PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (4)

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A-2018-179A Digitally signed by Francine R. Francine R. Villareal Wilareol 4� �® CERTIFICATE OF LIABILITY INSURANCE DATE 08/0412021 nryY) 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(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 Marsh USA, Inc. 1166 Avenue of the Americas CONTACT NAME: PHONE Firic FAX No: New York, NY 1OD36 Attn: NmYolk.Certs@marsh.com Fax: 212-948-0500 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC9 INSURER A: Travelers Property Casualty Company of America 25674 INSURED PRUDENTIAL FINANCIAL INC. INSURER B: Endurance Assurance Corporation 11551 INSURER C : 655 BROAD STREET NEWARK, NJ 07102 INSURER D : INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-011164643-01 REVISION NUMBER: 1 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. Hart LTR rypE OF ADDLSUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YNNY LIMITS A X COMMERCIAL GENERAL LABILITY CLAIMS -MADE OCCUR TC2J-GLSA-6045X417-TIL-21 01/0112021 01/0112022 EACHOCCURRENCE $ 2,000,000 DAMAGE TO RE TE0 PREMISES Ea occurrence $ 2,000,000 GEN'L X MED EXP tAny one arson) $ 5,000 PERSONAL is ADV INJURY $ 2.000,000 AGGREGATE LIMIT APPLIES PER PRO- POLICY E JECTPRO- ❑ LOC GENERALAGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGO $ 4,000,000 $ A AUTOMOBILELIABILITY X1AUTOS ANYAUTO OWNED SCHEOULED AUTOS ONLY AUTOS HIRED NON -OWNED ONLY AUTOS ONLY TC2JCAP-8045X045-TIL-21 OV0112021 01/0112022 COMBINED SINGLE LIMIT Ea accident $ 2,000.000 BODILY INJURY (Per person) $ RY BODILY INJU(Par accident) 7 PROPERTYDAMAGE Per accident $ X UMERELLALIAB EXCESS LIAB OCCUR CLAIMS -MADE GUF30000914002 0110112021 01/0112022 EACH OCCURRENCE $ 5,000,000 N AGGREGATE $ 5,000,000 DED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNETEXECUTIVE OFFICEWMEMBEREXCLUDED? El (Mandatory in NH) If yes, drear be under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) The City, of Santa Ana, it's officers, employees, agents, and representative are included as additional insured where required by written contract. Cityof Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division, 4th Floor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS - Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE RIAMnlagenlentDivislon .s'• REVIEWED & APPROVED BY. ©1988-2016 ACORD C °{ ,i ;Z VSA4441 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk Management Analyse rW