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Burns &
<br />Wilcox
<br />Francine R uigitanysigneaDy
<br />• FrancineR.Villareal
<br />Villareal Date: 2021.04.15
<br />17:28:21-07'00'
<br />101 California Street, Suite 975, San Francisco, CA 94111
<br />Phone: (415) 421-4244 OR (800) 759-4855 Fax: (415) 421-0620
<br />DATE: 4/7/2021 INSURANCE BINDER Page 1 of 4
<br />THIS BINDER IS ATEMPORARY INSURANCE CONTRACT, SUBJECTTO THE CONDITIONS SHOWN BELOW.
<br />INSURED: City of Santa Ana B&W PRODUCER: Richard L Gobler
<br />AGENT: MERRIWETHER & WILLIAMS INS
<br />20 Civic Center Plaza 550 Montgomery St Ste 550
<br />Santa Ana, CA 92701 San Francisco, CA 94111
<br />LOCATION(S) OF RISK:
<br />1. Bristol and Santa Clara Ave, Santa Ana, CA 92706
<br />2. Bristol Street and 19th Street, Santa Ana, CA 92704
<br />3. Bristol Street and Washington Avenue, Santa Ana, CA 92706
<br />4. Bristol Street and Civic Center Drive, Santa Ana, CA 92703
<br />5. Bristol and St Andrew PI, Santa Ana, CA 92704
<br />6. Bristol Street and McFadden Avenue, Santa Ana, CA 92707
<br />7. Bristol Street and Wilshire Avenue, Santa Ana, CA 92704
<br />8. Bristol Street and Edinger Avenue, Santa Ana, CA 92704
<br />9. Main Street and Civic Center Drive, Santa Ana, CA 92701
<br />10. Flower Street and Alton Avenue, Lillie King Park, Santa Ana, CA 92707
<br />11. First & Main, Santa Ana, CA 92701
<br />12. 3rd & Main, Santa Ana, CA 92701
<br />13. 4th & Main, Santa Ana, CA 92701
<br />14. 3rd & Broadway, Santa Ana, CA 92701
<br />15. 4th & Broadway, Santa Ana, CA 92701
<br />16. 5th & Broadway, Santa Ana, CA 92701
<br />17. 4th & Bush, Santa Ana, CA 92701
<br />18. Grand & Dyer, Santa Ana, CA 92705
<br />19. Main & McFadden, Santa Ana, CA 92707
<br />20. 17th & Centre on 17th, Santa Ana, CA 92705
<br />21. Bristol & 17th, Santa Ana, CA 92706
<br />22. Main St and St. Gertrude PI, Santa Ana, CA 92704
<br />23. Bristol & 1st, Santa Ana, CA 92703
<br />24. Harbor & McFadden, Santa Ana, CA 92704
<br />25. 1 st & Downtown Plaza, Santa Ana, CA 92704
<br />26. Main St & Washington, Santa Ana, CA 92704
<br />27. Raitt & MacArthur, Santa Ana, CA 92704
<br />28. Flower St & Bishop, Santa Ana, CA 92704
<br />29, Greenville & Alton, Santa Ana, CA 92704
<br />POLICY EFFECTIVE FROM:04/12/2021 AT 12:01 AM TO 12/01/2021 AT 12:01 AM STD TIME AT RISK LOCATION.
<br />FORM OF COVERAGE: COMMERCIAL GENERAL LIABILITY OCCURRENCE
<br />POLICY NO: CIP423636
<br />INSURER(S):
<br />Line Of Business Supplier(s) Agreement Number Participation
<br />Commercial General Liability Atain Specialty Insurance Company
<br />100.00 %
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<br />Y J REVIEWED& APPROVED 9Y:
<br />it )aatrs a R, V:EF�neaE
<br />Risk Management Analyst
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