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Francine R. Digitallysigned by Francine R. Villareal r A� " CERTIFICATE OF LIABILITY INSURANCE DATE(M/2021Y) 07/21/021 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 CONTACT Kasey Litz NAME: Stanton and Associates Inc. a/cNr o Ext : (805) 413-1498 axc, No): (805) 435-3737 ISU Stanton & Associates E-MAIL kasey@isustanton.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 3625 Thousand Oaks Blvd #319 Westlake Village CA 91362 INSURERA: Hartford Fire Insurance Company 19682 INSURED INSURER B : Hartford Casualty Ins Co 29424 Burke, Williams & Sorensen, LLP INSURER C : Property & Casualty Insurance Co. of Hartford 34690 444 S. Flower St., Suite 2400 INSURER D : INSURER E : Los Angeles CA 90071 INSURER F : COVERAGES CERTIFICATE NUMBER: 21-22 City 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSURANCEAUULbUbK INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MWDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Fx_] OCCUR DAMAGE TO Ea oNcurrrence $ 300,000 _7 -PREMISES MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 A 72UUNUR4713 08/01/2021 08/01/2022 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑PRO ❑ LOC JECT PRODUCTS- COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 72UUNUR4713 08/01/2021 08/01/2022 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS -MADE 72XHUUR4585 08/01/2021 08/01/2022 AGGREGATE $ DED I X1 RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N /A 72WEAB2915 08/01/2021 08/01/2022 PER STATUTE EORH X1 E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Hartford CGL policy form HG0001 includes Additional Insured status, Primary and Non -Contributory wording, and Waiver of Subrogation where required by written contracts. IH 0303 - 30 Day NOC applies CG2026 —Additional Insured — Designated Person or Organization WC 990394 — 30-Day Notice of Cancellation to Certificate Holders WC040306 — WC Waiver of Subrogation CERTIFICATE HOLDER City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92702 CANCELLATION 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 @ 1988-2015 ACOF ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD �„on„Ne Risk Management Division REVIEWED & APPROVED BY.- o z Risk Management Analyst