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A� 04/04/2024® CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) <br /> /2024 <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(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-,iAorsement(s). <br /> PRODUCER CO TACT <br /> MARSH RISK&INSU E SERVICES NA IE: <br /> PH( NE lu <br /> FOUR RISK" TE 110 A/c N) E <br /> CALIFORNIA LICEN N 437 3 E-M If <br /> SAN FRANCISCO, ADD :Ss: <br /> Attn:sanfrancisco. s@ma .c ;Fax 12- Ns R FF vE E Ic# <br /> CN101797553-STND-GAWU-24-25 INs RL a ers S It n an <br /> INSURED L.N.Curtis and Sons,Inc. IN JRER ': Great Northern Insurance company 20303 <br /> Attn:John Viboch,CFO SURERY. <br /> N/A <br /> 185 Lennon Lane, Acinx/,ed <br /> IN URERLt% t 20044 <br /> Walnut Creek,CA : RE: <br /> INSU R F.COVERAGES AT U _ A-003617 - S BE <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEF BE' JW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OF. riNDITION 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER MM/DD MM/DD <br /> A X COMMERCIAL GENERAL LIABILITY EMR-00000457-00 04/01/2024 04/01/2025 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X� OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ 100,000 <br /> MED EXP(Any one person) $ 10,000 <br /> X Excludes Tactical PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 <br /> X POLICY❑ PRO- <br /> ❑ <br /> JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY 73583643 04/01/2024 04/01/2025 COEaM accidccidennt BINED SINGLE LIMIT $ 2,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> X AUTOS ONLY X AUTOS ONLY Per accident $ <br /> COMP/COLL DEDS: $ 1,000 <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> D WORKERS COMPENSATION LNWC524910 04/01/2024 04/01/2025 PER OTH- <br /> AND EMPLOYERS'LIABILITY X v/N STATUTE ER ANYPROPRIETOR/PARTN ER/EXECUTIVE NIA <br /> E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> The City of Santa Ana,its officers,employees and representatives are included as additional insureds for General Liability and Auto Liability where required by written contract.General Liability is primary non- <br /> contributory where required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Risk Management Division THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br /> 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PRC <br /> Santa Ana,CA 92702 Risk ManagementDivis[an <br /> AUTHORIZED REPRESENTATIVE i z REVIEWED&APPROVED BY: <br /> of Marsh Risk&Insurance Services r��l �r �-,I �Lytl• a <br /> X�r Risk Management Specialist <br /> @ 1988-2016 ACORD <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />