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.%tcC?Rca° CERTIFICATE OF LIABILITY INSURANCE <br />DATE 41202 <br />03114I202 <br />22 <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 endorsoment a . <br />PRODUCER 314.746-4700 <br />Digital Insurance LLC <br />formerly Huntlelgh McGehee <br />8235 Forsyth Boulevard, #1200 <br />Clayton, MO 63106 <br />Daniel L. Stevens <br />RX�JACT Daniel L. Stevens <br />PH oNE 314-746-4700 pAX 314-IIII9-3700 <br />AIR, No, Ex[: 1A,C. No); <br />Do ass <br />INSURERS AFFORDING COVERAGE <br />NAIC if. <br />INSURERAIService American Indemnity Co <br />39152 <br />I SUfl D - <br />ngg am Causes Ina dba City Net <br />4508 Atlantic Avenue <br />Long Beach, CA 90807.1602 <br />INSURER B: <br />INSURER 0; — <br />INSURER D ; <br />INSURER E : <br />INSURER F: <br />COVF.RAGFS CFRTIFICATP MIIMAFR• rncxmmnr., unem r•n. <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 />L <br />TYPE OF INSURANCE <br />DDL <br />SLUR <br />p <br />POLICY NUMBER <br />pOLIPV EFF <br />POLDDY EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAINIS-MADE OCCUR <br />_ <br />EACH OCCURRENCE <br />$ <br />PAN�f FUSES RENTEre,ca1 <br />___ <br />$ <br />-- <br />MED EXP An• one arson <br />$ <br />— — <br />PERSONAL& ADV INJURY <br />OEN'LAGOREGATC LIMIT APPLIES PER: <br />POLICY jE LOC <br />OTHER: <br />_Irk_ <br />GENERALAGGREGATE <br />PRODUCTS COMP/OP AGO <br />.$ <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />OWNED SCHEDULED <br />AU�ppTOBONLY _ AUTT,NOSyyVMN� pp <br />MODSONLY_ AST090NLV <br />COMBINED SINGLE LIMIT <br />Ea acGideab_ <br />BODILY INJURY IPer perso rl <br />— <br />$ <br />BODILY INJURY (Par aco'tle_n[ <br />— <br />_L e0accR�nt AMAGE <br />__ <br />$ — <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />1 CLAIMS -MADE <br />1_.__.— <br />EACH OCCURRENCE <br />AGGREGATE <br />$ <br />DEC RETENITION$ <br />li <br />WORKERS <br />ND EMPLCOMPENSATION <br />YERS I IABILIITNY <br />YIN <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />yEeMNHEXCLUDED? <br />QpIftlFeFnIpcdEatgko/rMn <br />DESsORIPTIO IOF OPERATIONS .low <br />NIA <br />Y <br />SATISO488700 <br />03/0112022 <br />03101/2023 <br />X PER UTE I I ETh I- <br />ELECACCIDENT <br />— <br />11000,000 <br />E.L. DISEASE, EA EMPLOYE <br />$ 1,000,000 <br />E, L. DISEASE -POLICY LI <br />1 000,000 <br />r <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Addltlonal Remmks Schedule, may bo attached if mare spaco is mquimd) <br />Blanket Waiver of Subrogation applies where required by written contract. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th FL <br />Santa Ana, CA 92701 <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />A,UU�T,H.O�IRI1ZE'D RE-PrR-ESEN�TATIVE(� P <br />Y Yi�u�r�-."f-C�- <br />© 1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />m> <br />' <br />1VekMerugnnent➢Melon <br />REVIEWED&APPROVED BY.' <br />d Ate' <br />Risk Manapemont SpeciaUst <br />