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Tori Pierson.,e'2'021.L.3 a?06U2e U)e0B ACOR& CERTIFICATE OF LIABILITY INSURANCE 111.1 DATE(MMMDIYYYY) 1 10/2912021 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 endomement(s). PRODUCER The Graham Company The Graham Building 1 Penn Square West Philadelphia PA 19102- CONTACT NAME -James H. Bonner PHONE Faz 215-567-6300 ac Np:215-525-0234 ADDRESS: BONNER UNIT@grahamco.com INSURERS AFFORDING COVERAGE NAIc# INSURER A: Liberty Insurance Corporation 42404 INSURED OPEXXX0 01 Commerce Drive Corporation 305 305 C INSURER B : Travelers P&C Co Of America 25674 INSURER C : Chubb Groupof Insurance Companies 388 INSURER D: Moorestown, NJ 08057 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1521479917 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. ILTR TYPE OF INSURANCE AOOL SUBR POLICYNUMBER MMIDoYEFF MMI00� LIMITS A X COMMERCIALGENERAL LIABILITY CLAIMS-MADE OCCUR Y TB7-Z51-290099-071 10/1/2021 10/1/2022 EACHOCCURRENCE $1.000,000 _OAMAGE(RENTED PREMISES PREMISESS Ea occurrence) REMI 8700,000 MED EXP (Any one person) $ 5.000 PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y AS7-Z51-290099-031 10/1/2021 10/1/2022 COMBINED SINGLE LIMIT Ea .cadent $1.000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) ( 1 $ HIRED NON_OWNED AUTOS ONLY AUTOS ONLY(par PROPERTY DAMAGE accident $ X PD Deducible $1,000 Phys Drug A X UMBRELLA LIAB X OCCUR TH7-Z51-290099-081 10/1/2021 10/1/2022 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DEO I I RETENTIONS $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN Y IECANA13247 10/1/2021 10/1/2022 X PER OTH. STATUTE ER E.L. EACH ACCIDENT $1,000,000 ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, desodbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B Professional UabiliTy ZPL16NO3899 6/11/2021 6/11/2022 Per ClaiMAgg. $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, officers, agents, employees, and volunteers are Additional Insureds on a primary and non-contributory basis on the above General Liability and Auto Liability policies if required by written contract. Prior to loss, and if required by written contract, a Waiver of Subrogation is provided in favor of the Additional Insureds on the above Workers Compensation policy for work performed under contract if permissible by state law. 30 Days Advance Written Notice of Cancellation (10 Days for Non -Payment of Premium) is provided to the Certificate Holder. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE ma" WMmgentDNabso Santa Ana CA 92702 RLVIENFD6 APPRGVTD Br: Tau Prez,terr V T98B-ZU7D AL:UKU LA ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD