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Francine R. Villareal o1 A, u1ned 1,111-01.111-1 <br />WIe:..r.'„I:I J:5.19a' <br />A� & CERTIFICATE OF LIABILITY INSURANCE <br />oATE231202D(MWODIYYYYI <br />09/ <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 poilcy(les) must be endorsed. It SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsoment(s). <br />PRODUCER <br />Newfront Insurance Services, LLC <br />552nd Street <br />NAME:C JOsie Ruzalte _ <br />PHONE .FxU 415) 754-3635 Fn/c oI' <br />EMAIL osle.ruzette@newfront.com <br />INSURERS) AFFORDING COVERAGE <br />NAIC# <br />Floor 18 <br />INSURERA: Sentinel Insurance Company Ltd _ <br />11000 <br />San Francisco CA 94105 <br />INSURED <br />INSURERS: Prop & Cas Ins Co Hartford <br />34690 <br />INSURER C _ <br />Chattel, Inc. <br />INSURER 0 ; <br />INSURER E: <br />13417 Ventura Blvd <br />Sherman Oaks CA 01423 <br />INSURER F: <br />- <br />CnVPRAIAKS CERTIFICATE NUMBER: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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 />IETR <br />TYPEOFINSURANCE <br />SMe <br />POLICYNUMBER <br />POLICYEFF <br />IMMIDDifyIn'll <br />LIMITS <br />X. <br />COMMERCIALGENEBAL LIABILITY <br />EACHOCCURRENCE <br />$ 1,000,000 <br />CLAIMB-MADE L:J OCCUR <br />PAE DAMAGE <br />acNCErence <br />$ 1,000,000 <br />MED EXP (A0 one person) <br />$ 10,000 <br />PERSONAL &ADV INJURY <br />S 1,000,000 <br />A <br />x <br />57 SBA BK9041 DX <br />08/01/2020 <br />06101/2021 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS-COMP/OP AGG <br />S 2,000,000 <br />X_ <br />POLICY ❑ JECT LOC <br />S <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ 1.000.000 <br />BOOILYINJURY(Perpemunl <br />$ <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />$ <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />X HIRED AUTOS X AUTOS <br />X <br />57 SBA BIC9041 DX <br />08/0112020 <br />08101/2021 <br />PROPERTYOAMAGE <br />(Par Id ll <br />$ <br />X. <br />UMORELLA LIAO <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />s _ 1,000,000 <br />A <br />EXCESS LIAR <br />CLAIMS -MADE <br />57 SBA BK9041 DX <br />08/01/2020 <br />08/01/2021 <br />DLO <br />I X I RETENTION$ 10000 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICE RIMEMBEREXCLUDEDT <br />(Monastery In NH) <br />N/A <br />X <br />57 WEC AB9AXK <br />08/0112020 <br />06101/2021 <br />X STA UTE ER' <br />EL. EACH ACCIDENT <br />S 1,000,000 <br />E,L. DISEASE -EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />it yesdesarlbe tinder <br />DESdRIPTION OF OPERATION bet v <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) <br />RE: Agreement Nos A•2017A72 and A-2017-200 <br />.City of Santa Ana, Its officers, employees, agents and representative are included as additional Insureds on General liability and Auto liability. Primary and <br />Nan-Comrlbulory is Included. Waiver of Subrogation applies. <br />30 days Notice of Cancellation with 10 days notice for non-payment of premium in accordance with the policies provisions. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Piz PI 4 <br />Santa Ana <br />CA 92701 <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 />Oo 1968-2014 ACORD C <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />a .e WekMMiagementDtvialBn <br />REVIEWED&APPROVED BY a„ <br />I ' � r'A6v1Yh4.4 � V�izavl'rfa <br />i <br />ask Management Anal et <br />9 Y yP: <br />d00 <br />