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KINCA-1 OP ID: CW <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE03/14/202412022Y) <br />2 <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 pollcy(les) 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 lleu of such endorsement a , <br />PRODUCER 314.746-4700 <br />Digital Insurance LLC <br />formerly Huntlelgh McGehee <br />8236 Forsyth Boulevard, <br />ClaytoI MO 63106 <br />Daniel L, Stevens <br />RRCT Daniel L. Stevens <br />PHONE 314-7464700 FpA) 314-069-3700 <br />AIC, No, Exl: <br />— <br />o RESS; <br />INSURER a AFFORDING COVERAGE <br />NAIL B <br />INSURERA: Service American IndemnityCo <br />39152 <br />am Causes Inc dba City Net <br />6O <br />Atlantic Avenue <br />Long Beach, CA 90807-1602 <br />INSURER B I <br />INSURER C: <br />INSURER D: <br />INSURER E : <br />INSURER F : <br />COVERAGES CFRTIFICATF NIIMRFR• REV00N N"'"mco. <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 />NpE OF INSURANCE <br />ODL <br />g <br />BURR <br />POLICY NUMBER <br />pOLICV EFF <br />POLIOY EXP <br />DD <br />_ <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIM3MADE OCCUR <br />_ <br />EACH OCCURRENCE <br />$ <br />DANIAGETORENTED <br />PREMISES Ea accu rence <br />_ <br />GEN'L <br />NIED EXP one arson <br />An <br />_ <br />PERSONAL & ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ mT ❑ LOC <br />OTHER: <br />_j <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS-COMPIOPAGD <br />_ <br />$ <br />AUTOMOBILE <br />_ <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AU�qTEOSONLY AUTOSW� <br />VWD ONLY _. AUTOSONLB <br />COMBINED SINGLE LIMIT <br />Ea acci en <br />$ <br />BOOILY INJURY Per arson <br />_ <br />$ <br />BODILY INJURY (Par aca'dent) <br />-- <br />$ <br />Pe�aac�l nt AMAGE <br />$ <br />$ -- <br />_— <br />UMBRELLA LIAS OCCUR <br />EXCESS LIAB CLAIMS MADE <br />__..__ __ __... <br />EACH OCCURRENCE <br />.$ <br />AGGREGATE <br />$ <br />DEO R�ETENTION$ <br />A <br />ANOEMPS COMPELIABROIT' YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />(CCp.MC.ft/MEM V) EXCLUDED? <br />(Mentla%ry In NH) <br />fppas, deundor <br />OESCRIF IPT10N OF 0 RATIONS below <br />N/0. <br />Y <br />9ATISOAB8700 <br />- <br />03l01f2022 <br />03f01/2023 <br />x PET UTE ERH <br />E.L. EACH ACCIDENT <br />__ <br />$ 1,ODO,000 <br />E,L. DISEASE- EA EMPLOYEE <br />$ 1,000,000 <br />&L. DISEASE - POLICY LIMIT <br />— <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ADDED 101, Additional Remarks Schedule, may be attached If more space Is required) <br />Blanket Waiver of Subrogation applies where required by written contract. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 CIVIC Center Plaza, 4th FL AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 Q <br />REVIEWED & APPROVED Sr. <br />ACORD 25 (2016103) © 1988-2015 ACORD 1 I , 4f4 Paer+ k <br />The ACORD name and logo are registered marks of ACORD RilkManatttementspecraim <br />