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AC<> ® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DDNYYY) <br />`i <br />1216/2023 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED 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 an endomement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />PAYCHEX INS AGENCY INC <br />225 KENNETH DR <br />ROCHESTER, NY 146234277 <br />PHONE <br />(AIC. No. Ext.): (877) 362-6785 <br />FAX <br />(A/C. No. Ext.): (877) 677-0447 <br />E-MAIL <br />ADDRESS: paychex@travelers.com <br />INSURED <br />INSURER($) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />ECOTIERRA CONSULTING INC <br />INSURER B : <br />633 W 5TH ST, 26TH FL <br />LOS ANGELES, CA 90071 <br />INSURER C : <br />INSURERD: <br />INSURER E: <br />NSURERF: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />rypE OFINSURANCE <br />ADDL <br />INSD <br />BUBR <br />MD <br />POLICY NUMBER <br />LVPOLICY EFF <br />MDDIYrrr <br />POLICYEXP <br />MMIDW'/YY1' <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMB-MADE ❑ OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PROJECT OLOC <br />OTHER <br />EACH OCCURRENCE <br />DAMAGENTED <br />PREMIES(TO aCown <br />PREMISES Ea Occurtence) <br />$ <br />MED EXP (Any one erson <br />$ <br />PERSONAL&ADV INJURY <br />$ <br />GENERALAGGREGATE <br />$ <br />PRODUCTS—COMPIOPAGG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS <br />HIRED <br />HIRED AUTOS ONLY <br />AUTOS ONLY AUTOS ONLY <br />COMBINED SINGLE LIMIT <br />ire accident <br />$ <br />BODILY INJURY Per . <br />$ <br />Per acGdent <br />$ <br />PROPER" DAMAGE <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />UMBRELLA LIAB OCCUR <br />EXCESS LIAB CLAIMS -MADE <br />DED ❑RETENTION <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'UABILITY ym <br />ANY PROPRIETORIPARTNERIEXECILMNE <br />OFFICERIMEMBER EXCLUDED9 <br />(Mandatary In NH) E <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS BELOW <br />N/A <br />UH-2N997689-23�2 <br />OB/02/2023 <br />08/02/2024 <br />V <br />X <br />STATUTE <br />0 TH <br />E.L. EACH ACCIDENT <br />$1,000,0D0 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />RISK MANAGEMENT DIVISION <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA <br />ACCORDANCE WITH THE POLICY PROVISIONS <br />SANTA ANA, CA 92702 <br />AUTHORIMD REPRESENTATIVE <br />RevLOLK'M. f3elira4, <br />© 1993-2015 ACORD <br />ACORD 25 (2016/3) The Acord name and logo are registered marks of ACOI <br />i"'TRENEWED <br />'� <br />RiskMnnaagemmtDhision <br />& APPROV® BY: <br />AH1p Aa-I' <br />Risk Management Specialht <br />