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Francine R. mgltallragnetl 6y Frannne R. <br />Villareal <br />Vnlareal <br />AI CERTIFICATE OF LIABILITY INSURANCE <br />6/30/2021 <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 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 />CONTACTFrank Griffin <br />NAME: <br />PHONE (617)471-1220 FAX (6v)4ys-s14T <br />AC No: <br />ApDRES3: £griffin@aIDi tyins. coal <br />INSURER 5 AFFORDING COVERAGEU <br />NAIC # <br />INSURERA: LibertyMutual Fire Insura3035 <br />INSURED <br />LAZ Parking California, LLC <br />10635 Santa Monica Boulevard <br />Suite 145 <br />Los Angeles CA 90025 <br />INSURERa:Libarty Insurance Co orat2404 <br />INSURER C: Berkley Insurance Com an2603 <br />INSURER D:Markel American Insurance <br />8932 <br />INsuRERE: Federal Inaurance Co an0281 <br />INSURER F: Everest National Insurance0120 <br />COVERAGES CERTIFICATE NUMBER:20-21 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 <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICYEFF <br />MMIDDIYYYYl <br />POLICYEXP <br />IMMADDIYYYYlLIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea ggcummce <br />$ 1,000,000 <br />A <br />CLAIMS -MADE 1XI OCCUR <br />LB2611260451030 <br />/31/2020 <br />/31/2021 <br />MED EVP (Any one person <br />$ EXCLUDED <br />PERSONAL& ADV INJURY <br />$ 1,000,000 <br />GENERALAGGREGATE <br />$ 2,000,000 <br />GEN'LAGGREGATE <br />LIMITAPPLIES PER: <br />PRODUCTS - COMP/OPAGG <br />$ 2r000,000 <br />POLICY X <br />Ra X LOC <br />PECT <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMITMa <br />cident) <br />$ 5,000,000 <br />BODILY INJURY (Perperson) <br />$ <br />A <br />ANYAUTO <br />JX <br />INJURY (Per accident) <br />$ <br />ALL OWNED SCHEDULED <br />2611260453010 <br />/31/2020 <br />/31/2021AMOSAUTOSBODILY <br />NON -OWNED <br />HIREDAUr0S AUTOS <br />PROPERTY DAMAGE <br />Peraccident) <br />$ <br />X <br />I UMBRELLALIAS <br />X <br />OCCUR <br />EE ATTACHED LIST OF <br />EACH OCCURRENCE <br />$ 100,000,000 <br />X <br />AGGREGATE <br />$ 100,000,000 <br />EXCESSLIAB <br />CLAIMSMADE <br />POLICIES <br />/31/2020 <br />/31/2021 <br />DED RETENTION $ <br />I $ <br />B <br />WORKERS COMPENSATION <br />X WC STATU- OTH- <br />"NITSANY <br />ANOEMPLOYERS'LIABILITY Y/NFIR <br />E.L. EACH ACCIDENT <br />Is 1 000 000 <br />PROPRIETORIPARTNEWEXECUTIVE <br />N/A <br />OFFICEWMEMBER EXCLUDED4 <br />(Mandatory In NH) <br />A76ID260451020 <br />/31/2020 <br />/31/2021 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />Iryes, descihe under <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE -POLICY LIMIT <br />$ 11000,000 <br />A <br />C.A i GEICEEPERS LIABILITY <br />M2611260451010 <br />/31/2020 <br />/31/2021 <br />$1,000.000LIMIT <br />C <br />CRIME/EMPLOYEE DISHONESTY <br />RCM4500289222 <br />/31/2020 <br />/31/2021 <br />$1,000,000LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N 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 />CANCELLATION <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 AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 ., RiakMassgoNmtUNiciDR <br />Frank Griffin/FG +� a 1 REVIEWED&pAPPR,�c�Ve�EDSYeJ: <br />I 11 l,. FMfnv io.i VI±X/✓a4Fi <br />ACORD 25 (2010/05) ©1988-2010 ACORD C ' <br />Risk Management Analyst <br />INS025 (201005).B1 The ACORD name and logo are registered marks of ACORD <br />