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FrancineR.Vil[areal vlarelalsignedbyFrancineP. CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDn'YYY) 10/2/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER RBN Insurance Services 303 E Wacker Dr Ste 650 CONTAC NAME: Rich Delich PHONE 312$56-sa00 we No), 312-856-9425 Chicago IL 60601 aoOREas, rdelich rbninsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: Hartford Fire Insurance CO. 19682 INSURED SAFELLC-01 jhterwest Consulting Group. P.O. Box 18330 INSURER B: Hartford Casualty Insurance CO 29424 INSURERC: Navigators Insurance Company-42307 INSURER D: Great American E&S Ins. Co. 37532 Boulder CO 80308 1 INSURER E: Axis Insurance Company 37273 INSURER F: Twin City Fire Insurance Co. 29459 COVERAGES CERTIFICATE NUMBER: 394810563 REVISION NUMBER' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AppL SUER POLICY NUMBER POLICYEFF (MIM/DDIYYYY1 POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAWSWADE OCCUR Y 83UENZV3951 10/3/2020 10/3/2021 EACH OCCURRENCE $1.000,000 ETORENTEO PREMI PREMISES Ea occuaence $300,000 MED EXP (Any one Person) $10.000 PERSONAL&ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY JEa F7 Loc GENERALAGGREGATE $2.000,000 GEN'L X PRODUCTS-COMP/OP AGO $2,000,0D0 $ OTHER: B AUTOMOSILEUABIUTY X - - ANY AUTO - Y - 83UENPY9100 10/3/2020 10/3/2021 EOMaBINEeDISINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ C X UNIBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE CH2OEXC8856001V 1013/202D 10/3/2021 EACH OCCURRENCE $10,000.000 AGGREGATE $10,D00,000 OED I X I RETENTION $ F WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNEWEXECUTIVE N OFFICERIMEMBEREXCLUDED? NIA 83WECE0623 5/12/2020 5/12/2021 X STATUTE ERµ EL EACH ACCIDENT $1.000.000 E.L. DISEASE -EA EMPLOYEE $1.000,000 (Mandatory describe qry In ander If yes,atory IH) E.L DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below D E Professional Liability Cyber Liability TER285-99-95 P-001-000012730-04 10/3/2020 10/3/2020 10/3/2021 1013/2021 Each ClaiMAggregate Each ClaiMAggregate 1QD00,000 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, AddHlenal Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, employees, agents and representatives are additional insured on a primary and non-contributory basis as respects the General Liability and Auto Liability as required by written. contract. 30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of premium in accordance with policy provisions. - City of Santa Ana Risk Management Division, 4th Floor 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 5 ACORD G ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Risk Managentent DimslloK REVIEWED &APPROVED BY: -lam R. V: &,F'd Risk Management Anelyst OF