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oivWly ugned by rrandne R. <br />® Francine R. Villareal wlla,eel <br />0zor 4 p <br />CaR -CERTIFICATE-OF-LCABILITY INSURANCE F°ATE,MMOD/YY-Y-Y) <br />�� 1 06/14/2020 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Jeff Forbes <br />NAME: <br />ECBM, LP <br />PHONE (fi10) 668-7100 FAX (610)667-2208 <br />AIC No Ext: A/C, No: <br />1400 N Providence Road <br />e'MAa jforbes@ecbm.com <br />ADDRESS: <br />Suite 5025 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />Media PA 19063 <br />INSURERA: Lloyds Of London <br />INSURED <br />INSURER B: Evanston Insurance Company <br />35378 <br />Partners in Control, Inc., DBA: Enterprise Automation <br />INSURER C: Federal Insurance Company <br />20281 <br />210 Goddard <br />INSURER p <br />NSURER E: <br />Irvine CA 92618 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 20 M REVISION NUMBER: <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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />AUUL1bUbK <br />INS° <br />MID <br />POLICY NUMBER <br />POLICY EFF <br />MWDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE N OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES Ea accunence <br />$ 1.000,000 <br />X <br />MED EXP(Any oneperson) <br />$ 5,000 <br />Contractual Liability <br />PERSONAL B ADV INJURY <br />$ 1.000.000 <br />A <br />Y <br />ARG11212A20 <br />06/15/2020 <br />06/15/2021 <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />POLICY N JPECT � LOG <br />GENERALAGGREGATE <br />$ 2.000,000 <br />PRODUCTS <br />2.000,000 <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accitlant <br />$ 1,000,000 <br />X <br />BODILY INJURY (Par person) <br />$ <br />ANYAUTO <br />OWNED SCHEOULEO <br />AUTOS ONLY AUTOS <br />A00005433 <br />06/15/2020 <br />06/15/2021 <br />BODILY INJURY Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAMAGE <br />Per acddent <br />$ <br />$ <br />UMSRELLAUAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />B <br />X <br />EXCESS LIAR <br />CLAIMS -MADE <br />MKLV7EUL100820 <br />06/15/2020 <br />06/15/2021 <br />AGGREGATE <br />$ 2,000,000 <br />OEO <br />I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PROPRIEIORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? El <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yen, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Liability <br />ARG11212A20 <br />06/15/2020 <br />06/15/2021 <br />Each Claim <br />Aggregate <br />$2.000,000 <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Contract: 17-112 - The City, its officers, employees, agents, volunteers and representatives are included as additional insured on the General Liability <br />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. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza, 4th FI AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 «, itiekMRnagoladDNialwt <br />REVIEWED 6 MPRrrvEn BY: <br />©1988-2015 ACOR <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD �'' Risk Management Analyst <br />