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ACORbr CERTIFICATE OF LIABILITY INSURANCE DAM(MMrOD1YYYY) 08/18/2021 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(les) 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 endorsement(s). PRODUCER NAME: Sonya Silva AP Tuhon Insurance Services NONNo Ex[, (949) 261-5335 Fnlc Na ; (949) 261-1911 2913 S Pullman St ADDRESS: Sonya@tutton.wm License #0689376 INSUREB(S) AFFORDING COVERAGE NAM # Santa Ana CA 92705 INSURERA: Continental Casualty Co 20443 INSURED INSURER B: American Gas Co of Reading, PA 20427 Robert Borders &Associates INSURERC: Continental Casualty Co. 1675 Scenic Ave., Suite 210 INSURER 0: INSURER E: _ Costa Mesa CA 92626 INSURER F: COVERAGES CERTIFICATE NUMBER: 21-22 REVISION 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. I LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MMfD�Y F POIJCYEXP MMIDOI LIMITS X COMMERCIALGENERALLIABILITY CLAIMS -MADE 7x OCCUR EACH OCCURRENCE is 1,000,000 PREMISES Ea occurrence S 1,000,G00 X MED EXP(Any am person) S 10,000 A&E and Surveyors Liability with Office Pollution Liability PERSONAL a AM INJURY 9 1.000,000 A Y Y 4024428684 Oa/16/2021 08/162022 GE X -LAGGREGATE UMITAPPLIES PER POLICY 0 PECROT- ❑ LOC J GENERALAGGREGATE $ 2.000,000 PRODUCTS - COMPIOP AGG S 2.000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eeacudent S BODILY INJURY( Per person) S ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED HIRED NON AUTOS ONLY AUTOS ONLY 4024428684 08/1612021 08/16/2022 BODILY INJURY (Per acaden U S !� PROPERTY DAMAGE Peraccitlen S S X UMBRELLADAS OCCUR EACH OCCURRENCE S 2.000,000 A EXCESSUAB DIAIMB-MADE 4024428796 08/16/2021 08/16/2022 AGGREGATE s 2,000,000 OEO RET IONS 10,000 S B AND EMPSCOMPELIATIONILIT ANO EMPLOYERS LIABILITY Y 1 N ANY PROPRIETOIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED' (Mandatory In NH) DESCRIPTIONIPTION Ounder byes, describeFF OPERATIONS helaw NIA Y 4024428751 08/16/2021 Oa/1612022 PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE -EA EMPLOYEE S 1,000,000 E.L. DISEASE -POLICY UMIT $ 1,000,000 C Professional Liability Retro Date:8/16/1984 AEH003010587 08176/2021 08/1612022 Each Claim Aggregate SZ000,000 $2,000,000 Deductible $15,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom space is required) The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named as Additional Inured with respects to the operations of the named insured per SB146932G 1Oil 9 and SB146968C 10/19 including Primary Non Contributory and Waiver of Subrogation. Worv'¢i r� pppROVED Waiver of Subrogatan per #G19160B. 1197 10 Days Notice of Cancellation for non-payment/30 Days notice other than non-payment. BY R k ANAGEMEM DiV)SiON 6 18:I CERTIFICATE HOLDER ❑ANCFI I ATInM ♦A• IT.... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th Or AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 -=- �e-�-. ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD