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<br />CERTIFICATE OF LIABILI E bJyr-rg1ir1--fYYY)
<br />/ 2022
<br />ARg�7 - �_ft �
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THr, CLPCCFNW QPDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND EXTEND4 ALTER THE COVERAIF Al`%.-OED BY THE POLICIES
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTlFICATE HOLDER. AVeVe1FaC)"DatCN�1MT22!%.1 3
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITION 'wL'ASURED p .199s5j7 --)
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may . t ?b7a4?t4@O
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsemeat(s), rr 4uire an enclorsemen . statemen on
<br />PRODUCER CRNTAC7 Timothy M, Ingersol
<br />Thompson Flanagan Executive Liability Group N ME: -
<br />HONE _FVAX_:�_�
<br />626 W. Jackson Blvd. 5th Floor (PAC"o, Ext). (312) 239-2812 ic. 12) 263-1551
<br />—_ - --i-h—m—pionflan . agan.com
<br />Chicago, IL 60661 E L(A
<br />7AMWLES5,_!J�n4er�ol@
<br />INSURED
<br />Health Management Associates, Inc.
<br />120 N. Washington Square, #705
<br />Lansing, Ml 48933
<br />THIS
<br />IS TO CERTIFY THAT THE POLICIES
<br />OF
<br />INSURANCE
<br />LISTED BELOW HAVE BEEN
<br />ISSUED
<br />TO THE INSURED
<br />NAMED
<br />INDICATED.
<br />NOTWITHSTANDING ANY REQUIREMENT,
<br />TERM OR CONDITION OF
<br />ANY CONTRACT
<br />OR OTHER
<br />ABOVE FOR THE
<br />DOCUMENT WITH
<br />POLICY PERIOD
<br />CERTIFICATE
<br />MAY BE ISSUED OR MAY
<br />PERTAIN,
<br />THE INSURANCE AFFORDED BY
<br />THE POLICIES
<br />DESCRIBED
<br />RESPECT
<br />HEREIN IS SUBJECT
<br />TO WHICH THIS
<br />TO ALL THE TERMS,
<br />EXCLUSIONS
<br />AND CONDITIONS OF SUCH
<br />POLICIES.
<br />LIMITS SHOWN MAY HAVE BEEN
<br />REDUCED BY
<br />PAID CLAIMS.
<br />LTR
<br />A
<br />TYPE OF INSURANCE
<br />X COMMERCIAL GENIERAL LIABILITY
<br />ADDL
<br />SD
<br />SUER._
<br />WV
<br />POLICY NUMBER
<br />POLICY EFF
<br />ARWo9ffYM
<br />POLICY EX
<br />JMMIDDiYYYY)
<br />LIMITS
<br />—
<br /> .7
<br />CLAIMS -MA" 1—vi OCCUR
<br />630-8P53244A
<br />EACH OCCURRENCE_
<br />DAMAGE TO
<br />$ 1,000,000
<br />X
<br />X
<br />411512022
<br />4/1512023
<br />RENTED
<br />-EREMISF Ea agLmenqq)
<br />—
<br />306,000
<br />_$___
<br />X Owner's & Contractor
<br />_UE orke sorJ1
<br />D EXF�.�An� EgL_
<br />_
<br />$ 5,000
<br />X_ XCU included
<br />PERSQNAL� INJURY
<br />R_
<br />1,000,000
<br />GEN"L AGGREGATE LIMIT APPLIES PER;
<br />POLICY[] PrR X LOC
<br />_
<br />GENERAL AGGREqATE
<br />,,,,PRODUCTSOP AGG
<br />$ 2,0001,000
<br />2,000,000
<br />B
<br />OTHER:m.
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />_(Ea-ac.01 1patl _
<br />$ 1100,1000
<br />ANY AUTO
<br />BA-8P532647
<br />4/1512022
<br />41151,2023
<br />OWNED SCHEDULED
<br />BODILY IN
<br />BODILY INJUR
<br />Y YPqr accident LXAIRTOD
<br />AUTOS ONLY AUTOS
<br />F-
<br />0WND
<br />PROPERTY .
<br />$$B
<br />ONLY' AO
<br />EACH OCCURRENCE
<br />$ 10-10001000
<br />X UMBRELLA LlAB XOCCUR
<br />EXCESS LIAB CLAIMS -MADE
<br />4116/2022
<br />411512023
<br />,000,000
<br />....AGGREGATE
<br />DID RETENTION$
<br />B
<br />WORKERS COMPENSATiON
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPMETOR)PARTNERPEXECUTIVE m.YJN
<br />OFFICER;MEMBER EXCLUDED'?
<br />NIA
<br />UB-SP532740
<br />4/1512022
<br />4,115/2023
<br />STERTV,
<br />)(EP A _E_
<br />F
<br />E.L. ACCIDENT
<br />$ 1,000,000
<br />(Mandatory ln NH)
<br />__!
<br />antler
<br />-EL DISEASE -EAF-MPLOYCE
<br />S 1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />S 1,000,000
<br />1"VeS5U8,PT",0!'N"
<br />PERATIONS be€ow
<br />I
<br />C
<br />Prof. Liability
<br />0312-1907
<br />1/13/2022
<br />41112023 'Lflmit
<br />5,000,0011
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered
<br />as additional iinsureds on the CGIL policy with respect to liability
<br />arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such
<br />work or operations. For any claims related to this contract, the Contractor's insurance coverage shall be primary coverage at least as broad as ISO CG 20
<br />10104
<br />13 as respects the Entity, its officers, officials, employees, and volunteers. Any insurance or self-insurance maintained by the Entity, its officers,
<br />officials, employees, or Volunteers shall be excess of the Contractor's insurance and shall not contribute with it.
<br />SEE ATTACHED ACORD 101
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIE$ BE CANCELLED BEFORE
<br />THE EXPIPAT$ON DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa Ana AUTHORIZED REPRESENTATIVE
<br />Community Development Agency Pdak Maugancrit Division
<br />20 Civic Center Plaza
<br />�Saata Ana, QLU701 �k REMEWED & APPRovED BY:
<br />ACORD 25 (2016103) Aqu, Aav44.
<br />1988-2015 ACORD I
<br />The ACORD name and logo are registered marks of ACORD Risk Management S"pea 11i.5f
<br />
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