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ALA i CERTIFICATE OF LIABILITY INSURANCE D02I912021 Dnvrv) 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 pollcy(les) 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 RISK & INSURANCE SERVICES FOUR EMBARCADERO CENTER, SUITE 1100 CALIFORNIA LICENSE NO.0437163 SAN FRANCISCO, CA 94111 CONTACT NAME: PHONE FAX nNo : EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Chubb Indemintrit Insurance Cc 12777 INSURED BLX GROUP, LLC INSURER B : INSURER C : 777 SOUTH FIGUEROA STREET, SUITE 3200 LOS ANGELES. CA 90017 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: SEA-003706271-01 REVISION NUMBER: 1 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. IN TYSR PETYPE OF INSURANCE ADDLSUBR Man WVn POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDITYYYI LIMITS COMMERCIAL GENERALLIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TOR RENTED PREMISES Ea occurrence $ GEN'L MED EXP (Any one parson) $ PERSONAL &ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGO $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Par person) $ BODILY INJURY ) (Per accident $ PROPERTY DAMAGE peraork a $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION ANDEMPLOVERS'LIABILITY YIN ANYPROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBEREXCLUDEDT F_N] (Mandatory In NH) If Yes, descrlb. under DESCRIPTION OF OPERATIONS below NIA 71766264 1010112020 1010112021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E, L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace isrequlred) Evidence of Insurance. 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 Risk a Insurance Services lUa& MmvgtlnenE DlWelan Jeffrey Perkins 8�' �, REVIEWED&MPROVID BY: 01988.2016ACORDC I =jJnhaNii-1+a ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD -j Risk Management Analyst