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<br />ACTOR" CERTIFICATE OF LIABILITY SURANCE g 2oi2o21
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CO N ON THE IEAQ9ER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER 4WE COVERAGE tF,'� POLICIES
<br />t' BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE IS NG HORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.A on %_
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) u v N 'te:
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may requ' a an endQrsrr28:61ate 7, Ary�
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ II LL�� LL uu // Vu
<br />PRODUCER CONTACT
<br />NAME: Mitzi Hines
<br />NFP Corporate Services (SE), Inc. PHONE FAX
<br />1901 Roxborough Rd, Ste 300 A/C No Ext : 704-385-7236 A/c, No): 704-973-9501
<br />E-MCharlotte NC 28211 ADDRESS: mitzi.hines@nfp.com
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURERA: Phoenix Insurance Company 25623
<br />INSURED BAKE&TA-01 INSURERB: Charter Oak Fire Insurance Company 25615
<br />Baker & Taylor LLC and Bridgeall Libraries Limited INSURERC: Travelers Property Casualty Company of America 25674
<br />BTAC United Acquisition Holding Company and Its Direct and Indirect
<br />Subsidiaries; INSURERD: Great American Alliance Insurance Company 26832
<br />2810 Coliseum Center Drive, Suite 300 INSURERE: Accredited Specialty Insurance Company 16835
<br />Charlotte NC 28217
<br />I RIMPP G
<br />COVERAGES CERTIFICATE NUMBER: 1402929368 REVISION NUMBER:
<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 />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MM/DD
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />N
<br />Y-630-8S587628-PHX-21
<br />11/2/2021
<br />11/2/2022
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY ❑ PRO
<br />JECT LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />Employee Benefits
<br />$ 1,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />N
<br />N
<br />BA-8S58894A-21-14-G
<br />11/2/2021
<br />11/2/2022
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />Comp & Collision Ded
<br />$ 1,000
<br />C
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />N
<br />N
<br />CUP-8S589161-21-14
<br />11/2/2021
<br />11/2/2022
<br />EACH OCCURRENCE
<br />$25,000,000
<br />X
<br />AGGREGATE
<br />$ 25,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED X RETENTION $ 1 n nnn
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />N
<br />WCE783802-00
<br />11/2/2021
<br />11/2/2022
<br />X PER OTH-
<br />STATUTE ER
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED? FN]
<br />N/A
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />E
<br />Cyber Liability
<br />N
<br />2-CIA-DE-17-SO104291-00
<br />11/2/2021
<br />11/2/2022
<br />Each Claim/Aggregate
<br />5,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as additional insured on a primary and non-contributory basis with respect to the
<br />General Liability Coverage.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division
<br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702 Risk MuagmientDMslan
<br />REVIEWED & APPROVEDBY:
<br />@ 1988-2015 ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD _�_r,__ Ri5k Management specialist
<br />
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