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Francine R, Dlgeally signed by F.rdne R.Villureal Villareal bare: 202021.09 1145:22 A� �® CERTIFICATE OF LIABILITY INSURANCE DATE' 6813012020DmYYl 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 ""MARSH USA INC 1166 AVENUE OF THE AMERICAS CONTACT NAME: PNCNN FAX No): E-MAIL ADDRESS: NEW YORK, NY 10036 Phone: 8M966-4664 Emcor.Certreguest@mamh.com l Fax; 203-229-6787 INSURERS AFFORDING COVERAGE NAIC9 INSURER A: Continental Casually Company 20443 CN102796740JWP-KIR-20-21 INSURED KOC INC INSURER B:American Casualty Company Of Reading,PA 20427 INSURER C: Transportation Insurance Co 20494 DIBIA DYNALECTRIC INSURER D : N/A N/A 4462 CORPORATE CENTER DRIVE LOS ALAMITOS, CA 90720 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-010888548-03 REVISION NUMBER: 2 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 OF INSURANCE ADDILSUBRTYPE INSD WVD POLICY NUMBER MM/DDPOLICmYY POLICYXP LIMITS A X COMMERCIALGENERALLIABILITY GL 6081316313 10/0112020 10/0112021 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE Ix I OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP(Anyone person) $ 25,000 PERSONAL &ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY JEST LOC PRODUCTS-COMP/OP AGGOTHER:A F$2,000,000 AUTOMOBILE LIABILITY BUA 6081316330 10/0112020 1NOV2021 COMBINED SINGLE LIMIT EaaccidentX BOO ILV INJU RV(Per person)OWNED ANY AUTO SCHEDULED ONLY AUTOSX BODILY INJURY (Per eccldenl)AUTOS PROPERTY DAMAGE Pereccident HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Auto Physlcal Damage $ Included UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ B B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFICERIMEM EREXCLUDEDj ECUTIVE N (Mandatory in NH) NIA WC 681431266 (ADS) WC 6 81433616 CA ( ) WC 681421871 (AZ, OR, WI) 10I0112020 10l0112020 1010112/2 10N112021 10101/2021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E,L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) RE: ALL OPERATIONS OF THE INSURED ADDITIONAL INSURED UNDER ALL POLICIES (EXCEPT WORKERS COMPENSATION & EMPLOYERS LIABILITY) WHERE REQUIRED BY CONTRACT: CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND VOLUNTEERS WHERE REQUIRED BY CONTRACT, COVERAGE PROVIDED TO THE ADDITIONAL INSUREDS IS PRIMARY & NON-CONTRIBUTORY. CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RISK MANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA, 4TH FLOOR ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashl Mukherjee � REVIEWED&RhkMaragelneN;Dh4slon 3� APPROVBS BY: ©1988.2016 ACORD C I a > `. f.;a� P. vz" ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD LAIRnklManagement Arnlyst