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ACORV CERTIFICATE OF LIABILITY INSURANCE <br />%1 <br />BATE YYYY) <br />1 1111312020 <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 endomement(s). <br />PRODUCER Cornish Insurance <br />CONTACT BLAKE E. CORNISH <br />NAME: <br />CPA "C"EO.Est . 310-215-3638 nACX No,, 310-496-0627 <br />8816 South Sepulveda Blvd, Ste 108 <br />Los Angeles CA 90045 <br />E-MAIL ADDRESS: Blake cornishinsurance.com <br />INSURERS AFFORDING COVERAGE <br />NAICIf <br />INSURER A: NORTHFIELD INSURANCE COMPANY <br />27987 <br />INSURED Constant&Associates INC. <br />INSURER B: FARMERS INSURANCE EXCHANGE <br />21652 <br />3655 Torrance Blvd STE 430 <br />INSURERC: MID CENTURY INSURANE COMPANY <br />21687 <br />Torrance CA 90503 <br />INSURER D: STATE FUND <br />35076 <br />INSURER E; RLI <br />13056 <br />INSURER F: Farmers Insurance Exchange <br />21652 <br />COVERAGES CERTIFICATE NUMBER: 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. <br />INSIR <br />LTR <br />TYPE OF INSURANCE <br />ADEL <br />INRD <br />SUER <br />MID <br />POLICYNUMBEft <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYI'YY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITYLi <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE ❑OCCUR <br />DAMAGE S(RENTED <br />PREMISES H occurrence <br />$ <br />EPIMED <br />EXP (Any one person <br />$ <br />PERSONAL&ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ <br />POLICY J E� LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT Ea accident)$ <br />1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />F <br />OWNED <br />ONLY ✓ Auro$ULED <br />AUTOSHIRED <br />606753174 <br />07/1112020 <br />07/1112021 <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accitlenl <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTIONS <br />$ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPARTNEWID(ECUTIVE YIN <br />OFFICEWMEMBEREXCWDED9 <br />(Myyandatmy in NH) <br />NIA <br />�/ <br />9150620-2020 <br />0111112020 <br />0111112021 <br />�/ sigruTE ERH <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />Ies. describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />ERROR AND OMISSIONS <br />RTP0014717 <br />01/10/2020 <br />01/1012021 <br />Aggregate Limit: <br />$ 3,000,000 <br />E <br />EI <br />FJ <br />Per Claim: <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 />City of Santa Ana, its officers, employees, agents and representatives are additional insureds with respect to Auto Liability per attached <br />endorsement as required by contract. Insurance Primary and Non -Contributory. Wavier Of Subrogation applied to Workers' Compensation. <br />CERTIFICATE HOLDER CANCELLATION <br />City Of Santa Ana, <br />Risk Management Division <br />20 Civic Center Piz, 4th Floor <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />BLAKE E. CORNISH <br />©1988-2015 ACORD C <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />irn" ,', <br />p.S�n'�' ItIek MAnagewtLDMslan <br />REVIEWED&APPROV®BY: <br />:; ,l, <br />qr^ fn c. c u 2 V IL�,rki <br />•`�' Risk Management Analyst <br />