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ACORO® CERTIFICATE OF LIABILITY INSURANCE DAOD/YYYY 02/26/2/26/2024 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 terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ME: a ir6tlncgnl,lne Dig ( a No: Pe y1112E��q-qy�tl-enaOng=N':G-CmopVa'ny"lGn'c. E-MAIL ADDRESS: suppo ❑eXtin$Urdn[e.CO P o, A 3 An 12831 ED Dat M dlol R rA1d 1" RE Ann v e o11 e —Riolov a NSURERF: COVERAGES CERTIFICATE NUMBER: 156571039 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 REDUCED BY PAID CLAIMS. INSR L ft TYPE OF INSURANCE ADDL'UBR POLICY NUMBER MMID�/YVFF MOIDDrYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADErx] OCCUR X X NXTQF9PPV3-01-GL 01/01/2024 01/01/2025 EACH OCCURRENCE $1,000,000.00 DAMAGE TO RENTED PREMISES Ea occurrence $100,000.00 GENT X MED EXP(Anyone peman) $5,000.00 PERSONAL &ALA, INJURY $1,000,000.00 AGGREGATE LIMIT APPLI ES PER: POLICY ❑ PRO- ECT LOG OTHER: GENERALAGGREGATE $2,000,000.00 PRODUCTS - COMP/OP AGG $2,000,000.00 $ AUTOMOBILE LIABILITY ANY AUTO OWNED F SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea..Went $ BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ UMBRELLALIAB EXCESS LIAB OCCUR CLAIM' -MADE EACH OCCURRENCE $ AGGREGATE $ - TOEDi I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNER/EXECULVE ❑ OFFICERIMEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS be. NIA PER OTH- STATUTE ER EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The Certificate Holder is City of Santa Ana. A Waiver of Subrogation applies in favor of this Certificate Holder on the following policies: General Liability. This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement. All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the Insured, and are subject to policy terms and conditions. of Santa Ana 'ivic Center Piz :a Ana, CA 92701 LIVE CERTIFICATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRC AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD 0. Risk MmugemmtDtdelon REVIEWED&AP clvm BY: �•. Risk Management Spedalis[ ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD