PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (4)

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A� o® CERTIFICATE OF LIABILITY INSURANCE DATE/4/2D27ryrr) (MMIDDN 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 Lane CONE C Amanda Massa PHONE FAX . 203-658-0507 WC No AmmESS, amanda.massa a icbrokem.com Greenwich CT 06831-2560 INSURE 5 AFFORDING COVERAGE NAICN INSURER A: Travelers Prop Casualty Co of America 25674 INSURED PRUDEN2069A INSURER B: Prudential Financial, Inc. 751 Broad Street INSURER C: INSURERD: Newark NJ 07102 INSURER E INSURERF: 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 LTR TYPE OF INSURANCE ADDL SUER POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY UP MMIDDNYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 0 JET 0 LOD GENERALAGGREGATE $ PRODUCTS -COMPIOP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per acddent) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ $ H UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ A A WORKERS COMPENSATION AND EMPLOYERS'UABILITY YIN UBBN67B04A2151R UB8N7282432151 K 1/1/2021 1/1/2021 1/l/2022 1/1/2022 X STATUTE ERH E.L. EACH ACCIDENT $1,000.000 ANYPROPRIETORIPARTNERIEXECUTIVE ❑ OFFICER/MEMBEREXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $1,000.000 (Mandatary In NH) If yes, desonbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD IDt, 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) City of Santa Ana Risk Management Division, 4th Floor 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2015 ACORD C ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk MwagamerADWIon a i REVIEWED&APPROVED BY: R. vat' ci ®, ® 2uk Wana9ement Anayst