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lI...--'a DATE (MM/DD/YYW) <br />CERTIFICATE OF LIABILITY INSURANCE oMM/ D21_ <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 CERIIEIGATFlHOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />cedificato holdgr in lieu of such enclorsomentisl. <br />PRODUCER cwanm <br />xexe Karen Bronson <br />CorRisk Solutions �,wxn Fnx <br />180 N Stetson Ave Suite 4500 1n10"°f "- 312-637-6755 <br />Chicago, IL 60601 <br />:oaPFas: kbronson@corrisksoluticns. com <br />- INSURER(S) AFFORDING COVERAGE_. NAIC4 <br />JINSURERA: New Hampshire Insurance Company I 23841 <br />MUG Associates, Inc. <br />10722 Arrow Route INSURER C: <br />Suite 822 INSURERib <br />Rancho Cucamonga, CA 91730 INSURER Ei <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THEINSURANCE 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 />AOD'L <br />WISED <br />SUBR <br />VyVD <br />pDLICY NUMBER <br />POLICY EFF <br />(MMDDNYYYI <br />POLICY EXP <br />(MMIDUNMI <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURANCE <br />COMMERCIAL GENERAL LIABILITY <br />W�CLAIMS MADE OCCUR <br />DOES NOT APPLY <br />- <br />DAMAGE TO RENTED <br />PREMISES (Ea oceumocel, <br />MED EXP(AnY one Person) <br />PERSONAL &AND INJURY <br />- <br />GENERALAGGREGATE <br />PRODUCTS-COMPIOP AGG <br />GEMLAGGREGATE I.IMIT APPLIES PER: <br />POLICY PROJECT .�. LOC w <br />AUTOMOBILE LIABILITY <br />eeNenl <br />—` <br />BODILY INJURY (Per pe,eon) <br />_ ^ <br />ANYAUTO <br />ALL UTOS OS AUTOS SCHEDULED <br />AU <br />DOES NOT APPLY <br />BODILY INJURY(Per vocNonll <br />HIREDAUTOS NON -OWNED <br />AIITaq <br />PROP"RTYUAMPDE(Vo,. <br />nccitlenll <br />HUMBRELLA <br />LIAO <br />Ll <br />OCCUR <br />EACH OCCURANCE <br />EXCE9SLAB <br />CLAIMS MADE <br />DOES NOT APPLY <br />- <br />AGGREGATE <br />W <br />DED <br />RETENTION$ <br />' <br />�� <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY <br />.......... <br />tNC SiATT�h� <br />TORY LIMITS OTFIER <br />.,., <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICEIMEMBER EXCLUDED? YIN <br />(Mandatory to NH) <br />It Yes,: descdbe under DEBCRIPI'ION OF <br />QPERATIONS below <br />NIA <br />DOES NOT APPLY <br />E.L. EACH ACCIDENT <br />E.L. UIGEBAE-EA <br />,,,,..W LDYEE <br />E.L. DISEASE -POLICY OMIT <br />A <br />Professional Liability <br />_ <br />064991891- <br />OS <br />07/Ol/21 <br />07/O1/22 <br />- <br />Per ccuneDce: $2,000,000 <br />Annual Aggregate: $2, 000, 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACCORD 101, Additional Remarks Schedule, if more space Is required) <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />4th Floor <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF. NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (200105) 01980-2010 ACO <br />The ACORD name and logo are registered marks of ACORD <br />a IilekMa&APPROVEDBY, - <br />PT rREVIEWED&APPROVED BY' <br />Risk Management Analyst <br />