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DNitally signed by Francine R. Francine R. Villareal Villareal care: 2020.0e20 11 Ag26 -mnn• ACORO® CERTIFICATE OF LIABILITY INSURANCE `� DATE(MMIDDIYYYY) 1 05/28/2020 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 TA CNAONME: CT NICK SMADI Business World Insurance Agency 7800 UniversityAve A-1 ?NONE (619) 773-1100 FAX No (619) 773-1101 EMAIL Nick.smadi insuremefree.cem DORESS: @ INSURERS AFFORDING COVERAGE NAIC 9 INSURERA: COVINGTON SPECIALTY INS CO 13027 La Mesa CA 91942 INSURED INSURER B: OHIO SECURITY INS CO 24082 INSURER C A & J Portables INSURER D 31942 Via Oso INSURER E : INSURER F : Coto De Caza CA 92679 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 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. ILTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF UNIMIDOYYYY1 POLICY EXP OAMIDDITYYYILIMITS X LCTNIMERCIAL GENERAL LIABILITY CLAIMS -MADE IX-1 OCCUR C EACH OCCURRENCE $ 1,000,000 MA ESf RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 I PERSONAL&ADV INJURY $ 1,000,000 A Y VBA75007600 04/10/2020 04/10/2021 AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT LOG GENERAL AGGREGATE $ 2,000,000 GEN'L X PRODUCTS AGO $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON-OWAUTOSO ONLY AUTOS ONLY AUTOS ONLY PROPERTYDAMAGEAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMSFMADE DED I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AY PROPRIETORIPARTNER(EXOPFICERIMEMBEER EXCLUDED?ECUTIVE Y NIA XWS(21)61515949 05/16l2020 05/16/2021 PER OTH. X 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 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as Is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. CITY WILL BE MAILED 30 DAYS WRITTEN NOTICE OF POLICY CANCELLATION AND THE REFERENCES "ENDEAVOR TO" AND "FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES" SHALL BE REMOVED OR CROSSED OUT. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 988-2015 ACORD CI ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD R6kManagenwnED(We(Dn 10REVIEVIED & pAPP`R'IO�v�acie 40MLINA+Fr¢ Risk Management Analyst