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<br />CERTIFICATE OF LIABILITY INSURANCEr rreu�ul
<br />-4al9A'MIQQNYYY)
<br />AYE(M
<br />rE(MD22
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
<br />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 endorsement(s).
<br />PRODUCER
<br />MARSH USA INC
<br />NAME,cUNTACT
<br />Marsh ( U.S. Operations
<br />1717 Arch Street
<br />PHONE $fib 9fi6 46fi4 FAX Na
<br />Philadelphia, PA 19103
<br />Alin: Philadelphia.ceds@marsh.com !fax: (212) 948-0.360
<br />E-MAIL Philadel hla Certsmarsh,com
<br />AQQREss: P � • Cd
<br />INSURER 9 AFFORDING COVERAGE
<br />NAIL #
<br />CN118025105 ALL-STAND-STAND-23
<br />INSURER A: Indian Harbor Insurance Company
<br />3694D
<br />INSURED
<br />Allied Universal Topco, LLC
<br />INSURER B : Greenwich Insurance Company
<br />22322
<br />INSURER C: XL Insurance America
<br />24554
<br />(See Attached for Additional Named Insureds)
<br />161 Washington Street, Suite 600
<br />INSURER D : National Fire & Marine Insurance Company
<br />20079
<br />Conshohocken. PA 1942$
<br />INSURER E : NIA
<br />NIA
<br />INSURER F :
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE
<br />POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH
<br />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 />'. TYPE OF INSURANCE
<br />ADDL
<br />INSn
<br />SUER
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDO/YYYY
<br />POLICY EXP
<br />MMIDQIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />RES943799402
<br />0110V2022
<br />0110112023
<br />EACH OCCURRENCE
<br />g 30,000,000
<br />CLAIMS -MADE � OCCUR
<br />-FDAMAGE TO
<br />PREMISES Ea occurrence) ence
<br />5 30.000,000
<br />X
<br />CONTRACTUAL LIABILITY
<br />MED EXP (Any one person)
<br />.$
<br />SIR $1,750,000
<br />X
<br />PERSONAL & ADV INJURY
<br />5 30,000,000
<br />GENLAGGREGATE
<br />X
<br />LIMIT APPLIES PER :
<br />E FE
<br />GENERAL AGGREGATE
<br />$ 40000,000
<br />PRODUCTS - COMPIOP AGG
<br />S 40,000,0$0
<br />POLICY .€PROECT LOC
<br />$
<br />OTHER:
<br />®
<br />AUTOMOBILE
<br />LIABILITY
<br />RA0943781805
<br />0110112022
<br />0110112023
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />S 5,000,000
<br />ANY AUTO
<br />X
<br />BODILY INJURY (Per person)
<br />S
<br />OWNED SCHEDULED
<br />BODILY INJURY (Per accident)
<br />$
<br />AUTOS ONLY AUTOS
<br />H€RED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />UMBRELLALIAB
<br />UR
<br />E-10LIC
<br />42XSF10009009
<br />01101/2022
<br />01/0112023
<br />EACH OCCURRENCE
<br />$ t0,000,000
<br />X
<br />AGGREGATE
<br />$ 10,000,000
<br />EXCESS LIAR
<br />MS -MADE
<br />Excess of General Liability,
<br />DEC) I I RETENTION
<br />Auto Liability, and Workers' Comp
<br />C
<br />WORKERS COMPENSATION
<br />RWD3001203-06(AOS)
<br />—07 0112022
<br />0110112023
<br />X PER OTH-
<br />$
<br />C
<br />AND EMPLOYERS' LIABILITY YIN
<br />STATUTE ER
<br />ANYPROPRIETOPJPARTNERIEXECOTIVE
<br />a
<br />N 1 A
<br />RWR3001204065CNI)
<br />01/01/2022
<br />01101/2023
<br />E.L. EACH ACCIDENT
<br />S 1,1100,000
<br />OFFICERlMEMBEREXCLUDED9
<br />(Mandatory In NH)
<br />It yes, describe under
<br />E.L. DISEASE - EA EMPLOYEE
<br />S 1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />S 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />Professional Liability
<br />RES943799402
<br />0110112022
<br />0110112023
<br />Limit
<br />2,000,000
<br />SIR
<br />1,750,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Santa Ana is included as additional insured where required by written contract with respect to General Liability and Auto Liability. Liability coverage shall be primary and non-contributory where required by
<br />written contract. Waiver of subrogation is applicable where required by written contract.
<br />a.erc i irICA I t HOLDER CANCELLATION
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />ACORD 25 (2016103)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />PlIELIM & APPROVED Sr
<br />01988-2016ACORD C
<br />The ACORD name and logo are registered marks of ACORD ` Ris k Management Anaiyst
<br />
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