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Digimllysigned by TonPierson Tori Pierson Urine: 2022.Ufi.2609W:2fi 07.00' A� p® CERTIFICATE OF LIABILITY INSURANCE MM DAT6�2112D22i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE 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 Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc. LIC #0726293 595 Market Street, Suite 2100 CONTACT PHONE FAX AUG. No. Exth INC,No: A DRIESS, INSURER(S) AFFORDING COVERAGE NAIC# San Francisco CA 94105 INSURER A: United Educators Ins, a Reciprocal Risk Retention 10020 INSURED LOYOMAR-01 Loyola Marymount University One LMU Drive, U Hall #4900 INSURER a: Travelers Property Casualty Co of America 25674 INSURERC: INSURERD: Los Angeles CA 90045 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 559598543 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INSR LTR TYPE OF INSURANCE AMDDL SUBR POLICYNUMSER EFF MMIDOPOLICYIYYYY POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY V 118970(LMU) 7/1/2021 7/1/2022 EACH OCCURRENCE $26,000,000 CLAIMS -MADE I OCCUR DAMAGE TG-RENTED PREM SES_Ea occurmnce $100,000 MILD EXP (Any one person) $ PERSONAL &ADV INJURY $26,000,000 AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $26,000,000 GEN'L X POLICY JET LOG PRODUCTS-COMPIOPAGG $26.000,000 Selgnsuretl Limit $350,000 OTHER: A 11697Q(LMU) 7/1/2021 7/1/2022 COMBINED SINGLE LIMIT Ea accidentANY $26,000.000 BODILY INJURY(Per person) $ AUTO POMOBILIELIABILITY OWNED SCHEDULEDAUTOS ONLY AUTOSBODILY INJURY (Per ecddent) $ HIRED F_v7 NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ Self -Insured Limit $350,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNEWEXECUTIVE UB-1L707051-22-51-K 1/1/2022 1/1/2023 X STATUTE ,RH E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCWDED? ❑ N/A ELL. DISEASE - EA EMPLOYE $1,000,000 (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) By definition of Insured, Additional insured is included as per attached form BLX574X-1 The City of Santa Ana, its officers, officials, employees, and volunteers are included as Additional Insured on General Liability policy as per attached Additional Insured endorsement. The coverage is primary and con -contributory in favor of the additional insured per written contract and subject to the policy's terms, definitions, conditions and exclusions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Rei Mvlagvenl DlNtlm Santa Ana CA 92702 /i/ ,n. RenEwrnsnPrRw®a.: (01983-ZU15 ACORD G( ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD