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py y� Digitally signed by Torl Pierson <br />Ory PiersonI Dete: 2,22n2.0810:01:00 08'00' <br />A6il CERTIFICATE OF LIABILITY INSURANCE <br />CERTIFICATE <br />DATE(NINIODnYyY> <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 />CONTACT <br />NAME: <br />"'MARSH USA INC <br />PHONE FAX <br />1166 AVENUE OF THE AMERICAS <br />No: <br />E-MAIL <br />ADDRESS: <br />NEW YORK, NY 10036 <br />Phone: 866-966.4664 <br />Emmr,Cedrequest@marsh.com/Fax: 203-220-6787 <br />INSURER(S) AFFORDING COVERAGE <br />NAICN <br />INSURER A: Continental Casualty Company <br />20443 <br />CN10279674WWP-KIR-21-22 <br />INSURED KDC INC <br />INSURER B: American Casualty Company of Reading, PA <br />20427 <br />INSURER C : Transportation Insurance Go <br />20494 <br />DIBIA DYNALECTRIC L.A. <br />INSURER D : NIA <br />NIA <br />4462 CORPORATE CENTER DRIVE <br />LOS ALAMITOS, CA 90720 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: NYC-010888548-06 REVISION NUMBER: 3 <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 />TR <br />TYPE OF INSURANCE <br />ADD <br />JMa SUER <br />NUMBER <br />POLICPOLICY <br />MMIDDYEFF <br />POLICY EXP <br />MMIDDIYYn <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />GL 7015289851 <br />10101/2021 <br />10/01/2022 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE rx] OCCUR <br />DAMAGE TO RENT D <br />PREMISES E. occurrence <br />$ 1,D00,000 <br />MED EXP (Any one person) <br />$ 25,000 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />GEN-L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 6,000,000 <br />POLICY I PRO- <br />JECT LOC <br />PRODUCTS - COMP/OPAGG <br />$ 14,090,090 <br />$ <br />OTHER: <br />A <br />AUTOMOBILELIABILITY <br />BUA 7015289882 <br />1010112021 <br />10101/2022 <br />COMBINED SINGLE LIMIT <br />We accident <br />$ 2.)00,000 <br />BODILY INJURY (Per person) <br />$ <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAM,i <br />Peraccident <br />$ <br />Auto Physical Damage <br />$ Included <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />IS <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO I I RETENTION $ <br />$ <br />B <br />B <br />C <br />WORKERS COMPENSATION <br />ANDEMPLOYERVLIABILITY <br />ANVPROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICE PRIET EREXCLUDEO'1 El <br />(Mandatory in NH) <br />NIA <br />WC 7015294418 (ADS) <br />WC 7015294385(CA) <br />WC 7015302405 (AZ, OR, WI) <br />/ / <br />10/01/2021 <br />10/01/2021 <br />10/01/2022 <br />10/01/2022 <br />10/0112022 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE -EA EMPLOYE <br />S 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: ALL OPERATIONS OF THE INSURED <br />ADDITIONAL INSURED UNDER ALL POLICIES (EXCEPT WORKERS COMPENSATION & EMPLOYERS LIABILITY) WHERE REQUIRED BY CONTRACT: CITY OF SANTA ANA, ITS OFFICERS, <br />EMPLOYEES, AGENTS, AND VOLUNTEERS <br />WHERE REQUIRED BY CONTRACT, COVERAGE PROVIDED TO THE ADDITIONAL INSUREDS IS PRIMARY & NON-CONTRIBUTORY. <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA, 4TH FLOOR <br />SANTA ANA, CA 92701 <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh USA Inc. <br />__WLLD, l RAMkragenedonesson <br />@1988-2016 ACORD CORP RLv1LV,m S AFFRDV® Or <br />The ACORD name and logo are registered marks of ACORD 7eT;%Ows , <br />Ruk MarugenentOeloil AiJe <br />