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ACORO
<br />1`i , ® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/Y1'1'V)
<br />mros/zozo
<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. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />ADD Risk services Central, Inc.
<br />Philadelphia PA Office
<br />CONTACT
<br />NAME:
<br />INC. No. Eat): (86fi) 283-]122 NC. No.: (800) 363-0106
<br />One Liberty Place
<br />1650 Market Street
<br />E-MAIL
<br />ADDRESS:
<br />suite 1000
<br />Philadelphia PA 19103 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAICR
<br />INSURED
<br />INSURERA: National Fire Ins. Co. of Hartford
<br />20478
<br />DVerOri Ve Holdings, Inc.
<br />one Overdrive way
<br />Cleveland OH 44125 USA
<br />INSURER B: The Continental Insurance Company
<br />35289
<br />INSURER C: Valley Forge insurance co
<br />20508
<br />INSURER D: Transportation Insurance Co.
<br />20494
<br />INSURER E: Indian Harbor Insurance Company
<br />36940
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570083002389 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 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 TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />MIADOAYYY)
<br />INIMIDWYYYY1
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />PMT
<br />RRENCE
<br />$1,000,000
<br />CLAIMS -MADE OCCUR
<br />.0commnce
<br />$1,000,000
<br />ny one person)
<br />S15,000
<br />AAOV INJURY
<br />5GENERALAGGREGATE
<br />$1, 000, 000
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GREGATE
<br />$2,000,000
<br />POLICY ❑ PRO LOCJECT-COMPIOP
<br />AGG
<br />$2,000,000
<br />OTHEq:C
<br />LIABILITY
<br />6080688817
<br />06/09/202006/09/2021
<br />INGLE LIMIT
<br />Ea accident)
<br />$1, 000, 000
<br />INJURY( Per person)
<br />NYAUTOBODILY
<br />FMOBISLE
<br />OWNEDSCHEDULED
<br />UTOONLYAUTOS
<br />IREDAUTCBNON-OWNED
<br />NLY AUTOS ONLY
<br />BODILY INJURY(Per accident)
<br />PROPERTYOAMAGE
<br />Peraccidenl
<br />a
<br />X
<br />OCCUR
<br />CUE6080688848
<br />06/09/2020
<br />06 09 20ZI
<br />EACH OCCURRENCE
<br />$15,000,000
<br />JUMBRELLALIAB
<br />EXCESS LIMB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$15,000,000
<br />DED X
<br />RETENTION$10, 000
<br />B
<br />D
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LIABILITY y/N
<br />ANY PROPRIETOR/ PARTNER I EXECUTIVE
<br />OFFICEMMEMBED EXCLUDED? FflNIA
<br />(Mandatory in NH)
<br />Il yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />6080688820
<br />ADS
<br />6080688834
<br />CA
<br />06 09 2020
<br />06/09/2020
<br />06 09 2021
<br />06/09/2021
<br />X PERSTATUTE OTH-
<br />ER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASEEAEMPLOYEE
<br />$1,000,000
<br />E.L. DISEASEPOLICYLIMIT
<br />$1,000,000
<br />E
<br />Cyber Liability
<br />MTP9041302
<br />06/09/202U
<br />06/09/2021
<br />Aggregate
<br />$1010001000
<br />Tech E&O / Prof Liab
<br />SIR per Aggregate
<br />$300,000
<br />SIR applies per policy terns
<br />& condi
<br />ions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />City of Santa Ana, Risk Management, it's officers, employees, agents, representatives and volunteers are included as Additional
<br />Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability
<br />policy evidenced herein is Primary and Non -Contributory to other insurance available to an Additional Insured, but only in
<br />accordance with the policy's provlsi ons. Should General Liability policy be cancelled before the expiration date thereof, the
<br />policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance with the policy
<br />provisions of each policy.
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<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City Of Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />e5i
<br />Risk Management Division
<br />�"
<br />20 civic center Plaza, 4th
<br />Santa Ana CA 92702 USA
<br />floor �•��
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<br />©1988-2015ACORDCO
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<br />ACORD 25 (2016/03)
<br />The ACORD name and logo are registered marks of ACORD
<br />cl..l �'L.t'+v:�+-e P. MA4at
<br />Rtsk Management Analyst
<br />
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