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Client#: 688055 Francine R. olgkallyvlamNbyDaodne g. ADMINSUREI Villareal Dat,e20 a1areal 0.1400'.33:13 -Oltlp ACORDm, CERTIFICATE OF LIABILITY INSURANCE OATYYYY) 8l23/202312021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Rocio Gutierrez NAME: Marsh & McLennan Agency LLC PHONE 949 900-1780 Marsh & McLennan Ins. Agency LLC A/C, No, Bad): A/C No nooaless: rocio.gutierrez@marshmma.com 1PolarisWay#3 AIiSO Viejo, CA 92656 INSURER(S) AFFORDING COVERAGE NAICtt INSURER A: Sentinel Insurance Company Ltd 11000 INSURED INSURER B: Twin City Fire Insurance Company 29459 Inc.StrINSURER C: Evanston Insurance Company 35378 3380 Shelby Shelby Street INSURER D: United States Fire Insurance Company 21113 Ontario, Ontario, CA 91764 Underwriters at Lloyds INSURER E: Y INSURER F: COVERAGES CERTIFICATE NUMBER: 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 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. INSLTRR TYPE OF INSURANCE ADDLISUER NSR MD POLICYNUMBER MWDDIYEYYY MMIDIDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 72SBABD7973 1/01/2021 01/01/2022 EACHOCCURRENCE$2,000,000 PREMISESEao¢Turmare $1,000000 MED EXP (Any one person) $1 D 000 PERSONAL &ADV INJURY $2 000,000 AGGREGATE LIMIT APPLIES PER POLICY � JECT LOC GENERAL AGGREGATE $4,000,000 GEN'L PRODUCTS-COMP/OPAGG $4,000,000 I $ OTHER A AUTOMOBILE LIABILITY 72SBABD7973 01/01/2021 01101/202 COMBINED Ea accidc) hsLE LIMIT ent 2,000,000 BODILY INJURY (Par pmson) $ ANYAUTO %( OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY BODILY INJURY Pe (Per $ PROPERTY DAMAGE Per PERT DAMAGE $ $ A X UMBRELLA LIAR X OCCUR 72SBABD7973 01/01/2021 01/01/2022 EACH OCCURRENCE s4000000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORlPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? � NIA 72WECNG7400 01/01/2021 01/01/202 X PER OTH- E E.L. EACH ACCIDENT $1 OODOOO E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C Professional Liab MKLV3PE0001615 10/19/2020 01/01/2022 $5,000,000 ClaimlAgg D Crime (401K) 6260378562 10/13/2020 01/01/2022 $2,000,000/Ded varies E I Cyber-w-3rdParty ESJ0419616911 7101/2020 01/01/2022 $2,000 000theftfraud ry DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The City, and their respective officers, agents and employees are included as additional insured as respects to General Liability per attached endorsements. Primary and Non -Contributory Wording applies per attached endorsement. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 ACORD 25 (2016103) 1 of 1 #S8608782/M8400688 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988.2015 ACORD ( The ACORD name and logo are registered marks of ACORD ltY Rlek MwtwMent Doblon 4 �°� EREV:IEWED&APPRcIvEc ..',,. t I"'1F6aG('1,2 tl+ �KNNKG Risk Management Analyst