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DI91tally signed by Francine R. Francine R, Villareahylilareal � -a ACC>R CERTIFICATE OF LIABILITY INSURANCE `l DATE(MM/DD/YYYY)' 2/3/2021 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 endorsement(s). PRODUCER (OC) Heffernan Insurance Brokers 18004 Sky Park Circle, Suite 210 Irvine CA 92614 CONTACT NAME: 0949-771-3400 FAX Net: 949-771-3401 ADDRESS: INSURERS AFFORDING COVERAGE NAIL # INSURER A: Nonprofits Insurance Alliance of California 1184 License#: 0564249 INSURED 211OC-000 211 Orange County 1505 E. 17th Street, Suite 108 INSURER B: Travelers Casualty and Surety Company of America 31194 INSURER C: INSURER D : Santa Ana, CA 92706 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1432178492 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MMIDOIYYYY POLICY EXP MMIDDIYVYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 2021-03104 2/1/2021 2/1/2022 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR D A ET RENTED PREMISES ERENTE once $500,000 MED EXP (Any one person) $ 20,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PEO- FX I LOC PRODUCTS-COMPIOP AGO $2,000.000 $ OTHER: A AUTOMOBILE AUTOMOBILE LIABILITY 2021-03104 2/1/2021 2/1/2022 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDUAUTOSLED AUTOS ONLY BODILY INJURY Per accident) $ X HIRED NON-OWNED AUTOS AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLALIAB X OCCUR 2021-03104UMB-NPO 2/l/2021 211/2022 EACH OCCURRENCE $8,000,000 AGGREGATE $8,000,000 EXCESSLIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION PER OTH- ANDEMPLOVERS'LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ OFFIC RIIMEMe REXCW EpANYPROPRIETOMPARTNEWEXp ECUTIVE ❑ NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Crime 107377947 2/1/2021 2/1/2022 Employee Then 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space;. required) Re: As Per Contract or Agreement on File with Insured. City of Santa Ana, its officers, agents, employees, representatives and volunteers are included as an additional insured (primary and non-contributory) on General Liability policy per the attached endorsement, if required. The Cancellation notice endorsement has been requested for the General Liability policy from the insurance company and if approved will be forwarded when received. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Floor 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. 1988-2015 ACORD C ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Ri mRnogenentDlVlaion i REmEwED6 APPROVED BY: II " F4t�r�6�•td4 P, Y�" ---.— RVA MandgeraditAn4lyst oo.