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0ATEIMM0D,`(YYY) <br />I <br />-4 a CERTIFICATE OF LIABILITY INSURANCE I <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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />ACn Risk Servi Ce5 Central, Inc. <br />Chicago IL Office <br />CONTACT <br />NAME: _ <br />(A PHONE <br />EKt): (865) 283-7122 (C No)- (800) 363AX -0105 <br />E-MAIL <br />ADDRESS: <br />200 Fast Randolph <br />Chicago IL 60601 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: Transportation Insurance Co. <br />20494 <br />Acn Corporation and its Subsidiaries <br />(see subsidiary Information Below) <br />200 E. Randolph <br />Chicago IL 60601 USA <br />INSURERB: American Casualty Co. of Reading PA <br />20427 <br />INSURERC: Continental casualty Company <br />20443 <br />INSURER D: <br />INSURER F; <br />INSURER F: <br />GUVEHAI t;tH l III r NUMtStH: 5/Ul Ubl,541oGb HtV15IUN NUMtStH: <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. Limits shown are as requested <br />LTR TYPE OF INSURANCE INSD POLICY EFF POLICY EXP <br />SUBRI WVD POLICY NUMBER MMlDDIYYYY MMrDDIYYYY LIMITS <br />C X COMMERCIAL GENERAL LIABILITY 4 0 14 10 T8—T5— EACH OCCURRENCE 11,000,000 <br />CLAIMS -MADE ❑OCGUR DAMAGE TO RENTED $1,D00,000 <br />PREMISES (Ea occurrence <br />MEU EXP (Any one person) <br />S10,000 <br />N <br />PER50NAIT& ADVINJURY <br />11,000 1 <br />m <br />GEN'LAGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />$2,D00,000 <br />POLICY ❑ JECT ❑X LOC <br />m <br />PRODUCTS - CCMPiCPAGG <br />12,000,000 <br />OTHER: <br />n <br />C <br />AUTOMOBILE LIABILITY <br />4014103656 <br />06/01/2074 <br />06/01/2025 <br />COMBINEDSINGLELIMIT <br />Ea accidenu <br />$1, 000,000 <br />L4 <br />BODILY INJURY (Per person} <br />X ANY AUTO <br />O <br />Z <br />BODILY INJURY (Per accidenq <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDAUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />Q� <br />O <br />PROPE RTYDAMAGE <br />Per accidenll <br />07 <br />UMBRELLA LIARH <br />OCCUR <br />EACH OCCURRENCE <br />V <br />AGGREGATE <br />EXCESS LIAR <br />CLAIMS -MADE <br />DEO RETENTION <br />A <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY YI <br />ANY PROPRIETOR? PARTNER: EXECUTIVE N <br />OFFECERIMEMBEREXCLUDED' <br />(Mandatory in NH) <br />NIA <br />4014100157 <br />AZWI <br />, <br />4014100059 <br />All Other States <br />06/01/2024 <br />06/01/2024 <br />06/01/2025 <br />06/01/2 02 5 <br />X PER STATUTE OTH <br />ER <br />E,L, EACH ACCIDENT <br />31, 000, 000 <br />E, L. DISEASEEAEMPLOYEE <br />.$1,000,000 <br />It yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />---- <br />E.L. DISEASE -POLICY LIMIT <br />S1,000.000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES {ACORO 101, Additional Remarks Schedule, may be attached 11 more space Is required) <br />RE; Aor Risk Insurance Services West, Inc., PO Box 849932. certificate Holder is included as Additional Insured in accordance <br />with the policy provisions of the General Liability and Automobile Liability policies. A waiver Of Subrogation is granted in <br />favor of certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability and <br />Workers' Compensation policies. The above terms are as required by written contract. <br />CERTIFICATE HOLDER <br />city of Santa Ana <br />Attn: Aarti Kaushal <br />20 Civic Center Plaza <br />Santa Ana CA 92701 USA <br />e,sk lU.zi,nexme�,e I]ivfsir. <br />—_ .y nevimrd and Apra'nvne hY. <br />t <br />F4sk Mm,eScr <br />CANCELLATION <br />SHOULD ANY Or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />001988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />