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`'10�1b CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 10/15/2019 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(les) must be endorsed. If SUBROGATIONIS 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 PAYCHEX INSURANCE AGENCY INC CONTACT NAME: PHONE (877)266-6850 (AIC, No, Exl): FAX (585)389-7894 (I No): 76210705 150 SAWGRASS DRIVE E-MAIL ADDRESS: ROCHESTER NY 14620 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Property and Casualty Insurance Company of Hartford 34690 INSURED INSURER B : PARTNERS IN CONTROL INC DBA ENTERPRISE INSURER C: AUTOMATION INSURER D: 210 GODDARD INSURER E : IRVI NE CA 92618-4625 INSURER F : COVERAGES CERTIFICATE NUMBER: 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 ADOL INSR SUBR Me POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYV LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrencel MED EXP (Any one person) PERSONAL & ADV INJURY GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY ❑ PRO- ❑ JECT LOC PRODUCTS - COMPIOP AGO OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) HIRED NONOWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) BRELLALIgB OCCUR EACH OCCURRENCECESS LIAB J CLAIMS -AGGREGATE MADE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X IPER ISTATUTE I OTH- HER E.L. EACH ACCIDENT $1,000,000 A ANY YIN PROPRIETORIPARTNERIEXECURVE OFFICEWMEMBER EXCLUDED? NIA X 76 WEG G81737 11/13/2019 11/13/2020 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory, In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Those usual to the Insured's Operations. Blanket Waiver of Subrogation applies in favor of the Certificate Holder per the Waiver of Our Right to Recover from Others Endorsement WC040306, attached to this policy. CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Risk Management Divislon BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 20 CIVIC CENTER PLAZA FL 4 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE SANTA ANA CA 92701-4058 �S Or C�&121, © 1968-2015 ACORD COR ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ,,ae ^awe lttekManegenlentDlvieton REVIEWED&pAPrPFRovEDBY: Risk Management Analyst