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t-rancine H. Villareal Villareal <br />Date: 2021.03.241 7:05:34 -0J'0 <br />A�?� CERTIFICATE OF LIABILITY INSURANCE <br />DAT2/08/2021 1 <br />02/OB/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 endorsements). <br />PRODUCER <br />CONTACT Nicole Hardin <br />NAME: <br />Advanced Brokers Insurance Services <br />PHONE E (858) 436-7999 FAX <br />ac (858) 436-7998 <br />ik.—...gjLservice@advancedbrokersinc.com <br />360 N El Camino Real 1A <br />advancedbrokersinc.com ADDRESS: <br />INSURERSI AFFORDING COVERAGE <br />NAIC a <br />Encinitas CA 92024 <br />INSURERA: Liberty Mutual Insurance <br />INSURED <br />INSURER a: AXIS Surplus Insurance Company <br />Eco/Nomics, Inc. dba Eral/nomics, Inc. <br />IxsuRERc: <br />832 Camino Del Mar Ste2 <br />INSURER D : <br />INSURER E: <br />4�1 <br />Del Mar CA 92014 1 <br />INSURER F: <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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 />ILiR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POUCYEFF <br />IMUMO <br />POLICY EXP <br />MWOD <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FXI OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RE JTED <br />PREMISES fEa accunencel <br />$ 500,000 <br />MED IXP (Arty one person) <br />$ 15,000 <br />PERSONAL& ADV INJURY <br />$ 1,000.000 <br />A <br />X <br />X <br />BKS57048355 <br />12/09/2020 <br />12/09/2021 <br />GEN'L <br />X <br />N <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JEST LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS -COMPIOP AGO <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ee accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />A <br />X <br />OWNED SCHEDULED <br />AUTOS ONLYRAUTOS <br />X <br />X <br />BAS57048355 <br />12/11/2020 <br />12/09/2021 <br />BODILY INJURY Per accident <br />( ) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAS <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS UMCLAIMS-MADE <br />DEOI <br />RETENTION $ <br />s <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN N <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />PER OTH- <br />ATER <br />EL EACH ACCIDENT <br />$ <br />EL. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory in NH) <br />If yas, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />Professional Liability <br />Each Claim <br />$1,000,000 <br />B <br />X <br />X <br />EMP19001661-01 <br />10/01/2020 <br />10/01/2021 <br />Aggregate <br />$2,000,000 <br />Deductible <br />$5,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remedies Schedule, may be attached If more space Is malulred) <br />City of Santa Ana, its officers, employees, agents, and representatives are Additional Insureds with respect to General Liability, Auto Liability, Professional and <br />Pollution Liability per the attached endorsements or as required by written contract. Insurance is Primary and Non -Contributory. <br />*30 Days' Notice of Cancellation with 10 days' notice of Non -Payment of premium in accordance with the policy provisions. <br />Operations of the insured covered under the above policies. <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 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division, 4th floor AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />P,Isle M®1flSa"Irsd D'nisian <br />Santa Ana CA 92702 REVIEWED & APPR�O�V�E) BY. <br />© 1988-2015 ACORD C `I,;ALJ' F;,r.a �. Vs(6itM'/C <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD' ' Risk Management Analyst <br />