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A� CERTIFICATE OF LIABILITY INSURANCE <br />o09/0912021D) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EMEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate hostler in lieu of such endorsement(s). <br />PRODUCER <br />Marsh USA, Inc. <br />1166 Avenue of the Americas <br />New York, NY 10036 <br />CONTACT <br />NAME: <br />PHONE FAX <br />AIC o <br />EMAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIOI <br />CN101642634-TmSFWC-21-22. <br />INSURER A: Bankers Standard Insurance Co <br />10279 <br />INSURED <br />TNS1arEnergy, LLC <br />INSURER B <br />INSURER C <br />10225 Philadelphia CL <br />Rancho Cucamonga, CA 91730 <br />INSURER O: <br />INSURER E <br />INSURER I, <br />COVERAGES CERTIFICATE NUMBER' NYC-0111Rp11RAR1 MCTnsInM MUMMER. 1 <br />THIS IS TO CERTIFY THAT THE POLICIES of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />ILTR <br />TYPE OF INSURANCE <br />ADDLSUaR <br />men <br />n <br />POLICYNUMBER <br />POLICY EFF <br />INVIO Irrrr <br />POLICY EXP <br />MM/010 <br />UMn3 <br />COMMERCIALGENERALLIABILITY <br />CLAIMS1v1ADE❑OCCUR <br />Eq HOCCURRENCE <br />8 <br />DAIANGE TURIENTED <br />PREMISE ow,Derrm <br />$ <br />MED EXP (Any one perms) <br />$ <br />PERSONAL S ADV INJURY <br />S <br />GEN'L AGGREGATE LIMIT APPLES PER: <br />POLICY PROdECT El LOC <br />GENERALAGGREGATE <br />$ <br />PRODUCTS-COMP/OP AGG <br />$ <br />§ <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />COMBINEUSINGLELIMIT <br />Ea acddent <br />$ <br />ANYAVTO <br />BODILY INJURY Per Pe on) <br />$ <br />OWNED SCHEOULED <br />AUTOG ONLY AUTOS <br />BODILY INJURY(PeramMent) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOSONLV <br />PROPERTY DAMAGE <br />Per anddent <br />$ <br />$ <br />UMBRELLA OA6 <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />RED RETENTIONS <br />§ <br />A <br />WORKERSCOMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />OFFICERIMEMBER EANYPROPRIETORP%OW DEO9 ECUTIVEFIN <br />NIA <br />71B2-7340 <br />CM112021 <br />OV01/2 <br />R PER ON - <br />STATUTE I I ER <br />E.L EACH ACCIDENT <br />$ 1,000,000 <br />E.1- DISEASE - EA EMPLOYE <br />$ 1,000,000 <br />(Mandatory In. <br />If yes, dsscrihe antler <br />E.L. DISEASE -POLICY LIMIT <br />II 1,000,000 <br />DESCRIPTIONOFOPERATIONSbel. <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ADORD 1 at, AEditional Remarks Schedule, may be attached if more space Is required) <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE W14L BE DELIVERED IN <br />Santtao Ana, CA 92702 <br />20 Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />A <br />AUTHORIZED REPRESENTATIVE <br />©1988-2016ACORDCOR ,q. �� RE%AEWEC&APP'RIOvEDBY: <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD11 6,4L. �A.L.r,c..a,t VaUM4Al <br />Risk Management may5t <br />