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A� o® CERTIFICATE OF LIABILITY INSURANCE <br />°^;tios�o23"Y <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 be endorsed- If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />ertificate hof r In Ileu of such endorsement(s). <br />_ <br />0 <br />N <br />TAME <br />48 e 1 nay Aceve <br />4802 PeoI tl. <br />OOdland Hills, CA91364 Date. <br />_ <br />r NE (816)456-4S46 plC Not! <br />aooREs: bradbe11212000 ahoo.com <br />N I VERAGE <br />NAICS <br />wSURERA: Westchester Surplus Lines Insurance Company <br />10172 <br />INS — <br />INSURERB: <br />ECoTieOa Consulting, Inc. <br />INSURER C: <br />555 W. Fifth St, 26th Floor <br />INSURER O: <br />Los Angeles, CA 90017 <br />INSURER E: <br />INSURER F• <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />TYPE OFINSURANCE <br />POLICYNUMBER <br />POLICY EFF <br />MMIODIYYYY <br />POUCYEXP <br />IMMFDONYYYI <br />LIMITS <br />A[ <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-tAADE O OCCUR <br />Y <br />Y <br />G24305296012 <br />08/04/2023 <br />08/04/2024 <br />EACH OCCURRENCE <br />5 2,000,000 <br />PREMISES Ea occurrence <br />S 50,000 <br />MED EXP (Any one arson <br />S 5,000 <br />pERSONALBADVINJURY <br />S 2,000,000 <br />GENERAL AGGREGATE <br />S 4,000,000 <br />GENLAGGREGATE <br />X pOUC! <br />UMIiAPPLES PER <br />PRO- LOC <br />JFCT <br />PRODUCTS-COMPIOPAGG <br />S 4,000,000 <br />S <br />A <br />AUTOMOBILE <br />LIABILRY <br />ANYAUTO <br />AALLrOS�D SCHEDULED <br />HIREDAUTOS X NON-0WNEO <br />AUTOS <br />Y <br />G24305296012 <br />08/04/2023 <br />08/0412024 <br />Ea ocad M <br />9 1,000,000. <br />BODILY INJURY (Per person) <br />S <br />Ix <br />BODILY INJURY(Peraccident) <br />5 <br />Per accident <br />5 <br />S <br />UMBRELLA LIAB <br />EXCESS LIAB <br />CLAINIS-MADE <br />Y <br />Y <br />G47417521001 <br />08/04/2023 <br />08/042024 <br />EACH OCCURRENCE <br />5 1,000,000 <br />)( <br />HOCCUR <br />AGATE <br />5 1,000,000 <br />DED I I RETEMIONS <br />5 <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />DFFICEF@EIMBERIXCLNERIEECUTIVE ❑NIA <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />WC ATU- 0 H- <br />RYLIM <br />EL EACHACCIDENT <br />S <br />EL DISEASE -EA EMPLOYE <br />S <br />EL. DISEASE-POUCYUMIT <br />S <br />A <br />Professional liability: <br />Y <br />Y <br />G24305296012 <br />08/04/2023 <br />03/04/2024 <br />$2,000,000.(per incidentiper aggregate) <br />DESCRIPTION OF OPERATIONS! LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R more space is required) <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF Nnmro <br />ACCORDANCE WITH THE POLICY PRO <br />AUTHORIZED REPRESENTATIVE <br />ACORDI <br />a <br />XratrlvilGi➢$L1MG1tTih'19IOn <br />REVIEWE06APPRC0ADB: <br />A+�.t Auvutd <br />Risk Management Specialist <br />The ACORD name and logo are registered marks of ACORD <br />