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rrRJL,U-T .4� fR� CERTIFICATE OF LIABILITY INSURANCE D071201202YY) on2ono21 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 949-365-5116 Brakke-Schafnitz Ins. Brokers License #0K07568 3 Polaris Way, 4th Floor Aliso Viejo, CA 92656 CONTACT Frank Dungan AM— PHONE 949-365-5116 FAX A/C, No, Eat : A/C, No): noo IL , frank.dunaanfa�sia.us Frank Dungan INSURERS AFFORDING COVERAGE NAIC 9 INSURER A: Sentinel Insurance Company 11000 INSURED Procure America 31103 Rancho Viejo Rd. #D2102 San Juan Capistrano, CA 92675 INSURER B: INSURER C INSURER D : INSURER E : INSURER F: COVERAGES CERTIFICATE NIIMRFR• Ef""'Unfu NUMBER' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR y 72SBAAP4101 01/06/2021 01/06/2022 EACH OCCURRENCE 21000,000 DAMAGE TO RENTED 1,000,000 MED EXP (Any one Person) PERSONAL & ADV INJURYGERL AGGREGATE LIMIT APPLIES PER: POLICY j�T LOC GENERALAGGREGATEX PRODUCTS-COMP/OP AGGOTHER: A AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X AUUTOSONLY 72SBAAP4101 01/0612021 01/06/2022 COMBINED IEa SINGLE LIMIT BODILY INJURY Per erson BODILY INJURY War acadent $ X PeOr acciEent AMAGE A X UMBRELLALIAR EXCESS LIAB X OCCUR CLAIMS -MADE 72SBAAP4101 01/06/2021 01106/2022 EACH OCCURRENCE 11000,000 AGGREGATE 1,000,000 DEO I X I RETENTION$ 10,000 WORI(ERS COMPENSATION ANDEMPLOYERS' LASIDTY YIN ANY PROPRIETOWPARTNEWEXECUTNE QFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A I PER OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT T_ DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be allwhed if more space is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured per SS00080405, includes Waiver of Subrogation & Primary Non -Contributory Wording CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE < ll M' &°^alb REV1Ev�sD&ArrROam BY: ACORD 25 (2016103) ©1988-2015 ACORD CC�'"'�'� The ACORD name and logo are registered marks of ACORD