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Francine R. Villareal Page I of 2 AcoRt7" CERTIFICATE OF LIABILITY INSURANCE DATE (Mla/o2/2020 /2ozo 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(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 endorsements). PRODUCER Willis Towers Watson Insurance Services West, Inc. c/o 2fi Century Blvd P.O. Box 305191 CONTACT Willis Towers Watson Certificate Center NAME: PHONE 1-877-945-7378 AX No: 1-888-467-2378 -MAIL certificataa@willia.com ADD E S: Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE HAIG INSURERA: Westchester Surplus Lines Insurance Compan 10172 IThe Salvation Army - Division 11 NSURED INSURER B: Greenwich Insurance Company 22322 INSURER C: XL Specialty Insurance Company 37885 30040 Hawthorne Blvd., Bldg D INSURER D: Rancho Palos Verdes, CA 90275 INSURER E INSURER F: CUVtRAGE5 CERTIFICATE NUMBER: Wl H1H3077 RFVIRIOTd NIIMRFR• 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 INRP SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIALGENERAL LIABILITY CLAIMS -MADE 1XI OCCUR EACH OCCURRENCE $ 2,000,000 DAMAGE PREMIRENTED PREMISESS Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 0 A .If Inauxed Retention: 7 G7183119A001 10/01/2020 10/01/2021 X $1,000,000 PERSONAL &ADV INJURY $ 21000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO- POUCV JECT LOG GENERALAGGREGATE $ 4,000,000 PRODUCTS - COMPIOPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea RCCldenl $ 5,000,000 X BODILY INJURY (Per person) $ ANY AUTO H OWNED SCHEDULED AUTOS ONLY AUTOS y RAD500021910 10/01/2020 10/01/2021 BODILY INJURY Pareecldenl ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Peraccident $ UMBRELLA Lb1B OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO I I RETENTION$ I $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED7 No (Mandatory In NH) yasRIPTION ur NIA y gWO500021710 10/01/2020 10/01/2021 I X STATUTE FORTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E, L. DISEASE -POLICY LIMIT $ 1,000, 000 DESCIf IPTI Nantler DESCRIPTION OPERATIONS below H Excess Auto Liability - CA RAE500021810 10/01/2020 10/01/2021 Any Auto / GEL $3,000,000 Sal£-Insd Retention $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 701, Additional Remarks Schedule, maybe attached if more space is required) Division (111-148 Workers Compensation: Policy No. RWD500021710 provides coverage in the following states: III, ID, MT ,Ni Nv, UT Policy No. RWR300094405 provides coverage in the following states: AX SEE ATTACHED 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 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 20160526 H&TcR: 1836068 s9 XlekMatmgt7nentDNielnn 4V REUIEV/ED & APPROVe7 BY. :1:11 RNk Management Analyss