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Francine R. Digital Iyslgned by Francine R. <br />Villareal <br />Villareal Date: 2021.08.23 12-19-36 -07'00' <br />ACC " CERTIFICATE OF LIABILITY INSURANCE <br />8/6;202i""Y' <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Amity Ins., a Division of Brown & Brown of MA, LLC <br />500 Victory Rd. <br />Marina Bay <br />North Quincy MA 02171 <br />NAME: Frank Griffin <br />HCNN. Ext: (617)471-1220 (FAX <br />Ac NO: (617)979-5197 <br />E-MAADDRESS: £griffin@amityins.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Liberty Mutual Fire Insurance <br />23035 <br />INSURED <br />LAZ Parking California, LLC <br />10635 Santa Monica Boulevard <br />Suite 145 <br />Los Angeles CA 90025 <br />INSURERB:LM Insurance Corporation <br />33600 <br />INSURER C: Berkley Insurance Company <br />32603 <br />INSURERD:Markel American Insurance Company <br />28932 <br />INSURER E: Federal Insurance Company <br />0281 <br />INSURERF:Everest National Insurance Company <br />10120 <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 />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DDNYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE REMISES <br />PREMISESS Ea occurrence <br />PREMI <br />$ 1,000,000 <br />A <br />CLAIMS -MADE FOOCCUR <br />EB2611260451031 <br />/31/2021 <br />/31/2022 <br />VIED EXP (Any one person) <br />$ EXCLUDED <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />X Contractual Liability <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />POLICY X PROJECT X LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 5,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />I <br />ANYAUTO <br />BODILY INJURY (Per accident) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />S6611260451041 <br />/1/2021 <br />/1/2022 <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />NON -OWNED <br />HIREDAUTOSAUTOS <br />N <br />X <br />UMBRELLA LAB <br />X <br />OCCUR <br />SEE ATTACHED LIST OF <br />EACH OCCURRENCE <br />$ 100f000,000 <br />X <br />AGGREGATE <br />$ 100f000,000 <br />EXCESS LAB <br />CLAIMS -MADE <br />OLICIES <br />/31/2021 <br />/31/2022 <br />DED I I RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />X WC STATIU OTH- <br />TORY LIMTS ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />N/A <br />A561D260451051 <br />/31/2021 <br />/31/2022 <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <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 />A <br />GARAGEKEEPERS LIABILITY <br />kS2611260451011 <br />/31/2021 <br />/31/2022 <br />$1,000,000 LIMIT <br />C <br />CRIME/EMPLOYEE DISHONESTY <br />BCCR4500289224 <br />/31/2021 <br />/31/2022 <br />$5,000,000 LIMIT <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />If agreed upon in a written contract or agreement, City, its officers, employees, agents and <br />representatives are included as an additional insured for general liability, but only with respect to the <br />operations of the named insured. This insurance is primary and non-contributory to the additional <br />insureds if agreed upon in a written contract or agreement. <br />Re: City of Santa Ana Parking Enforcement Services <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE l <br />THE EXPIRATION DATE THEREOF, <br />ACCORDANCE WITH THE POLICY <br />AUTHORIZED REPRESENTATIVE <br />Griffin/FG <br />oRa Risk MmRgzmentDivisiun <br />REVIEWED & APPl BY. <br />4;7:!!!l Risk Management Analyst <br />ACORD 25 (2010/05) <br />INS025 (201005).01 <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />