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Digitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />Date: 2021.07.01 16:31:41 -0700'
<br />/
<br />ACCOR " CERTIFICATE OF LIABILITY INSURANCE
<br />FDATE'MM/DD/YYYY)
<br />06/17/2021
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT Stacey Campbell
<br />NAME:
<br />KIA Insurance Associates, Inc.
<br />a/c Nr o (661) 835-4542 (661) 835-4500
<br />(FAX
<br />Ext : , No):
<br />License # OL78680
<br />E-MAIL scampbell@kernins.com
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />P.O. Box 11390
<br />Bakersfield CA 93389-1390
<br />INSURERA: Travelers Casualty Insurance Co of America
<br />19046
<br />INSURED
<br />INSURER B : Travelers P & C Co America
<br />25674
<br />Infinity Communications & Consulting, Inc.
<br />INSURER C: National Fire Insurance of Hartford
<br />20478
<br />P.O. Box 999
<br />INSURER D : Certain Underwriter at Lloyds
<br />INSURER E
<br />Bakersfield CA 93302
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 21-22 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MWDD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES
<br />SES Ea o.urrrence
<br />$ 300,000
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />$ 2,000,000
<br />A
<br />680001J742131
<br />02/17/2021
<br />02/17/2022
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />X POLICY ❑ PRO ❑ LOC
<br />JECT
<br />PRODUCTS-COMP/OP AGG
<br />$ 4'000'000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BA91\1276397 20
<br />10/24/2020
<br />10/24/2021
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED �/ NON -OWNED
<br />AUTOS ONLY X AUTOS ONLY
<br />Uninsured motorist
<br />$ 1,000,000
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />2,000,000
<br />$
<br />HCLAIMS-MADE
<br />AGGREGATE
<br />$ 2,000,000
<br />B
<br />EXCESS LIAB
<br />CUP002J348555
<br />02/17/2021
<br />02/17/2022
<br />DED I I RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABI LI TY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />WC 4 18266026
<br />07/01/2021
<br />07/01/2022
<br />SPTER
<br />X1 EORH
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />D
<br />Professional Liability -claims made
<br />including Cyber Liability
<br />INT166518
<br />08/19/2020
<br />08/19/2021
<br />per claim
<br />aggregate
<br />2,000,000
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: Santa Ana Public Library. The City of Santa Ana, Risk Management 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents
<br />and representative are named as additional insureds and coverage is primary and non-contributory for General Liability per written contract and attached
<br />endorsements. 30 days notice of cancellation applies except for non-payment of premium
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza 4th Flr
<br />Santa Ana
<br />ACORD 25 (2016/03)
<br />CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />@ 1988-2015
<br />The ACORD name and logo are registered marks of ACORD
<br />�oRaN Risk ManagementDivisian
<br />REVIEWED & APPROVED BY.-
<br />o z
<br />Risk Management Analyst
<br />
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