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rrancine h. Francine RVillareal <br />Date: 2020,09.02 <br />Villareal <br />10:18:53-07�00' <br />A�ROM CERTIFICATE OF LIABILITY INSURANCE <br />DDN <br />DATEOOB/BMN1l0D/YWv) <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 />Aon Risk services Northeast, Inc. <br />New York NY Office <br />CONTACT <br />NAME: <br />PHONE (866) 283-]122 FAX (800) 363-0105 <br />(AIC. Na. Ea,): FAXNa. o <br />One Liberty Plaza <br />165 Broadway, Suite 3201 <br />E-MAIL <br />ABDRESS: <br />New York NY 10006 USA <br />INSURERS) AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />INSURER A: National union Fire Ins CO Of Pittsburgh <br />19445 <br />Los Angeles SMSA LP <br />dba verizon wireless <br />INSURER B: AIU Insurance Company <br />19399 <br />INSURER C: American Home Assurance Co. <br />19380 <br />1095 Avenue of the Americas <br />New York NY 10036 USA <br />INSURER D: New Hampshire Insurance Company <br />23841 <br />INSURER E: <br />NSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570083738856 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 />INSO <br />WVD <br />POLICY NUMBER <br />IMMADDNYYYYI <br />MMfDDfYYYYI <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />GL <br />EACH OCCURRENCE <br />$2,000,000 <br />CLAIMSMADE❑X OCCUR <br />DAMA <br />Ea occurrence$2,000,000) <br />X <br />-PREMISES <br />MED UP (Any one person) <br />$10, 000 <br />XCU Coverage Is Included <br />PERSONAL a ADV INJURY <br />$2,000,000 <br />GENTAGGREGATE LIMITAPPLIES PER: <br />GENERALAGGREGATE <br />$5,000,000 <br />X POLICY ❑ PRO ❑ <br />ECT LOC <br />PRODUCTS - COMPIOPAGG <br />$5,000,000 <br />OTHER: <br />A <br />AUTO MOBILE LIABILITY <br />CA 4594298 <br />ADS <br />06/30/2020 <br />06/30/2021 <br />COMBINED SINGLE LIMIT <br />Ea accident)81, <br />000, 000 <br />BODILY INJURY I Per Person) <br />A <br />% ANYAUTO <br />CA 4594299 <br />06/30/2020 <br />06/30/2021 <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDAUTOe NON -OWNED <br />ONLY AUTOS ONLY <br />MA <br />CA 4594300 <br />VA <br />See Next Page <br />06/30/2020 <br />06/30/2020 <br />06/30/2021 <br />06/30/2021 <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />Per accident <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR <br />CLAIM&MADE <br />AGGREGATE <br />DEDI <br />IRETENTION <br />B <br />D <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR I PARTNER I EXECUTIVE <br />OFFlCERIMEMBER EXCWDED7 <br />(Mandatory in NH) <br />NIA <br />wc045886576 <br />AOS <br />wc045886575 <br />CA <br />06/30/2020 <br />06/30/2020 <br />06/30/2021 <br />06/30/2021 <br />X I PER STATUTE I <br />oTH- <br />E, <br />EL EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddiNanal Remarks Schedule, may be attached u more space is required) <br />The above -referenced General Liability policy shall cover the tort liability of the Certificate Holder assumed under the <br />underlying agreement between parties for which the certificate has been issued. City of Santa Ana, its council members, <br />officers and employees are included as Additional Insured with respect to the General Liability policy. The General Liability <br />policy shall apply as Primary and Non -Contributory insurance to each Additional Insured listed herein. where permitted by law, <br />the Named Insured parties listed herein waive all rights against City of Santa Ana, its council members, officers and employees <br />listed herein for recovery of damages to the extent these damages are covered by the above -referenced General Liability policy <br />and, as further limited by written contract between the parties. <br />CERTIFICATE HOLDER CANCELLATION 10 <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 AUTHORIZED REPRESENTATIVE <br />Risk Management Division <br />20 Civic Center Plaza, 42h Floor a liLe�� <br />Santa Ana CA 92701 USA Ie(/yE <br />Rule tMMgvrlmi D[viaian <br />c : BEYIENMED 6 MPRavED BY: <br />©1988-2016 ACORD CO <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />® Bulk Managwrlmt MalysI <br />