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Francine H, DlsRzllyalRoaanyeaadreR. ula,eal Villareal _ Da1e:2021.04.2310d8:43 CERTIFICATE OF LIABILITY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RI NTs UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER Tf 112 COVERAGE AFFORDED 13Y THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE "EN THE ISSUING INSURER(&), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holdor la an ADDITIONAL INSURED, the pOIICy(les) must have AD ITIONAL INSURED proVislons or ba endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollcie may require an endorsement. A statement on shie r•nr4Hlnnln A•„.1 nnse....l..l.e� ._ as.. `-_.,.._-.... _ . .. _ - ArthurJ. Gallagpher& Co, Insurance Brokers of Callfornia, Inc. License #0726293 505 North Brand Boulevard, Suite 600 Glendale CA 91203-3944 La UUVftKAUftb ATE NUMBER•2091785074 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I REVISBON NUMBER: SURER NAMED ABOVE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 0 FOR THE POLICY PERIOD HER DOCUMENT WITH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DES RESPECT TO WHICH THIS :RIBED HEREIN EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C IS SUBJECT TO ALL THE TER AIMS. MS, 1NSR TYPE OF INSURANCE_ _O ICY _WdL � p04lCY NUMBER immiga= IMMIDI EXP LRMTS A X COMMBRCIALGENERj�ALLIABILIY CLAIM&MADE OCCUR U0"60 7/1/2020 7H/021 EACFI OCCURRENCE $1,000.000 PR'MI$ES1Egor�cugo�]_ $1,000,000 X _] u $ 6,000 $, 1 ,0 000 Red. ._�u_ MED EXP IMY cno-person _ PRRSONAL&ADVINJURY $Included -------------- GENL X AGGREGATE UNIT APPLIES PER PRO. tr'' 1 �� OENERALAOOREGATE $ 3,000,000 PRODUCTS• COMPlOP ADO $ Incuded POLICY JECT L,._.,_f LOG OTHER: -- AUTOMOBILE4IABILRY d OI N L MI S BODILY INJURY(Perpemon) $ OWNED OWNEDULED BODILY INJURY (per accident) $ AUTOS HIRED-0WNED fRrJPEkYr DAMAGE $ �"'"- AUTOONLY $ UMBRCCUR EACHOCCURRENCE $ EXCESLAIMS-ANDE AGGREGATE $ DED RETENTIONS 21 X P R O H- s7AT_4TE_ B.._ $ B WORKERS COMPENSATION 72 WE AG2YE3 7l1f2020 711 AND FMPWVEM'1 ILIT'Y YIN ANYPROPRIETOWPAR7'NERIEXECUTIVE OFFICERIMEMSEREXCLUDED? ID N/A E.L.MHACCIDENT $1,000,000 (Mandatory In NH) 0 qdascdho under DES E.L.OISEASE-EA EMPLOYEE $i,00Q000 E.L. DISEASE -POLICY LIMIT _ _ $110001000 SCC RIPTION OF OPERA'rI0N3 slow DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES IACORD 101, AddWonal Remarks Schedule, may be attached if more space Ii Subject to all policy terms, conditions and exclusions, required) City of Santa Ana, officers, Bosnia, employees, and volunteers are named are additional insurads for goner Contract or to the I liabillly coverage as required by Virtue DID Whiten agreement and extent insurable as respects their Interest In the operations of the named it sured. The Insurance provided by this policy is primary, and all other Insurance available to the additional Insured Is non-contributory, rvoorlelnw�rc un1 ncn _. SHOULD ANY OF THE AS THE EXPIRATION BAT City of Santa Ana ACCORDANCE WITH THE Risk Management Division 20 Civic Center Plaza, 4th Floor AUTHORIZED REPRESENTATIVE Santa Ana CA 92702\ ©lase-2D1 ACORD 25 (2016103) The ACORD name and logo are registered marks of A( DESCRIBED POLICIES BE CANCELLED BEFORE HEREOF, NOTICE WILL BE DELIVERED IN 'P a We' Ma agm m10t skm } 011111�11 I REVIEWED&APPROVED8Y x 1I ' ��etn.r.�r.e IQ, �i+GGo-wcC Risk Mana9emee[Analyst (I