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1-1d11LIHIC n. VIDdledl ru Wle: wTrveai 13Jem K. ^� MAGEL-1 CERTIFICATE OF LIABILITY INSURANCE °ATEn'1/24o31za1601/zo21 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 poliay(les) 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 lelman Co., Inc. In Dear Rd W153217 _. JNVURERig)AFFORDIWG COVERAGE Advisors. LLC COVFRAGPB r]PPTICICATC M1r13000. .............. ......_�� 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 BY PAID CLAIMS INSft ADOL SUB -- TYPE OF INSURANCE POLICY NUMBER lREDUCED _ I POLICY EFF POLICY E%P---- -- ------ - - A XICOMMERCIAL GENERAL LIABILITY —__ LIMITS i 6CHOCCURR_FNCE •_._J}}{%}}OCCUR XI6608K446321PHX21 04/12/2021 04/1212022 DA PREMCSCLAIMS-MAOE .iBq.prwrm _.-2-,000,000 300;000 _MEDEXP fAn�•envparzan S 5,000 - --- -- PERSONAL 3 ADV INJURY 2,000,000 CE`N'L AGGREGATE LIMIT APPLIES PER: X GENERAL AGGREynTE_I_; jIS 4,000,000 POLICY j��j LOC PgODUCTS.COMP1°P AGG �3 4,000.000 _ OTHER A AUTOMOBILE ' LIABILITY (EAAKK RI'll LE LIMIT _SEil.accidrnD —_.. 3._. _— _ 2,000,000 ANYAUTO 1660SK446321 PHX21 04/12/2021 0411212022 BODILY INJQ Pvr en 4.—'L'" _j_-3-- jx OWNED SCHEDULED AUTOS ONLY i_ AUTOS ---. y5_„ BODILY IN JIJNYffgreccwomj NgwX NO AWNED AUTOSONLY _ AUT�S ONLY PROPERTY AMADE Pvn¢iUon�_ --_-- I B X UMBRELLA LIAR � jOCCUR EXCESS LIAO I CLAIMSIL DE X CUPBK4735202142 04112/2021 04/1212022 EACH OCCU_RNENCE S 3A00,000 _ AccREGnTg_ S 3,000,000 DELI X RETEN'f10N$ SrDGD _ C WORKERS COMPENSATION EMPLOYERS'LUIBILITY PER or" X LJ.—I 3IATu2- ER YIN ANY PRormr-rogmnRmER,ExEcunvE — rN I UBSK6011892142E 04/12/2021 GM12112022 EL EACH ACCIDENT 1,000,000 OFI9CERI:AFMOEEF EXCLUDED' ( 111115 tv VOI ) NrAi ;_ E L DISEASE, EA EMPLOYEE If yyus, Evscdve under S_ 1,000.000 LOISE-POLICYLIMIT EA CLAIM D OI:S RIP 1 FOPERATIONS bolo PROFESSIONAL LIAB PMAGE000821 04H2/202104112/2022 s 1,000,000 2,000,000 $26,000 DEDUCTIBLE i AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD te1, Addlihmal Remarks Schedule, may be attached If more apace la required) Agreement No. A-2018.096 See additional pages for additional insured and primary I non-contributory icoverage%. CITSA03 City of Santa Ana Risk Management Div, 4th Floor 20 Civic Center Plaza 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) 01988.2015 ACORD The ACORD name and logo are registered marks of ACORD ReAew 6 APPROVE BY: F, #,e.L,4 R. ktl.A,� RUk IAanzgemenl Analyst