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Digitally signed by Francine R. <br />Francine R. Villareal Ylkneal <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE 11/1912021 rcvrT <br />2021 <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, 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 <br />MARSH USA INC <br />1717 Arch Street <br />Philadelphia, PA 19103 - <br />Attn: Philadelphia.cens@marsh.com / Fax: (212) 948-0360 <br />CONTACT <br />NAME: <br />PHONE FAX <br />ND <br />E-MAIL <br />ss: <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Lexington Insurance Company <br />19437 <br />CN118025105-ALL-STAND-21-22 <br />INSURED Allied Universal TopcD, LLC <br />INSURERS: Greenwich Insurance Company <br />22322 <br />INSURER C: XL Insurance America <br />24554 <br />(See Attached for Additional Named Insureds) <br />161 Washington Street, Suite 600 <br />Conshohocken, PA 19428 <br />INSURER D : Indian Harbor Insurance Company <br />36940 <br />INSURER E: N/A <br />WA <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: CLE-006807103.01 REVISION NUMBER: 6 <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICYNUMBER <br />POLICYEFF <br />flilaaunn <br />POLICYEXP <br />wmmsnYYY%LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 7XIOCCUR <br />CONTRACTUAL LIABILITY <br />082695264 <br />01101/2021 <br />01/0112022 <br />EACH OCCURRENCE <br />$ 10,000,000 <br />ETED <br />PREMISES (Ea occurrence) <br />$ 10,000,000 <br />X <br />MED EXP(Any one person) <br />$ <br />X <br />ISIR$1,750,000 <br />PERSONAL B ADV INJURY <br />$ 1010001000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY E PECTRO- ❑ <br />JLOC <br />OTHER: <br />GENERALAGGREGATE <br />$ 10,000,000 <br />PRODUCTS - COMP/OP AGO <br />$ 10,000,000 <br />$ <br />B <br />AUTOMOBILELIABILITY <br />X <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />RAD9437818-04 <br />0110112021 <br />01101/2022 <br />COMBINED SINGLE LIMIT <br />Fa accident <br />$ 51000,000 <br />BODILY INJURY (Per parson) <br />$ <br />Per accidten <br />BODILY INJURY ( ) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />UMBRELLA LIAR <br />EXCESS LIAR <br />X <br />OCCUR <br />CLAIMS -MADE <br />RES943799401 <br />EXCESS OF GENERAL LIABILITY <br />0110112021 <br />0110112022 <br />EACH OCCURRENCE <br />$ 10,000,000 <br />AGGREGATE <br />$ 10,000,000 <br />OED RETENTION$1 <br />g <br />C <br />C <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILRY <br />ANYPROPRIETOR/PARTNEWEXECUTIVE YIN <br />OFFICER/MEMBEREXCLUDEDP <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />RWD3001203-05(AOS) <br />RWR300120405(WI) <br />0110112021 <br />01N112021 <br />01101/2022 <br />01/0112022 <br />X PER OTH- <br />STATUTE Eft <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana included as additional insured where required by written contract with respect to General Liability and Auto Uability. Liability coverage shall be primary and non-contrbutory where required by <br />wriften contract. Waiver of subrogalion is applicable where required by written contract. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Adn: Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATNE <br />REVIEWED&APPROVED BY: <br />©1988.2016 ACORD C q, li- ! - f4M�: jam, (/ A441( <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD'. <br />Risk Management Analyst <br />