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Page 1 of 2 A� O` CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDDAYYY) D09/22/2021 09/22/2021 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 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 CONTACT NAME: Willis Towers Watson Certificate Center Willis Towers Watson Insurance Services West, Inc. PHCN c/o 26 Century Blvd o E 1-877-945-7378 No: 1-BBB-467-2376 EMAIL ADDRESS: certificate38willis.com P.O. Box 305191 INSURERS AFFORDING COVERAGE NAIC9 Nashville, IN 372305191 USA INSURER A: Ohio Casualty Insurance Company 24074 INSURED INSURER B: Great American Security Insurance Company 31135 Republic Services, Inc INSURER C: Everest National Insurance Company 10120 18500 N Allied Way INSURERD: National Undo. Fire Insurance Company of P 19445 Phoenix, AZ 85054 INSURER ESteadfast Insurance Company 26387 INSURERF:: Westchester Surplus Lines Insurance Compan 10172 COVERAGES CERTIFICATE NUMBER: W22213408 REVISION NUMRER- 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 rypE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MMIDDIYI'YY POLICY EXP MM/DD/YYYYI LIMITS COMMERCUILGENERAL LIABILITY CLAIMS-MADE1-1 OCCUR EACH OCCURRENCE $ TO RENTED TVAMAGPREMISES PREMISES Ea occurtence)$ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECTP' ❑ LOC GENERALAGGREGATE $ CENT PRODUCTS - COMP/OP AGO $ $ OTHER: AUTOMOBILELIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per screw) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 X E%CESS LIAB CLAIMS -MADE ECO (22)57977923 O6/30/2021 06/30/2022 DED RETENTION $ $ WORKERS COMPENSATION IPER7 OTH- AND EMPLOYERS' LIABILITY YIN STATUTE I I ER E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNEWE%ECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N/A EL DISEASE -EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS be. E.L. DISEASE -POLICY LIMIT $ H Excess Liability EXC 3850249 06/30/2021 06/30/2022 Per Occurrence $5M P/o $10M Aggregate $5M p/c $10M DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, maybe attached Nmore space is required) This Voids and Replaces Previously Issued Certificate Dated 09/14/2021 WITH ID: W21969231. SEE ATTACHED HOLDER City of Santa Ana Risk Mgmt Div 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ';, ©1988-2016 ACORD COI ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 21613305 shxcR: 2245022 o R 1f�MMMgmvdDMdtnL � 2A�r7 t�11�4r'12 Risk Management SupelYBor 01