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Burns& <br />Wilcox <br />Francine R.uignanysigneaby <br />Francine R. 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) 421-0820 <br />DATE:4/7/2021 INSURANCE BINDER Page of <br />THIS BINDER IS ATEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN BELOW. <br />INSURED: City of Santa Ana B&W PRODUCER: Richard L Goblet <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 at & Downtown Plaza, Santa Ana, CA 92704 <br />26. Main St & Washington, Santa Ana, CA 92704 <br />2T 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: <br />COMMERCIAL GENERAL LIABILITY <br />OCCURRENCE <br />POLICY NO: <br />CIP423636 <br />INSURER(S): <br />Line Of Business <br />Supplier(s) <br />Agreement Number Participation <br />Commercial General Liability <br />Alain Specialty Insurance Company <br />100.00 % <br />i RkkMansgmwdDtvls(m <br />DSr. <br />cREVIEWED&pAPPR�O�Vg <br />8�11�3.I IIIY'' � F 1¢feG�N4 n„ �tcs�iilQFt[ <br />— <br />Risk Management Analyst <br />