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Page 1 of 2 A� �® CERTIFICATE OF LIABILITY INSURANCE ATE D09/22l➢/2➢02YY) 09/22021 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 Willis Tower. We Certificate Centex NAME: Willis (Bermuda) Ltd. Wellesley House, 2nd Floor fMCPHONNo.E EMI. 1-877-945-737H a No: 1-BBe-467-2378 E-MAADDRIESS: certificate0willis.coa 90 Pitts Hay Road INSURERS AFFORDING COVERAGE NAIC# Pembroke, MOB BMD INSURERA: Ascot Beran da Limited D7322 INSURED INSURERS: Group Ark Insurance Limited D9965 Republic Services, Inc INSURERC: Allied World Assurance Company Ltd C0892 18500 N Allied Way INSURER D: Endurance Specialty Insurance Limited C0948 Phoenix, Az 85054 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: W22213409 REVISION NUMBER - 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 ADOLSUHR POLICY NUMBER POLICYEFF OOIYYYY POLICY EXP MM/OD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURREN CE $ NTED DAMAGES(E. occn.urrrr PREMISES Ea ence $ MED EXP(My one person) $ PERSONAL& ADV INJURY $ AGGREGATE U MIT APPLIES PER: POLICY 0 PE0. LOG GENERALAGGREGATE $ GEN'L PRODUCTS - COMPIOP AGO $ $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY P (Par accidentI $ HIRED NON -OWNED AUTO$ ONLY AUTOS ONLY PROPERTYDAMAGE Par accident)$ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION I PER OTH- ANOEMPLOYERS'LIABILITY YIN STATUTE ER EL EACH ACCIDENT $ ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMSER EXCLUDED? NIA EL DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, drsc,,m under EL.DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Excess Liability RA219G34SX2X 06/30/2021 06/30/2022 Per Occurrence $5M p/o $IBM Aggregate $5M p/o $10M DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This Voids and Replaces Previously Issued Certificate Dated 09/14/2021 WITH ID: W21969019. SEE ATTACHED City of Santa Ana Risk 61gat Div 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92701 ACORD 25 (2016/03) 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 COI The ACORD name and logo are registered marks of ACORD SRID 21613305 BATCH: 2245022 RWi MroMyanadElMsial aw REV(IEI�VED�6rApPP�R�OV�E�DpB�Y.: J�ar1W1�'INIA [M1Hl4'�rL ® Ruk Managrment Supervisor