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Digitally signed by Frandne R. Francine R. Villareal Villareal 8100. ACil CERTIFICATE OF LIABILITY INSURANCE 111 DATE MMID2�) 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 (OC) Heffernan Insurance Brokers 18004 Sky Park Circle, Suite 210 Irvine CA 92614 CONTACT PHONE FAX 949-771-3400 arc No949-771-3401 noORESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: Nonprofits Insurance Alliance of California 1184 License#: 0564249 INSURED 211OC-0000 211 Orange County 1505 E. 17th Street, Suite 108 INSURER B: Travelers Casualty and Surety Company of America 31194 INSURER C: INSURERD: Santa Ana, CA 92705 INSURERS: INSURER F : COVERAGES CERTIFICATE NUMBER: 1432178492 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-'-. INS TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MM/DDIYYYV POLICY EXP MM/DONM LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR Y 2021-03104 2/112021 2/1/2022 EACH OCCURRENCE $1,000,000 TORE TED PREMISES PREMISES RE TErence $500,000 MED EXP(Any one person) $20,000 PERSONAL &ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ JEOT [fl LOC GENERAL AGGREGATE $2,000,000 GEN'L PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 2021-03104 2/1/2021 2/1/2022 Ea aBCld.nt51NOLE LIMIT $1,000,000 BODILY INJURY (Par person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS Per accident BODILY INJURY ( ) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ A X UMBRELLALIAB X OCCUR 2021-03104UMB-NPO 2/1/2021 211/2022 EACH OCCURRENCE $8,000,000 AGGREGATE $8,000,000 EXCESS LIAD CLAIMS -MADE TED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ ANVPROPRIETOWPARTNEWEXECUTIVE OFFICERIMEMBEREXCLUDEDP ❑ NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory In INN) If yea, deacdbe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS be. B Crime 107377947 2/1/2021 2/1/2022 Employee Theft 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD101, Additional Remarks Schedule, maybe attached if more space is required) Re: As Per Contract or Agreement on File with Insured. City of Santa Ana, Its officers, agents, employees, representatives and volunteers are included as an additional insured (primary and non-contributory) on General Liability policy per the attached endorsement, if required. The Cancellation notice endorsement has been requested for the General Liability policy from the insurance company and if approved will be forwarded when received. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Floor 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. ©1988.201 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AWMP" RIAManagernenEDLWeim ... F pRBAEWED&IyAP1P'R,CYVV® BY.' I :. 12 F'MR-oG-�Mt h. V�L�3cPu: i"-------� Ruk.ManagemeDS AnalYsr