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Digitally <br />AC"REP CERTIFICATE OF LIABILITY DATE DIYYYY) <br />���`� hx/ A rTia,,,,r',,., <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND C0601 ZB91ITMON TH. ,FARTI�FICCATEjfOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGF AF KDOE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONT CT E HE J G II;�URER(^S{1, AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. Da . 2.06.310 <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) mus h ve D I L ED provisi°ns of be end i sed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may rer,aire an enao'AEl��A4d-WQ6' <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER Liberty Mutual Insurance <br />PO Box 188065 <br />Fairfield, OH 45018 <br />_ <br />CONTACT <br />PHONEEmil g00-962-7132 ac No: 800-845-3666 <br />ADDRESS: BusinessService Libe Mulual.com <br />INSURERS AFFORDING COVERAGE <br />NAIL# <br />INSURERA: American Fire and Casualty Company <br />24066 <br />INSURED <br />Mara ment Partners Inc. <br />17301VIggeadison Rd <br />INSURER B: Ohio Security Insurance Company <br />24082 <br />INSURER C: <br />INSURER O: <br />Cincinnati OH 45206 <br />NSURER E: <br />NSURER F: <br />COVERAGES CERTIFICATE NUMBER' B979ssod RFVL¢InN NIIMRFa• <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 />MM/DD/YYYY) <br />POLICY EXP <br />(MMIDDffYYYI <br />LIMITS <br />B <br />s/ <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />,/ <br />r/ <br />SKS57826057 <br />3/1/2022 <br />3/1/2023 <br />EACH OCCURRENCE <br />$1000000 <br />PREMISES Ea occurrence <br />$1 000 000 <br />MED EXP (Any one person) <br />$15 000 <br />PERSONAL&ADV INJURY <br />$1000,000 <br />GEN-L AGGREGATE LIMIT APPLIES PER: <br />✓ POLICY JELOG <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS -COMP/OP AGG <br />$2000000T <br />$ <br />OTHER: <br />A <br />AUTOMOBILELIASIUTY <br />BAA57826057 <br />3/1/2022 <br />31`112023 <br />CMBINED MIT <br />$1 - xliltro <br />✓ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY ✓ AUTOS <br />BODILY INJURY Per accident <br />( ) <br />$ <br />✓ <br />HIRED NON -OWNED <br />AUTOS ONLY ✓ AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />US057826057 <br />3/1/2022 <br />3/1/2023 <br />EACH OCCURRENCE <br />$5000000 <br />AGGREGATE <br />$5 000 000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DIED ✓ RETENTION$0.00 <br />$ <br />B <br />WORKERS COMPENSATION <br />ANDEMPLOYERS-LIABILITY YIN <br />XWS57826057 <br />3/l/2022 <br />3/1/2023 <br />,/ SPER TATUTE ERH <br />E.L. EACHACCIDENT <br />$1,000000 <br />ANYPROPRIETOMPARTNEWEXECUTIVE <br />OFFICER/MEMBEREXCWDEDV <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(Mandatory, in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$1000000 <br />DESCRIPTION OF OPERATIONS below <br />B <br />Employment Practices Liability <br />BKS57826057 <br />3/l/2022 <br />3/l/2023 <br />Per Claim Limit $10,000 <br />Aggregate Limit $10,000 <br />Per Claim Deductible $5,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD let, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Agreement Nos., A-2017-172 and A-2017-290 <br />The City of Santa Ana, its officers, employees, agents, and representatives are named as additional insured on this policy pursuant to <br />written agreement, subject to Liability Broadening Extension, Blanket Additional Insured Provision. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <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 />©1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />66725591 1 57826057 122-23 GL AS UPS WC OT I Cheyeaae Williams 1 2/12/2022 5:46:17 PN (PST) I Page s of 12 <br />RieleMAnagrnlmiDMalDn .-., <br />REVIEWED&APPROVEDBY: <br />MWO A� AdwY�d <br />Risk Management Sped Alist <br />