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A-2018-179-01A Digitally signed by Francine R. Francine R. Villareal Villareal T00• A� o® CERTIFICATE OF LIABILITY INSURANCE DATEYYYY) OBN4122021 021 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(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 rights to the certificate holder in lieu of such endorsement('). PRODUCER Marsh USA, Inc. 1166 Avenue of the Amerces New York, NY 10036 Attn: NewYork.Ceds@marsh.cnm Fax: 212-948-0500 CONTACT NAME: PHONE FAX No) - E-MAIL ADDRESS: INSUR]i AFFORDING COVERAGE NAIC# 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. INSR LTR TYPE OF INSURANCE ADDLSUSR JUM Wi POLICYNUMBER POLICYEFF NIMIODyYyyy) POLICY EXP (MM,DprfyM LIMITS A X COMMERCIAL ENE LIABILITY CLAIMS -MADE OCCUR TC2J-GLSA-8045X417-TIL-21 0110112021 0110112022 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 2,000,000 GEN'L X MED Dale (My one person) $ 5,000 PERSONAL 6 ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY jEC LOC OTHER: GENERALAGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ A AUTOMOSILELIABILITY X ANYAUTO OWNED f 1 SCHEOULEO AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY TC2JCAP-8045X045-TIL-21 0110112021 01101I2022 COMBINED SINGLE LIMIT Es accident $ 2,000,000 BODILY INJURY (Per person) $ I i BODILY INJURY Per accident $ PROPERTYDAMAGE Per a ident $ X UMBRELLA LIAB EXCESS LIAB N OCCUR CLAIM' -MADE GUF30000914002 0110112021 0110112022 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILRY YIN ANYPROPRIEFORIPARTNERIEXECUTWE OFPICERIMEMBEREXCLUDEDP (Mandatory In NH) Ifni describe under DE SCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.1- DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, employees, agents, and representative are included as additional insured where required by written contract 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. AUTHORIZED REPRESENTATIVE OyRD C AC ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Rhk MmRgeneNE Divlelan eM4K+N�L P1REv ei & APPROVED BY: `. V�crFMacC ®. ® Ruk Management Analyst