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Di CERTIFICATE OF THIS CERTIFICATE IS CERTIFICATE DOES NOT U AFFIRMATIVELY VE YAS A EOR NEGATIVELY AMEND, R OF INFORMATION Y EXTEND AND NQQQQF��ttttERAL ER�THE COVERA FGHTS UPON H AF wftu POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CON 0C--8C iC5r Cf dK'-.;+yT"�i21i{4tlTiIOR EB REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. VV ((Lp�/(�[9tvll��C��t1 L1QJ�L L�t�U I the If SUBROGATION ISORTANT: If the cWAIVED, subject to the ertificate holder is an ADDITIONAL and Lcondittiios of the ?policy, certainicy(les) must policies mayNe%tui ePi lan eng ega% A-5ta{trrl an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies CONTACT 444 W. 47th Street, Suite 900 PHONEo Kansas City MO 64112-1906 E-MAIL (816) 960-9000 ADDRESS: kctsu@lockton.com INSURER(S) / INSURED UNITED SITE SERVICES OF CALIFORNIA, INC. 1508610 118 FLANDERS ROAD, SUITE 1000 WESTBOROUGH MA 01581 COVERAGES CERTIFICATE NUMBER: 1 R6OR922 REVISION NUMBER: 7C5tYY7rYi 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 ADDL INSD SUER WVD POLICY NUMBER POUCYEFF MMMD POLICY EXP MINDD/l'YYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y Y GL4057787 12/31/2021 12/31/2022 EACH OCCURRENCE s 2,000,000 GE TO —RENTED P EMSES fEa occurrence — $ 1,000,000 MED EXP Any one person) $ 10,000 _ PERSONAL S ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC GENERALAGGREGATE PRODUCTS-COMP/OPAGGOTHER: F4,000,000 A AUTOMOBILE LIABILITY ANY AUTO SCHEDULED ONLY AUTOS NON -OWNED AUTOS ONLY AUTOS ONLY Y Y CA6675838 12/31/2021 12/31/2022 COMBINED SINGLE LIMIT Ea accident 0X BODILYINJURY(PerPerson) xXOWNED BODILY INJURY(Per accident)AUTOS XXHIRED PROPERTY DAMAGE Praccidet XX sXXXXXXX UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS -MADE NOTAPPLICABLE EACH OCCURRENCE $ XX$X)CKX AGGREGATE $ )OCXIXXZ DEO I I RETENTION$ $ XXXXXXX A WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANY PROPRIEfOR/PARTNEWEXECUTIVE OFFICEMMEMBER EXCLUDED? (Mandatory in NH) It s, describe under DESCRIPTION OF OPERATIONS below NIA Y LD54047370 11/11/2021 12/31/2022 X STATUTE ORTH- E.L. EACH ACCIDENT $ 1000000 E.L DISEASE- EA EMPLOYEE $ 1.000.000 E.L. DISEASE - POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 0 more space is required) The City of Santa Ana, its officers, employees, and volunteers are named as additional insured, as respects to liability arising out of the activities performed by or on behalf of the named insured, where coverage shall be primary and non-contributory to any policy held by the additional insured, and includes a waiver of subrogation where allowed by state law as required by written agreement, and subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER CANCELLATION See Attachments 18608922 CITY OF SANTT'A ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 220 S. DAISY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SANTA ANA CA 92703 ACCORDANCE WITH THE POLICY PROVISIONS. L11yl:1-IdFAAd. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD .. RAMmuge erADVIsIm 1 aI/-.Aon•~cr"c^ REVIEWED 6 APPROVED BY: 4p Aaev44o Risk Management Specialist