />DAMAGE TO RENTED <br />PREMISE(Ea occumance!i <br />MED EXP (Any one person) <br />PERSONAL B ADV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />POLICY ❑ JECT ❑ LOC <br />PRODUCTS - COMP/OP AGO <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea acdclenti <br />BODILY INJURY (Per person) <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per accident) <br />AUTOS AUTOS <br />HIRED NON -OWNED <br />PROPERTYWA GE <br />AUTOS AUTOS <br />(Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAS <br />CLAIMS - <br />MADE <br />AGGREGATE <br />DED <br />RETENTION$ <br />WORKERS COMPENSATION <br />MDEMPLOYERS'LIABILITY <br />X <br />PER <br />STATUTE <br />OTH- <br />ER <br />A <br />ANY YIN <br />PROPRIETOWPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />76 WEG AJ4MLK <br />11/04/2020 <br />11/04/2021 <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />Those usual to the Insured's Operations. <br />CERTIFICATE HOLDER CANCELLATION <br />City Of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />Risk Management Division <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />20 CIVIC CENTER PLZ , 4th FLOOR <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />SANTA ANA CA 92701-4058 <br />d Of <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />.� RieleManagenMntDilveidrt <br />'� a% REmEWED&APPROVED BY: <br />F�e•c:n.e R. V:llµuC <br />Risk Management Analyst <br />