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Francine R. Digitally signed by Francine R. Villareal Villareal Date: 2021.03.0814:41.11 -08'00' of CERTIFICATE OF LIABILITY INSURANCE OAT03/8/02021 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 ADD Risk Insurance services West, Inc. LOB Wilshire CA. office WilshiBoulevard suite suite CONTACT NAME: PHONE (866) 283-7122 (800) 363-0106 (AGNo. EXI: FAX E-MAIL ADDRESS' Los Angeles s U 90017-0460 USA INSURER(S) AFFORDING COVERAGE NAIC k INSURED ACCO Engineered systems, Inc. 888 East Walnut street INSURER A: Arch Insurance Company 11150 INSURER B: Arch Indemnity insurance Company 30830 INSURERG National Fire & Marine Ins CO 20079 Pasadena CA 91101 USA INSURER 0: INSURER E: INSURER F: 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. Limits shown are as requested if LTR TYPE OF INSURANCE AUDI D SUSHI WVD POLICY NUMBER POLICY EFF MMIDDIYYYY MAVDDNYW LIMITS A X COMMERCIAL GENERAL LIABILITY PKG EACHOCCURRENCE $2,000,000 CLAIMS -MADE ❑X OCCUR R PREMISES Eaoccurmrce $300, 000 MED EXP(Any one person) $$,000 PERSONAL&ADV INJURY $2,000,000 GENTAGGREGATE LIMIT APPLIES PER: POLICY ❑% JECT RO �X LOC GENERALAGGREGATE $4,000,000 PRODUCTS COMPIOPAGG $4,000,000 OTHER: A AUTOMOBILE LIABILITY 71PKG8949203 10/01/2020 10/01/2021 COMBINED SINGLE LIMIT Ea occ ant $2,000,000 BODILY INJURY (Per person) X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED ISri NCN-0WNED ONLY AUTOS ONLY BODILY INJURY (Per accitlenl) PROPERTY DAMAGE Per accident G UMBRELLALM X OCCUfl 42XSF3030580$ 10/O1/2020 10 O1/2021 EACH OCCURRENCE $1,000,000 % EXCESS LIM CLAIMS MADE AGGREGATE $1,000,000 DEC RETENTION — A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICERIMEMBER EXCLUDED? N N/A 71WC18949103 AOS 74WCI8949003 10/01/202910/01/2021 10/01/2020 10/01/2021 X PER STATUTE I OTH- EH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE EA EMPLOYEE $1,000,000 (Mandatory in NH) If y s, describe under DESCRIPTION OF OPERATIONS below CA, OR I E.L. DISEASE POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached! 11 more space is required) [RE: Service.] [AI: The City of Santa Ana, its officers, agents, employees and volunteers] are included as Additional Insured with respect to the General Liability policy; and General Liability policy evidenced herein is Primary and Non -Contributory to other insurance available as required by written contract but limited to the operations of the insured under the said contract. on m m of on on z N U 1: U L:EH I IHGAI E HOLDER CANCELLATION ti 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 nt Division City Of AOd AUTHORIZED REPRESENTATIVE E"l� 20 Civic Center Plaza, 4th Floor e.Jrta Santa Ana CA 92701 USA eCll�' Risk Management Diadan ©1988-2015 ACORD COP [RE1AEwT3J&APPRCVEC&r ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ® Risk Management Analyst