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Francine R. Villareal ..�i ACORO® CERTIFICATE OF LIABILITY INSURANCE ill DATE(MMIDDIYYYY) I 11/16/202G 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). PRODUCECONTACT R NAME: Laurance Bass C)renD Insurance Group, LLC 332828 (AC, No); IbassQorcuttgroup.com8361 S Sangre de Cristo Rd Ste 200 INSURER(S) AFFORDING COVERAGE NAIC M INSURER A: Hudson Insurance Company 37079 Littleton CO 80121 INSURED INSURER B: Evanston Insurance Company 35378 Nusum Inc INSURER C : Photocell Assurance - CO / Zurich American Ins Co - OSC 41190 4101 E Louisiana Ave 400 mSURER D: HlScox Insurance Company I0200 INSURER E: L10yes of London Denver CO 80246 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. LTft TYPE OF INSURANCE INSD WVO POLICY NUMBER (MM/ODA`YYY) (MWDD/YYYY) LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea cocumenced $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000.000 A Y Y HBDIO0264163 05/212020 05/21/2021 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY ❑jECT ❑LOG PRODUCTS-COMPIOP AGG $ 2,000,000 $ OTHER'. AUTOMOBILE LIABILITY sooner, t) $ 1,000,000 BODILY INJURY (Per person) It ANY AUTO A OWNED SCHEDAUTOS LED AUTOS ONLY AUTOS HBD100264163 05/21/2020 05/21/2021 BODILY INJURY (Per accident) $ HIRED V NON -OWNED AUTOS ONLY X AUTOS ONLY (Perawiden0 $ UMBRELLA LIAR ^ OCCUR EACH OCCURRENCE $ 4,000,000 X AGGREGATE $ 4,000,000 B EXCESSLIAB CLAIMS -MADE EZXS3026430 05/21/2020 05/21/2021 DED I I RETENTION S g C WORKERS COMPENSATION ND EMPLOYERS' LIABILITY YIN OFFICERIMEMBER EXCLUDED?ANY PROPRIETORIPARTNEWEXEcuTlvE❑ NIA Y 4156074-CO/WC486709807-OSC 05/01/2020 05/01/2021 Vy - /� STATUTE ER E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000.000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 Professional Liability - MPL1768418.20 Aggregate Limit: 3,000,000 D/E Cyber Liability-MPL4160938.20 MPL1768418.20 05/21/2020 05/21/2021 Each Claim Limit: 1,000,000 Cyber Limit: 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its officers, employees, agents and representatives are Additional Insureds as respects General and Auto Liability as required by written contract. Insurance is Primary and Non -Contributory per attached endorsements. A Waiver of Subrogation in favor of the same applies to the Workers Compensation policy. 30 day notice of cancellation with 10 days notice for non-payment of premium in accordance with the policy provisions. City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CO 92702 © REViEwEm&APPROVED BY.' 1988-2015 ACORD FIMI,W Z UiAl"!I ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ` Ruk Management Analyse