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Digitally signed by FrancineR
<br />Francine R. Villareal Mn.rml
<br />Data. 2021.02091 a1416-0 00'
<br />ACORO® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDD/YYYY)
<br />01/28/2021
<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 pollcy(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 />PHDNE (661)835-4542 FAx (661)835-4500
<br />A/C No Exl: AIC,No
<br />License # OL78680
<br />E-MAIL scampbell@kernins.com
<br />ADDRESS:
<br />P.O. Box 11390
<br />INSURER B AFFORDING COVERAGE
<br />NAIC #
<br />Bakersfield CA 93389-1390
<br />INSURERA: Travelers Casualty Insurance Co ofAmerica
<br />19046
<br />INSURED
<br />INSURER B: Travelers P & C Co America
<br />25674
<br />Infinity Communications & Consulting, Inc.
<br />INSURERC: National Fire Insurance of Hartford
<br />20478
<br />P.O. Box 999
<br />INSURER D: Certain Underwriter at Lloyds
<br />INSURERE:
<br />Bakersfield CA 93302
<br />INSURERF:
<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 TOALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />MD
<br />POLICY NUMBER
<br />MMIDD EFF
<br />MMp
<br />LIMITS
<br />COMMERCIAL GENERALLIABILITY
<br />CLAIMS -MADE Fx—] OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />PREMISES fEa occurrence
<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 />02117/2022
<br />GENLAGGREGATE LIMITAPPLIES PER:
<br />X POLICY JERCT LOC
<br />GENERALAGGREGATE
<br />$ 4,000,000
<br />PRODUCTS-COMP/OPAGG
<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 />ANVAUTO
<br />BODILY INJURY (Per person)
<br />$
<br />A
<br />OWNED ASCHEDULED
<br />AUTOS ONLY UTOS
<br />HIRED v NON�OWNEO
<br />AUTOS ONLY X AUTOS ONLY
<br />13A9N27639720
<br />10/24/2020
<br />10/24/2G21
<br />BODILY INJURY Per accident
<br />$
<br />PROPERTYDAMAGE
<br />Peraccident
<br />$
<br />Uninsured motorist
<br />$ 1,000,000
<br />UMBRELLA LIAB
<br />OCCUR
<br />"'""""' (" �"'a'" """'
<br />EACH OCCURRENCE
<br />E 2,000,000
<br />B
<br />x
<br />ExCE85"Ae
<br />CLAIMS -MADE
<br />CUP002J348555
<br />02l17l2021
<br />02/17/2022
<br />AGGREGATE
<br />$ 2,000,000
<br />DED RETENTION $
<br />§
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERT LIABILITY Y
<br />ANY PROPRIETORIPARTNEWEXECUTIVE IN
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />If yes, DESCRIPTION under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />4018266026
<br />07/01/2020
<br />07/01/2021
<br />PER OTH-
<br />!% STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Professional Liability -claims made
<br />INT166518
<br />08/19/2020
<br />08/19/2021
<br />per claim
<br />$2,000,000
<br />aggregate
<br />$2.000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remark. Schedule, maybe 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, Cal'Ifomia 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 />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division
<br />20 Civic Center Plaza 4th Fir AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702 e XhirMmkgrmartlNddwl
<br />+/ RENEwEOfi APPRW®BY:
<br />©1988.2015 ACOR ""F
<br />ACORD 25 (2016f03) The ACORD name and logo are registered marks of ACORD'•
<br />Risk Management Analyst
<br />
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