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full r ICI JVI I Da1eo2021.10.0612:0856-07'00' <br />ACORO CERTIFICATE OF LIABILITY INSURANCE <br />DAM(MM/DD/YYYY) <br />ll..� <br />OM912021 <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 CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). <br />PRODUCER <br />KIA Insurance Associates, Inc. <br />License # OL78680 <br />P.O. Box 11390 <br />CONTACT Stacey Campbell <br />NAME: <br />HONE Ert: (661)835-4542 ac No)(661)8354500 <br />a DD RIEss: scampbell@kernins.com <br />Bakersfield CA 93389-1390 <br />INSURER(S)AFFORDING COVERAGE <br />NAIC0 <br />INSURERA: Travelers Casualty Insurance Co ofAmerica <br />19046 <br />INSURED <br />INSURER B: Travelers P & C Cc America <br />25674 <br />Infinity Communications & Consulting, Inc. <br />INSURER c: National Fire Insurance of Hartford <br />20478 <br />P.O. Box 999 <br />INSURER D: Houston Casually Company <br />42374 <br />INSURER E: <br />Bakersfield CA 93302 <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: 21-22 REVISION NUMBER: <br />THIS ISTO CERTIFY THATTHE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />TYPE OF INSURANCE <br />INSD <br />MD <br />POLICY NUMBER <br />PO CY EFF <br />MMIDDIYYNT) <br />PO C EXP <br />0yM1DDvYTYYI <br />LIMITS <br />X <br />COMMERCIAL GENERALLIABIUTY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />� <br />CLAIMS -MADE OCCUR <br />PREMISES 1E, occurrence <br />$ 300,000 <br />MED UP (Any oneperson) <br />$ 5,000 <br />PERSONAL&ADV INJURY <br />$ 2,000,000 <br />A <br />68000IJ742131 <br />02117/2021 <br />02/17/2022 <br />GENLAGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ 4,000,000 <br />X ❑ <br />POLICY JEa LOC <br />PRODUCTS -COMP/OPAGG <br />S 4.000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINEDSINGLE LIMIT <br />Ea accident <br />$ 1,0D0,000 <br />ANVAUTO <br />X <br />BODILY INJURY (Per person) <br />$ <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BA9N27639721 <br />10/24/2021 <br />10/24/2022 <br />BODILY INJURY Per accident) <br />8 <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAMAGE <br />Peraccidanl <br />$ <br />8 <br />UMBRELLALUIB <br />11 <br />OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />X <br />AGGREGATE <br />$ 2,000,000 <br />B <br />EXCESS LIA6 <br />CLAIMS -MADE <br />CUP002J348555 <br />02/17/2021 <br />02/17/2022 <br />DEO <br />I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER O - <br />X <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />C <br />ANY <br />PROPRIETORIPARTNEIVEX <br />OFFICER/MEMBER EXCLUDED' ECU7IVEFq <br />NIA <br />WC418266026 <br />07101/2021 <br />07/01/2022 <br />E.L. DISEASE - EA EMPLOYEE <br />S 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 />Professional Liability -claims made <br />D <br />including Cyber Liability <br />H21TG31255-00 <br />08/19/2021 <br />08/19/2022 <br />per claim <br />$2.000,000 <br />aggregate <br />$2.000.000 <br />DESCRIPTIONOFOPERANONS/LOCATIONS/VEHICLES (ACORD 101,Addhionel Remarks Schedule, maybe attached N more space Is required) <br />RE: Santa Ana Public Library. The Cityof Santa Ana, Risk Management 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents <br />and representative are named as additional insureds and coverage is primary and non-contributory for General Liability per written contract and attached <br />endorsements. 30 days notice of cancellation applies except for non-payment of premium <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza 4th Fir <br />Santa Ana <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 />©1988.2015 ACORD I`a"manaamercoarca'wm <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />