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Wit; GiRp CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY s/5/202s/zozz THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TFIE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED; the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Chubb CLISIDIneC $el'VICe Center CYBERPOLICY INSURANCE SOLUTIONS PRONE g66-972-2727 A/C No ExH: pVC, No): 5655 LNDERO CANYONRD420 ADDRESS: chubbcsc@chubb.com INSURER(S) AFFORDING COVERAGE NAIC ff WESTLAKE VILLAGE, CA 91362-4046 INSURER A: ACE Property And Casualty Insurance Company 20699 INSURED INSURER B: Chubb National insurance Company 10052 INTERVIEW NOW INC. INSURER C : t311 Wcbster Stke315 INSURER D: INSURER E : ALAMEDA CA 9450t-3870 INSURER F: I:OVEKAGES CERTIFICATE NUMBER: RFVIRION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD MD POLICYNUMBER (MMfO01YVYV) (MMIDD/YYYY) LIMITS x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXIOCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Ee occurrence) $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY $ *$1M A Y TECCAD961090033N 05/07/2022 05/07/2023 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY JECT LOG GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTos HIRED NON -OWNED AUTOS ONLY K AUTOS ONLY Y TECCAD961090033N 05/07/2022 05/07/2023 BODILY INJURY (Per accident) $ ie Par acclden0 $ Occurrence/Aggregate $ **$IM/$2M x UMBRELLA LIAR y ^ OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAR CIAIMS-MADE Y UMBCAD961090273N 05/07/2022 05/07/2023 AGGREGATE $ 2,000,000 DED RETENTION$ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICEWMEMBER EXCLUDED?ANY PROPRIETORIPARTHEWEXECUTIVE� (Mandatory In NH) nder I(yes, under DESCRIPTION OF OPERATIONS below NIA 7179-6610 05/07/2022 05/07/2023 V C STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached it more space is required) *Personal and Advertising Injury is included within the General Liability limits ($11Vl/$2M). **Hired and non -owned auto is included within the General Liability limits ($1M/$2M). The insurance afforded by the policies described herein is subject to all terms, exclusions and conditions of such policies. City of Santa Arta and any person or organization as required per written contract or agreement listed as Additional Insured, as per the terms and conditions of the ADDITIONAL INSURED — VENDORS Endorsement (BP0447, or its equivalent) included in the policy. Primary and Non -Contributory: see Other Insurance, including Primary, as per the terms and conditions of the Chubb Busincoowners Liability Extension Endorsement (BOP-47675, or its equivalent) included in the policy. 30 Days Cancellation for any reason, 10 days for non-payment, as per the terms and Conditions of the Chubb Businessowners Policy. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 6".rio.. 501WWay © 1988-2015 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Y sL 'LI :IWp iq RtA MmugtmentDMslon ' REVIEWEID& APPROVED BY ' &.J'l�+i ActlAca 1,-' Risk Managernent Specialist .,