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<br />CERTIFICATE OF LIABILITY INSURANCE area
<br />Dat$AYEOt125120222022tMMIDDrYY"
<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 />MARSH USA INC
<br />1717 Arch Street
<br />Philadelphia, PA 19103
<br />Attn: Philadelphia.certs@marsh.com I Fax: (212) 948.0360
<br />CONTACT
<br />MarshIU.S. Operations
<br />PHONN Sam E 866-96fi-0fi64 FnC No:
<br />E-MAIL
<br />ss: Philadelphia.Ceds@marsh.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA: Indian Harbor Insurance Company
<br />36940
<br />CN1 I 8025105-ALL-STAND-22-23
<br />INSURED Allied Universal Topco, LLC
<br />INSURER B : Greenwich Insurance Company22322
<br />INSURER C : XL Insurance America
<br />24554
<br />(See Attached for Additional Named Insureds)
<br />161 Washington Street, Suite 600
<br />Conshohocken, PA 19428
<br />INSURER D : Naitonal Fire & Marine Insurance Company20079
<br />INSURER E : NIA
<br />hUA
<br />NS uRER F:
<br />COVERAGES CERTIFICATE NUMBER: CLE-006844453-01 REVISION NUMRFR- 9
<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 />ADDLSUBR
<br />INSD
<br />Me
<br />POLICY NUMBER
<br />POLICY EFF
<br />(MMUDDITYYY1
<br />POLICY UP
<br />WIMIDDYYYYJ
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE EXI OCCUR
<br />RES943799402
<br />01/0112022
<br />01101/2023
<br />EACH OCCURRENCE
<br />$ 30,000,000
<br />-DAIJFGETORENTED
<br />PREMISES fEa occurrence
<br />$ 30,000,000
<br />X
<br />MED EXP (Any one person)
<br />$
<br />CONTRACTUAL LIABILITY
<br />X
<br />SIR$1,750,000
<br />PERSONAL&ADV INJURY
<br />$ 30,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X PRO -
<br />POLICY ❑ JECTPRO- � LOG
<br />GENERALAGGREGATE
<br />$ 40,000,000
<br />PRODUCTS - COMP/OP AGG
<br />$ 40,000,000
<br />It
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />RAD943781805
<br />01101/2022
<br />01101/2023
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 5,000,000
<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 />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />42XSF10009009
<br />01101/2022
<br />01/0112023
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />X
<br />AGGREGATE
<br />$ 10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />Excess of General Liability,
<br />DIED I I RETENTION $
<br />$
<br />Auto Liability, and Workers' Comp
<br />C
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />OFFICEWMEMBEREXCLUDED9
<br />NIA
<br />RWD3001203-06(AOS)
<br />RWR300120406W1
<br />( )
<br />0110112022
<br />01101/2022
<br />01/01/2023
<br />01/01/2023
<br />X STATUTE oTRH-
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,01)0
<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 />A
<br />Professional Liability
<br />RES943799402
<br />01/0112022
<br />0110112023
<br />Limit
<br />2,000,000
<br />SIR
<br />1,750,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Santa Ana is included as additional insured where required by written contract with respect to General Liability and Auto Liability. Liability coverage shall be primary and non-contributory where required by
<br />written Contract. Waiver of subrogation is applicable where required by written contract.
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />01966-2016 ACORD C1 1 ° fIMI�,,q JZ, W1,1114il(
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ©MM Risk Ntanagemenr Analyst
<br />
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