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Francine R.uigitauysigneaDy <br />Francine R. Villareal <br />Wilcoxlate021.04.15 <br />,�l"ns �T" Villareal 17:2821-07'00' <br />!1 ,7:28:2,-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 />T 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. 1st & 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 t00.00 % <br />RlekManagmmEDIVN( n <br />8REVIEWED&APPROvm BY: <br />C <br />4 Risk Management Analyst <br />