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Tnrl PIPYGr)n2'ynallyny^edbyron rla,:oe ACC7$ RL7® CERTIFICATE OF LIABILITY INSURANCE A,,? DATE (MMIOD YVYY) 07/13/2022 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(tes) 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 RED of such andorsement(s). PRODUCER Hiscox Inc. d/b/al Hiscox Insurance Agency in CAPHONE 5 Concourse Parkway Suite 2150 NONTACT AME: I (8$8) 202-3007 - A E ss: contact@hiscox.com INSURERISIAFFORDING COVERAGE NAIC f! Atlanta GA, 30328 __ INSURER A: Hiscox Insurance Company Inc 10200 INSURED Get CPR Certified 7325 Flnevale Drive _ __ INSURER B: INSURER C i Downey CA 90240 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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. g L TYPEOFINSURANCE D OaR POLICY NUMBER - P L CY EFF ! D V POLIO P D LIMITS X COMMERCIALGENERALLIABILITY EACHOCCURRENCE $ 1.000000 CLAIMS -MADE I OCCUR PREMISES Eao T D $ 100,000 MED EXP An one arson) $ 5,000 X _ __ _ P, rimany&&_Non ContlbUtory _ PERSONAL BAOV INJURY $ 1,000,00.0 A Y Y UDC-6202016-CGL-22 D7/12/2022 07/12/2023 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,660,000 X POLICY jE�T LOG PRODUCTS-COMPIOPAGG $ S/TGen.Agg. OTHER: $ AUTOMOBILELMBILiI'Y COMBINED SING T $�,_„ ANY AUTO BODILY INJURY (Par parson) $ OWNED SCHEDULED AUTOS ONLY AUTOS ar BODILY INJURY (Per eccMenq - $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE 1Pe'A0klgn6 ,_, $�— UMSRELLALIAR I OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS -MADE mDED AGGREGATE $ $ RETENTION WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN DT - ST ANYPROPRIETOMPARTNENEXECUTIVE E,L. EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED4 ❑ NIA (Mandatory In NH) E.L. DISEASE- EA EMPLOYEE. $ If yes, desctlbe under DESCRIPTION OFOPERATIONS be. EL.DISEASE -POLICY LIMIT $ DESCRIPTION OFOPERATIONS1 LOCATIONS (VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached Rmom Space Is required) Certificate holder Is named as additional Insured par policy terms and Conditions. The Hiscox General Liability Policy is endorsed with waiver of subrogation endorsement In favor of additional Insured, The Hiscox General Liability Policy is endorsed with Primary and Noncontributory endorsement In favor of additional Insured. p of Santa Ana v Risk Management Division Civic Center Plaza its Ana. CA 92701 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CORD CORP ,+�='ter, _ Rhk Mangmuhtl)Ldrlon The ACORD name and logo are registered marks of ACORD .c,rw"„ r+rrrnarvau or: 8-�� %dtG �<GtJaeL "". rsMcManromnn ar,;ralada