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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DONYYY) 0312612024 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 terms 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 endors-ment(sl_ PRODUCER CONTACT Marsh Risk & Insurance Service NAME: 17901 Von Kansan Avenue, S 100 PHONE (949) 399-5600; License p043 INC.E-MAILN Irvine, Ne P92614 ADDRESS: _ N Attn: Newpc S Sh, mIF: 32 NSURER S AFFORDING COVERAGE CN102166416-STND-GAWUP-23- e--,N,URERA,mit ran INSURED INSURERB Nli N Griswold Industries, Cla-Val Company 1701 Placentia Avenue INSURER Twin. 'vElallinsuran QQ 29459 Costa Mesa, CA 92627-4475 _ .... _ t _ n 1% A P A ..M COVERAGES N ILCURTIFIdkTE NUMBERA IL AnAmA,tAni A - �01 AFid ill'TA1111Mrill-le.-7 1 A A THIS IS TO CERTIFY THA HE P CI IN NCE ISTED W _ EE UED jNl O HE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONC IIOr OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE F =FC`'.OED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MA1' „AVE BEEN REDUCED BY PAID CLAIMS. PIER LTR TYPE OF INSURANCE ADDLSUBR J= Jm POLICYNUMBER POLICYEFF HAMIDDvYYYYI POLICYEXP M OD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 171 OCCUR 72ECSOA1987 D4101/2024 04101/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE T E TED PREMISES Ea occurrence if 300,000 X MED EXP (Any one person) $ $1,000,000 SIR PERSONAL&ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY JEST 1:1LOC GENERALAGGREGATE $ 2,000,000 GEN'L X PRODUCTS-COMPIOPAGG$ 2,000,000 If OTHER: A AUTOMOBILELIABILDY 72UENUM3154 04/01/2024 04/0112025 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X ANYAUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS Per accident BODILY INJURY ( ) $ X HIRED NON -OWNED AIUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ A C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERTXECUTIVE YIN OFFICERIMEMBEREXCLUDED4 FNI NIA 72WNC93100(CA) 72WEHO3564(ADS) 04/01/2024 04MI2024 04101/2025 M01/2025 X I PER OTH- STATUTE ER EL EACH ACCIDENT $ 1,000,000(Mandatory E.L. DISEASE -EA EMPLOYEE $ 1,000,000 in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is requlmd) The City of Sana Ana, its officers, employees, agents, volunteers, and representatives are included as additional insured where required by written contract with respect to General Liability. This insurance is primary and noncontributory over any existing insurance and limited to liability arising out of the operations of the named Insured subject to policy tens and conditions with respect to General Liability. ly[N_\ 1 =111:[a] III Ill =1N City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORRED REPRESENTATIVE of Marsh Risk & Insurance Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRC RhkMOmgeMaffDlWlwl f� REVIEWED dr APPROVED BY: A+.ku Aai,44 Risk Management Speoalet ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD