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�►`020® CERTIFICATE OF LIABILITY INSURANCE E (MMID DATE/4/20Y1 YY) 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 endorsement(s). PRODUCER Edgewood Partners Insurance Center 1 American LaneINC.No)- CONTACT NAME: Amanda Massa PHONE . 203-658-0507 FAX Ea BESS, amanda.massa a lebrokers.com Greenwich CT 06831-2560 INSURERS AFFORDING COVERAGE NAICIf INSURER A: Travelers Prop Casualty Cc of America 25674 INSURED PRUDEN2069A INSURER B: Prudential Financial, Inc. 751 Broad Street INSURERC: INSURER D: Newark NJ 07102 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 1103252456 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 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 ADDLSUBR POUCYNUMBER POLICY EFF MM/DD/Y1'YY POLICY UP (MMIDDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGETORENTED PREMISES Ea com.. $ MED UP (Any one person) $ PERSONAL S AOV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHFOULED AUTOS ONLY AUTOS BODILY INJURY (Per eccklen) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLALIAS OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CIAIMS-MADE DEO I I RETENTIONS $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN UBBN67804A2151R UB8N7282432151 K 1/1/2021 1/1/2021 1/1/2022 7A/2022 X PER OTH. STATUTE I ER E.L EACH ACCIDENT $1,000,000 ANYPROPRIETORIPARTNER/EXECUMVE ❑ OFFICERIMEMBER EXC W DED? NIA E.L. DISEASE -EA EMPLOYEE S1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD IU1, Additional Remarks Schedule, may be attached if more space is required) Location Address: 751 Broad Street Prudential Property Number: N/A Property Type: Owned (Prudential occupied) CANCELLATION 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. Risk Management Division, 4th Floor 20 Santa Civic Center Plaza AUTHpRIzao REPRESENTATIVE Santa Ana CA 92702 Rtek MRnagenlmt 1)ivislan REvie&Eo 6 APPRCNm BY. ©1988-2015 ACORD C f44*,C,�K P. V:utnr t ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Rise Management Analyst