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A✓ CERTIFICATE OF LIABILITY INSURANCE <br />Tracy'. Digitally signed <br />1 by Tracy Jacobs <br />Date: 2022.08.24 <br />Jacob S 12:14:26-07'00' <br />oATE1MWOOIYYYO <br />08/24/2022 <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(his) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions Of the policy, certain policies may require an endorsement A statement on this cergficate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRaoucsa <br />NNE Insurance Campy Program Support <br />FHDNE ess.844-520.6993 M; 801-763-1374 <br />Insurance Canopy <br />m ag_ info@insumnmmnopy.com <br />PO Box 34833 <br />North Chesterfield VA 23234 <br />wwRERS APFowwocovePoTGE xacX <br />MMMA: Great American E8S Insurance Company <br />26832 <br />INSUM <br />wwREne: <br />wNMC: <br />Alyssa Romo <br />IxwREAo: <br />746 South Nonn ie Avenue 401 <br />Los Angeles CA 90005 <br />INWn E: <br />wBURERF: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 Cli <br />LTMR <br />TWEGFINSUR M <br />5 <br />Po11CYNMER <br />w <br />MIR E <br />MMRE <br />GCNcoe, UNENU Y <br />EACHCCCURRENCE <br />5 1,000.000 <br />x CIXAMERC%ALER OENNL LABILITY <br />cwMSAWOE �OLCUR <br />� <br />r <br />, <br />RTEO_%iEMISEg c¢u—... _.._ <br />__ <br />5 300,000 <br />MEDW(Myane Person) <br />s 5,000 <br />A <br />PLE786898-CEP90867 <br />0812820U <br />Oa/90/2022 <br />PenggN,M eaw wmav <br />s 1,000,000 <br />___..-. <br />Genaw-AscRECATE <br />5 2,000,000 <br />GEM. aGGREWTE WAITAPPL1E8pER: <br />PRODUCTS CGMPIGPAGG <br />5 2,000,000 <br />x POLICY PPP LGC <br />ANIMAL HAl1EE <br />5 <br />AUfOMOGILE <br />W& <br />I— <br />I— <br />EU <br />IXBI�HEDISINGLE LIMIT <br />IS1— <br />5 <br />MiYAl150 <br />BODILY INJURY (Pxp n) <br />ALLOMEO SCHEOUIFO <br />AUM. AUTO. <br />HOOLYINJURY(IvaItken <br />5 <br />HIREOAUTOS AUTOS <br />DPINAGE <br />PgOjE LNwi1 <br />s <br />_ <br />4 <br />REL1A WB <br />OCCUR <br />F— <br />F— <br />FACHOCCM�rCE <br />5 <br />AGGREGa1E <br />S <br />EXCESSUNe.. <br />LWM.MAOE <br />DEO I I RETENnONS <br />S <br />woMrenaeoeawlaAnox <br />ASAE88'LorEN4'LJXNLm <br />gNYpROWUErORRARmQLE%ECUrtJE YIN <br />I� <br />wes�ATIA oTH- <br />EL EACNACC®ENT <br />S <br />OFFlLEMEM.ERIXCWGEm ❑ <br />N)A <br />I <br />EL DISEASE-FAE$&LOYE <br />S <br />IxngebryN Mw <br />xYaAxwlW,vder <br />ELDISEPBE-POUCYLIMIT <br />$ <br />F—F— <br />OESCPocate <br />mwecyper nquche <br />holderdditin line red regarding <br />had been added as additional insured regarding <br />hadb beenaddedbe bovekmentione <br />.hove mentioned policy per attached <br />Additional Insure <br />Additional Insured -Designated Person or Organization (CG 20 2fi Ed. 04 13) <br />E <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana- Risk Management Division <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Drive East <br />Santa Ana, CA 92701 <br />AUMORDID REPRESEMATrvE 7 <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (20141(1) The ACORD name and logo are registered marks of ACORD <br />IN5025 rymm1l <br />;`o�°j <br />3„sn113IR� <br />RiiMvsverandDh'Mw <br />REVIEwEDfi MPRovEDBY <br />T4 y J.I�G <br />® <br />Rbk Management AnNha <br />