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<br />CERTIFICATE OF LIABILITY INSURANCE
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<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 ATE
<br />BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE R(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poncypes) 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 endorsements .
<br />PRODUCER
<br />Willis Towers Watson Northeast, Inc.
<br />c/o 26 Century Blvd
<br />P.O. Box 305191
<br />Nashville, TN 372305191 USA
<br />CONTACT Willis Towers Watson Certificate Center
<br />NAME:
<br />PHONE
<br />Ex . 1-877-945-7378 AIC No: 1-888-467-2378
<br />E-AOOMAIL certificates@wi ilia. coRESScore
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: ACE American Insurance Company
<br />22667
<br />INSURED
<br />Pitney Howes Inc.
<br />INSURERB; Commerce 6 Industry Insurance Company
<br />19410
<br />3001 S,umaer Street
<br />Stamford, CT 06926
<br />INSURERC: Indemnity Insurance Company of North Ameri
<br />43575
<br />INSURERD: ACE Eire Underwriters Insurance Company
<br />20702
<br />INSURERE; National Eire 6 Marine Insurance Company
<br />20079
<br />INSURER F
<br />CnVFRAr FC neorrrrna
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE
<br />rcCvtsUN NUMBER:
<br />D NAMED ABOVE FOR THE
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
<br />POLICY PERIOD
<br />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
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />TERMS,
<br />INSR ADDL SUBR
<br />LTR TYPE OF INSURANCE POLICYNUMBER
<br />LIMITS
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />EACH OCCURRENCE
<br />D AGE ORE D
<br />$ 2,000,000
<br />A
<br />PREMISES Ea occurrence
<br />$ 300,000
<br />y
<br />7PRODUCTS
<br />MED EXP(Any one person)
<br />$ 5,000
<br />BDO G72991075
<br />PERSONAL &ADV INJURY
<br />$ 2,000,000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />POLICY ❑PRO- ❑
<br />LOC
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />JECT
<br />-COMP/OP AGG
<br />$ 4,000,000
<br />OTHER:
<br />ILE
<br />COMBINED SINGLE LIMIT
<br />$
<br />X(
<br />X
<br />ANY
<br />ANY AUTO
<br />AUTO
<br />Es accident
<br />2,000,000
<br />BODILY INJURY (Par person)
<br />$
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />ISA 825550511
<br />07/01/2021
<br />07/01/2022
<br />BO DI LYI UURY(par accident)
<br />$
<br />HIRED N
<br />NCN�O
<br />AUTOS ONLY AUTOS AUTOS ONLYLY
<br />PROPERTYDAMAGE
<br />$
<br />Per accident
<br />$
<br />MBRELLALIAB x OCCUR
<br />XCESS LIAB CLAIMS -MADE 66323214 07/01/2021 07/01/2022
<br />EACH OCCURRENCE
<br />$ 5,000, 000
<br />AGGREGATE
<br />$ 5,000,000
<br />ED RETENTION
<br />ERS COMPENSATION
<br />PER
<br />$
<br />MPLOYERS'LIABILITY YIN
<br />X ORH
<br />OPRIETORIPARTNER/EXECUTIVE
<br />RIMEMBEREXCLDDED7 No NIA
<br />AWorkers
<br />E.L. EACH ACCIDENT
<br />$ 2 0000,000
<br />WLR C67914630 07/01/2021 07/01/2022
<br />NH)
<br />eryln
<br />as,describe under
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 2,000,000
<br />IPTION OF OPERATIONS below
<br />E.L. DISEASE. POLICY LIMIT
<br />$ 21000,000
<br />ers Compensation and WLR C67814678 07/01/2021 07/01/2022 E.L. Each Accident
<br />02,000,000
<br />oyers' Liability
<br />E.L. Disease -Ea Emp.
<br />$2,000,000
<br />Statute
<br />E.L. Disease Policy
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />This Voids and Replaces Previously Issued Certificate Dated 06/29/2021 WITH
<br />ID: W21417247,
<br />SEE ATTACHED
<br />CERTIFICATF Hr1I nFR
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<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 />ACORD 25 (2016103)
<br />91988-2016 ACC
<br />The ACORD name and logo are registered marks of ACORD
<br />SR 10, 219278BB RAWM 2336113
<br />Ri?R M Rna9smeMAnalyst
<br />
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