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Digitally signed by Francine R. Francine R. Villareal Villareal KINGCAU-01 Date: 2021.036d:AtRCIA A� R� CERTIFICATE OF LIABILITY INSURANCE DATE DVYYY) 3/5/2021 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 License if OD79617 N24EACT CaBsi@ Garcia WBA Insurance 13304 Philadelphia St Suite 200 PHONE (A/C, Na, EM: (562) 789-5704 ac, No):(562) 298-4123 R-D ESS: cassie@wbainsurance.com Whittier, CA 90601 INSURERS AFFORDING COVERAGE NMC e INSURERA:Philadelphia lndemnl Insurance Company 18058 INSURED INSURERS: Sirius America Insurance Company 38776 INSURER C : Hiscox Insurance Company Inc. 10200 Kingdom Causes dba City Net INSURER D 4508 Atlantic Avenue, Ste 292 Long Beach, CA 90807 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER' RFVIRInM NIIMRFR- 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 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 OF INSURANCE ADDLTYPE DIED BURR MID POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IV OCCUR X PHPK2226222 111112021 1/11/2022 EACH OCCURRENCE $ 2,000,000 DAMAGETO RENTED PREMISES Ea 100,000 MED EXP (myone erson $ 53000 PERSONAL&ADV INJURY X AGGREGATE LIMIT APPLIES PER: POLICY❑JPEL�T LOC GENERAL AGGREGATE PRODUCTS-COMP/OP AGG $ X SEXUALABUSE OTHER A AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT M210000,1000GENL BODILY INJURY Per Damao S ANY AUTO OWNED SCHEDULED AUTCS ONLY AUTOpSyy X PHPK2226222 1111/2021 1111/2022 BODILY INJURY Per ardent $ X PFFOP.E.%Zt AMAGE AUTOS ONLY X A OS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED I I RETENTION$ B WORKERS ND EMPLOYERS' COMPENSATION YIN AAoNY PROPRIETOWPARTNERIEXECUTIVE FFFICER,ryEn NHR EXCLUDED? IT yes, describe under DESCRIPTION OF OPERATIONS below NIA WC69143 3/1/2021 311/2022 X STATUTE EORH E.L EACH ACCIDENT 1,000,000 SMand E.L. DISEASE -EA EMPLOYE 1,000,000 E.L. DISEASE -POLICY LIMB $ 1,000,000 A Prof. Liability X PHPK2226222 1111/2021 1/1112022 Claims Made/2mil agg 1,000,000 C Cyber Security Liab. X MPL1841282.20 10/19/2020 10119/2021 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached IF more space Is required) 10 Days Notice of Cancellation for non-payment/ 30 Days Notice other than non-payment- Coverage is Primary & Non -Contributory. Waiver of Subrogation Included. The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named additional Insured with respects to the operations of the named insured per the attached CG20261185 endorsement. Such insurance is primary and non-contributory. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE -�RAMM.gawnLDMemnREVIEWED&APPR"OVBJBY. ACORD 25 (2016/03) ©1988-2015 ACORD C The ACORD name and logo are registered marks of ACORD Risk Management Anayst