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sa <br />ACOR" CERTIFICATE OF LIABILITY INSURANCE OATE(MMIODIYVYY) <br />10..✓ 01/04/2023 <br />HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LDER. 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 <br />endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A <br />statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Hiscox Inc. dlblal Hiscox Insurance Agency in CA <br />5 Concourse Parkway <br />Suite 2150 <br />CONTACT <br />NANI <br />PHONE (ggg) 202-3007 FAX <br />allE-MAIL Ea No <br />ADDRESS: contact@hiscox.com <br />INSURERS AFFORDING COVERAGE <br />NAIL q <br />Atlanta GA, 30328 <br />INSURERA: Hiscox Insurance Company Inc <br />10200 <br />INSURED <br />T.R. HollCitrus S and Associates, Inc. <br />3543 Citrus Street <br />INSURER B <br />INSURER C <br />INSURER D: <br />Highland, CA 92346 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: apvlstnM Nulhaaco. <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 />I TYPE OF INSURANCE <br />ADDL <br />BUSH <br />POLICYNUMBER <br />POLICY EFF <br />MM/DDM'VY <br />POLICY EXP <br />MMIDDIYYYYI <br />LIMITS <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />D AGETO <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />RO- <br />POLICY JPECT LOC <br />GENERAL AGGREGATE <br />$ <br />GEN'L <br />PRODUCTS. AGO <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />SINGLE LIMIT <br />t <br />$ <br />ANYAUTO <br />INJURY person) <br />$ <br />ALL OWNED SCHEDULED <br />'AUTOS AUTOS <br />URY Per aca deal <br />( 1 <br />$ <br />HIREDAUTOB NON -OWNED <br />DAMAGE _ <br />nt <br />$AUTOS <br />$ <br />UMBRELLAUAB <br />_ <br />OCCUR <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I RETENTIONS <br />1 <br />1$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOWPARTNEWEXECUTIVE <br />OFFICERIMEMSEREXCLUDED? <br />NIA <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />under <br />Ryes, describeOF <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />below DESCRIPTIONIPTION <br />O <br />A <br />Professional Liability <br />Y <br />P100.107.967.9 <br />02/18/2023 <br />02/18/2024 <br />Each Clalm:$2,000,000 <br />Aggregate: $ 2,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, its Officers, Employees, Agents, Volunteers and Representatives are Additional Insureds per endorsement MUS010120127, and 8610. <br />City of Santa Ana, Risk Management Division, 4th Floor <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <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 />AUTHORIZED REPRESENTATIVE ' <br />988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />