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Francine R. D1111ally signed by Francine R. Villareal Villareal Date: 2021.09.1615:00:29 -07'00' ACIl® CERTIFICATE OF LIABILITY INSURANCE la.� DATE (MMI°D YY 1 08/19/2021 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 pollcy(ies) must have ADDITIONAL INSURED provislons 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 B2 Insurance Services 1426 Aviation Blvd, Suite 203 Redondo Beach, CA 90278 CONTACT NAME: NiceLLOfin PHoni E (424)266-9400 aC No: 424 886-7660 npoa'ess: nica@b2insurance.com INSURE S AFFORDING COVERAGE NAICN License #: 0122551 INSURER A: Mesa Underwriters Specialty Insurance 36838 INSURED INSURER B: AmGUARD Insurance Comoanv 42390 Brightlife Designs LLC INSURERC: 16351 Gothard St, Ste C Huntington Beach, CA 92647 INSURER D: INSURER E: INSURER I, COVERAGES CERTIFICATE NUMBER: 00006370-591763 REVISION NUMBER: 69 THIS IS TO CERTIFYTHAT 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADOL INSD SUBR INVID POLICYNUMBER POUCYEFF MMIDOM'YY POLICY EXP fMMODiYYYY1 LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR Y Y MP0004016006613 08/10/2021 08/10/2022 EACH OCCURRENCE $ 1000000 PREMISES E.occurance $ 100000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1009000 GENL AGGREGATE LIMIT APPLIES PER: X POLICY JR,0T LOC OTHER: GENERAL AGGREGATE $ 2009000 PRODUCTS -COMPIOPAGG $ 2,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY Y Y BRAU048580 10/09/2020 10/09/2021 EaaRcdtlEtSINGLELIMIT $ 1009000 BODILY INJURY (Per person) $ BODILY INJURY Per accident) ( ) $ PROPERTY DAMAGE Per acoident $ Comp/Coll Deduc $ $1000 UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICERIMEMBEER PROPRIETOTPARTNEREEXCLUDED?ECUTIVE ❑ (Mandatory In NH) If yes, tlescrlbe antler DE SC RIPTIONOFOPERATIONSbelow NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE EA EMPLOYE $ E.L. DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Santa Ana, its officers, employees, agents and representatives are Additional Insureds with respect to General Liability and Auto Liability per the attached endorsements or as required by written contract. Insurance is Primary and Non -Contributory 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 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by NI y RiskMRnagemaltDivteion REVIEWED & APPROVED BY: 54ll1Lll '' '�Risk Management Analyst