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YRUIE24 OP ID:M DATE 1o/06/2021osno2l A`iR0 CERTIFICATE OF LIABILITY INSURANCE 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 endorsements . PRODUCER 877-242.9600 Central Insurance Agency, Inc. 93 East Main Street Smithtown, NY 11787 CONTACT Central Insurance Agency, Inc PHONE g77.242-9600 FAX 877-243-8995 AIC, No, Eat : A/C, No E-MAI George Gavaris INSUREI AFFORDING COVERAGE NAICIt INSURER A: NSUREO, rotectlon America Inc. INSURER B INSURER C PPO#120313 21350 Nordhoff St # 104C Chatsworth, CA 91311 United Financial Casualty INSURER D: y 1177D INSURER E NSURER F : COVERAGES CERTIFICATE NUMBER- REvlglnN 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 TYPE OF INSURANCE OOL UBR POLICY NUMBER POLICY EFF POLICY UP LIMITS COMMERCIALGENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED MED EXPArr one erson PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JEC'T LOC OTHER: GENERAL AGGREGATE PRODUCTS - COMP/OP AGO $ D AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY �OP X X 041698620 10/0812021 04108/2022 COMBINED SINGLE LIMIT acdoem 1,000,000 BODILY INJURY Per oer ..n I $ BODILY INJURY Peraccident OPEeMAGE $ UMBRELLA LIMB EXCESS LIAR HOCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERAXECUTIVE ❑ pFFIM ICEREMBER EXCLUDED' ,Mandatory In NH) 1 yes, describe under DESCRIPTION OF OPERATIONS below I STATUTE I OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE -POLICY LIMIT IS DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 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 Xti N^"8°"Mar Al VKu LD (m IOIUJ) U 1988-2015 ACORD CC The ACORD name and logo are registered marks of ACORD