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Francine R. Villareal Digitally signed by Francine R. Villareal Date: 2021.02.0913:07:22 D81001 CERTIFICATE OF LIABILITY INSURANCE DATot/2//20211 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(ies) 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 endorsementia. PRODUCER Aon Risk Insurance Services West, Inc. Los Angeles CA office 707 Wilshire Boulevard Suite 2600 CONTACT NAME: (AC Na. sap; (866) 283-7122 FNC No (800) 363-0105 E-MAIL ADDRESS: Los Angeles CA 90017-0460 USA INSUREB(S) AFFORDING COVERAGE NAICk INSURED INSURER A: Travelers Property Cas Co of America 2S674 willdan Engineering- Industry 2401 East Katella Avenue INSURER B: Lexington Insurance company 19437 INSURER C: suite 300 Anaheim CA 92806 USA INSURER D: INSURER E: INSURER R COVERAGES CERIIC'IOXI E INUMMCR: 07UUIJOObbbUz REVISIONNIIMBER- 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVO POLICVNUMBER MM/ODIVVVI' MM/DDIYY LIMITS A X COMMERCIAL GENERAL LIABILRY 7J TIL EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR O PREMISES Ea ocPImrma $1,000,000 X MED UP(Anycne parson) $1s,000 Employee Pantos Liability X Coneeclusl Liability Included PERSONAL&ADC INJURY $1,000,000 GENLAGGREGATE LIMITAPPLIES PER, X POLICY PRO- JECT LOU GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 OTHER: A AUTOMOBILE MABILRY 810-7N676545-20-43-G 11/09/2020 11/09/2021 COMBINED SINGLE LIMB Ea accident $1, 000, 000 BODILY INJURY (Par person) X ANY ALTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per ecciden0 PROPERTY DAMAGE Per Accident UMBRELLALIAB OCCUR EACH OCCURRENCE EXCESS LIM CLAIMS MACE AGGREGATE OEO I RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED' NIA UBOL6636782043G 11/09/2020 11/09/2021 X. PER STATUTE OTIT ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If y describe under DE SCRIPTION OF OPERATIONS be. E.L. DISEASE POLICY LIMIT $1,000,000 B Archit&Eng Prof 1 028174912 SIR applies per policy ter 11/09/2020 s & condi 11/09/2021 ions Aggregate Per Claim $2, 000, 000 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may Ire mmched i1 more space is required) city of Santa Ana, officers, agents, employees, and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein are Primary and Non -Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability and workers' Compensation policies. CERTIFICATE HOLDER CANCELLATION EN City of Santa Ana Risk Management Division 20 civic Center Plaza Santa Ana CA 92701 USA 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 . 6%!%c�. ©1988-2015 ACORD COP ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Is ., P,fakMMugmtentDivislan •" es fIEwEwED&APPROVED Sr. F4.L"*4 Z Risk Management Analyst