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Client#: 1545435 ORRICHER ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDlYYYY) 6103MIDDN 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 any rights to the certificate holder In lieu of such endorsement(s), PRODUCER NAME:CONTACT Celeste Traxler USI Insurance Services, LLC PHONE $28201-9001 FAX AIC No Exk: A1C No s Lic#OG11911 E-MAIL ss: celeste.traxler@usi.com 575 Market Street,Suite 3750 INSURERS AFFORDING COVERAGE NAIC A San Francisco,CA 94105 INSURER A:Great Northern Insurance Company 20303 INSURED INSURER B:Federal Insurance Company 20281 BLX Group LLC INSURER C; 355 South Grand Avenue,Suite 2700 INSURERD: Los Angeles, CA 90071 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY _WAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFCRDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY40 PAID CLAIMS. ILTR TYPE OF INSURANCE INEIRL y VD POLICY NUMBER BR MMIDICnYYY DINRY LIMITS A X COMMERCIAL GENERAL LIABILITY 35821151 06101/2024 0610112025 EEAACCHH OECCCUR��RENCE $1 000 000 CLAIMS-MADE ®OCCUR PREMED ISES EaEoNxT,,".nr $7 000 000 X Host Liquor Included MED EXP An- _y one person) $10 000 X Ind.Contractors PERSONAL&ADVINJURY $1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 Pi X POLICY❑JECT F1 LOC PRODUCTS-COMPIOP AGO $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 74996569 0610112024 06/01/202 EOInnWd.nt"INGLF LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B X UMBRIELLA LIAR X I OCCUR 79820023 0610112024 0610112025 EACH OCCURRENCE $5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5 000 000 DFO I X RETENTION$0 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOWPARTNERIEXECUTIVE Y1 N EL.EACH ACCIDENT $ OFFICEWMEMBEREXCLUDED7 N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ?Digitally slg ed TUT arQYTtl Tram APPROVED Nguyen Ng u frW i10 By Tu Tran Nguyen at 7.12 am Apr 10,20 5, / 07:12:53-07'n' DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) li Agreement N-2021-037,Agreement with BLX Group LLC for Provision of Arbitrage Rebate Compliance Services City of Santa Ana,officers,agents,employees,and volunteers are named as additional Insured as relates to general liability and auto liability in accordance with the terms and condition of the policies.The general liability policy Is primary and non-contributory when required by written contract.Certificate (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE, WILL BE DELIVERED IN Attn: Rosle Perez ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza M17 Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE © A-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD #S449862221M44950493 VMMZP