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/', <br />Dig' MY signed by F2ndne R. <br />Francine R. Villareal Ag--,l <br />GENEPUM-01 Date: 2021.10.0416:2400-or. <br />TKARUNA <br />CERTIFICATE OF LIABILITY INSURANCE DATE ImM/oomYY <br />5/26/'021 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, EXTEND 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 holder in lieu of such endorsement(s). <br />PRODUCER License # 0757776 CONTACT Sherri Ben -Nun <br />HUB International Insurance Services Inc. N E: <br />16030 Ventura Blvd. uco, i o, EM: (818) 257-7438 FAX <br />Suite 500 E.M L (A/c, Ne): <br />Encino, CA 91436 Doi S: Sherri.bennun@hubinternational.com <br />INSURE S AFFORDING COVERAGE NAIC p <br />INSURED INSURER A: Travelers Property Casualt Company of America 25674 <br />INSURER B: Aspen Specialty Insurance 10717 <br />General Pump Company, Inc. INSURERC: <br />159 N. Acacia Street <br />San Dimas, CA 91773 INSURER o <br />INSURER E <br />NSURER F : <br />COVERAGES raortctrnw . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED NUMBER: <br />THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHERDOCUMENTRED <br />ABOVE <br />RESPECT TO ICY PERIOD <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EIN IS SUBJECTRESPECT <br />TO <br />WHICH THIS <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />R <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE [)� OCCUR R P-630.7K939062-TIL-21 6/1/2021 6/1/2022 <br />I'L AGGREGATE LIMIT APPLIES PER: <br />POLICY [11 JET 1:1 LOC <br />OTHER: <br />DMOBILE LIABILITY <br />ANYAUTO 810-ON810047.21-43-G 6/112021 6/112022 <br />AUTOS <br />UT <br />AUTOS <br />HIRE <br />O ACHOESULED <br />ONOWNED LY NONOOROMNL� <br />AUTOS ONLY UUrr <br />UMBRELLA LIAB X OCCUR <br />EXCESS LIAB cLAIMS4ADE CUP-IN325156-21-43 6/1/2021 61112022 <br />Y❑IN/Al IUB-7K940269-2143-G I 611/2021 I 61112022 <br />B IPollution I Enviromn I I ERAHL9621 2ISI202'I I 2/5/2022 <br />LIMITS <br />SCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addllional Remarks Schedule, maybe aaached if more apace Ia regelred) <br />Here required by written contract, the City of Santa Ana, its officers, employees, agents, and representatives are Included as Additional Insured as respects <br />erations of the Named Insured as their interest may appear per the attached #CG D2 46 04 19. Coverage is primary and non-contributory per Form #CGT100 <br />09, page'I6, paragraph 4. 30 Days Cancellation except 10 Days for Non -Payment <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division, 4th Floor ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE <br />,'%_!"'X- RlekMan°8n^ent DiWalrnl <br />REVIEWED & APPROVE BY: <br />ACORD 26 (2016/03) ©1988-2015 ACORD C <br />The ACORD name and logo are registered marks of ACORD Risk Management Anayst <br />