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Digitally signed tay Francine R. <br />Francine R. Villareal Villareal <br />Date: 2021 11.1910 2525 -0BOP <br />ACORD® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMMOMYY) <br />1`/ <br />08/19/2020 <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 endorsement(s). <br />PRODUCER <br />CONTACT Joy Jennings <br />NAME: <br />The Partners Group Ltd <br />Hc (877) 455-5640 F (425) 455-6727 <br />No <br />(PA Ezt: C. No): <br />11225 SE 6th St. <br />E-MAIL JJennings@tpgrp.com <br />ADDRESS: <br />Suite 110 <br />INSURERS) AFFORDING COVERAGE <br />NAIC# <br />Bellevue WA 98004 <br />INSURER A: Sentinel Insurance Co, LTD <br />11000 <br />INSURED <br />INSURER B: Hartford Accident & Indemnity <br />22357 <br />Technology Unlimited, Inc. <br />INSURER C: <br />6802 S 220th St <br />INSURER D : <br />INSURER E: <br />Kent WA 98032 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 20/21 GLALELXS 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS <br />CERTIFICATE MAYBE 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 />INSR <br />TYPE OF INSURANCE <br />ADDIL <br />INSO <br />SUBRPOLICY <br />MD <br />POLICY NUMBER <br />EFF <br />MMIDDIYYYY <br />POLICY UP <br />MMIDDNM <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE I —XI OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES Ea occurrence <br />S 1,000,000 <br />MEG EXP (Any one person) <br />$ 10,000 <br />PERSONAL B ADV INJURY <br />$ 1,000.000 <br />A <br />Y <br />52SBAIX8468 <br />08104/2020 <br />08/04/2021 <br />DEVIL AGG REGATE LI MR APPLI ES PER: <br />POLICY ECT FX LOC <br />GENERALAGGREGATE <br />$ 2,000.000 <br />PRODUCTS -COMPIOP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />ANYAUTO <br />BODILY INJURY (Per person) <br />$ <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />52UECHB2224 <br />08/04/2020 <br />08/04/2021 <br />BODILY INJURY F raccuunt) <br />$ <br />X <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />PROPERN DAMAGE <br />Per accident <br />$ <br />X <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ 4,000,000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />52SBAIX8468 <br />08/0412020 <br />08/04/2021 <br />AGGREGATE <br />$ 4,000.000 <br />DEO <br />I X RETENTION $ 10,000 <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />O FICERIMEMBER EXCLUDED ECUTIVE Y❑ <br />(Mandatory In NH) <br />NIA <br />52SBAIX8468 <br />08/04I2020 <br />08/04/202, <br />PER OTH- <br />STATUTE %� ER <br />EL -WA Stop Gap <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 />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space is required) <br />The City of Santa Ana, its officers, agents and representatives are included as Additional Insured on General Liability as their interest may appear as <br />respects operations performed by or on behalf of the Named Insured, as required by written contract. Primary and Non -Contributory provisions apply per <br />attached form. <br />Cane Provisions: 30 days notice, except 10 for non-payment. "Replace COI issued 7/7120, to chg Cane Day to 30 from 451 <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th flr <br />Santa Ana <br />ACORD 25 (2016103) <br />CA 92702 <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 />Coi RI:I:3ZIS F1eTHe7 T <br />The ACORD name and logo are registered marks of ACORD <br />VIA Mk nga eadDi imon <br />A rrREVIEWm&APPP' IRIOpJV�ED BY/) <br />� )! ?. <br />Risk Management Analyst <br />