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1119halty signed by Torl Plerson Tori Pierson Date: 2022.04.0511-2644 -07'W' A� Q® CERTIFICATE OF LIABILITY INSURANCE DATE /04/2 22 D41o41zozz THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rimints to the certificate holder in lieu of such endorsemen# s . PRODUCER McGriff Insurance Services. Inc. P.O. Box 1026s CONTACT Brill ette Taul NAME: g PHONE g0U�76-2211 FAX AIC Na Ext : AIC No): Birmingham. AL 35202 E-MAIL laume nff.com ADDRESS: bt@ 9 INSURERS AFFORDING COVERAGE NAIC # INSURER A :The Charter Oak Fire Insurance Company 25615 INSURED ARC Document Solutions, Inc. INSURERS :Travelers Property Casualty Company of America 25674 INSURER C :The Travelers Indemnity Company 25658 345 Clinton Street Costa Mesa, CA 92626 INSURER o :The Travelers Indemnity Company of Connecticut 25682 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:6U4RSSE2 REVISION NUMBER: 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 REDUCLD BY PAID CLAIMS. INSEXP RR TYPE OF INSURANCE AODL SUBR 12 POLICY NUMBER POLICYEFF W DDYIYYYY MMIDDY/YYYY LIMITS 'a' B `X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR P6307R80315ACOF22 Travelers Property Casualty Company of America is GL insurer for 0212612022 0212612023 EACH OCCURRENCE $ 1,000.000 DAMAGE TO REN PREMISES Ea occurrence $ 300.000 MED EXP (Anyone person) $ 5,000 the State of CA PERSONAL & ADV INJURY $ 1,000,000 X GEN'1- AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [K] jECT LOC PRODUCTS - COMPYOP AGG $ 2,000,000 OTHER: 1 1$ D AUTOMOBILE LIABILITY 8107RB493842243G 0212612022 02/2612023 Ee accident) EDtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ }( ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS IAUTOS BODILY INJURY (per accident) $ X HIRED .� NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ R X UMBRELLA LIAR K OCCUR CUP7149404682243 0212612022 02/2612023 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000.000 EXCESS LIAB CLAIMS -MADE DED I X RETENTION $ $ B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEMEXECUTIVE ❑ OFFICEMMEMBER EXCLUDED? (Mandatory in NH) N ! A UB2L75012842251K (ACS) UB2L6010822251R (AZ, MA, WI)TE 02/26/2022 0212612023 PER OTH- L.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,00a,6a0 $ $ DESCRIPTION OF OPERATIONS 1 LOCATIONS tVEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required) Re: Reprographic Services. City of Santa Ana, its officers, agents and employees are Additional Insured under General Liability which applies on a primary and non-contributory basis as required by written contract. In the event of cancellation by the insurance companies, the policies have been endorsed to provide 30 days notice of cancellation (except for non payment) to the certificate holder as required by written contract, General Liability coverage contains Separation of Insureds as provided by policy wording, CERTIFICATE HOLDER City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana. CA 92701 ANCELLATION RA Almv"tent Dmsion SHOULD ANY OF THE ABOVE DESCRIBED PC REmmkm& APPRWm BY THE EXPIRATION DATE THEREOF, NOT %aaL yfczdore ACCORDANCE WITH THE POLICY PROVISION: Risk ManagemenE CJmoll Aide AUTHORIZED REPRESENTATIVE Page 1 of 8 D 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD