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/l% - 20,/ -O/Z <br />.4G'ORO® CERTIFICATE OF LIABILITY INSURANCE R045 <br />02-02/-2021 <br />THIS CERTIFICATEIS 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 SUBROGATIONIS 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 />Certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />USA INSURANCE AGENCY SNC/PHS <br />812846 P:(888)242-1430 F:(877)905 -04S7 <br />PO BOX 3 3 0 1 S <br />SAN ANTONIO TX 78265 <br />CONTACT <br />NAME <br />FAx <br />(886)242-1430 (A/C,NoI: (877)905-o4s <br />(A/C' <br />E-MAIL <br />ADDRESS: <br />u <br />SToMERI.` <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED <br />INSURER A : Harr fOY'd Casualty Ins CO <br />INSURER B <br />COMMUNICATIONS SUPPORT GROUP <br />A <br />12 S S SOMERSET LN <br />INSURER C <br />INSURER D <br />NEWPORT BEACH CA 92660 <br />INSURER E <br />03/09/2011 <br />INSURER F <br />MED EXP (Any pne p¢rspnl 5 10,000 <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 />hL TR <br />TYPE OF INSURANCE <br />/NSR <br />WVD <br />POLICY NUMBER <br />/MM/OD/YYYY/ <br />/MM%Op/YYYY/ <br />L/M/TS <br />GENERAL L/AB/L/TY <br />EACH OCCURRENCE 9 1,0 00,000 <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />X General Liab <br />X <br />6S SBM NW0430 <br />03/09/2010 <br />03/09/2011 <br />PREMISES (Ee .... ncel s 300, 000 <br />MED EXP (Any pne p¢rspnl 5 10,000 <br />PERSONAL &ADV INJURY S 1,000,000 <br />GENERAL AGGREGATE , 2,000, 000 <br />EN'L AGGRE ATE LIMIT APPLIES PER: <br />POLICY PRO- LOC <br />PRODUCTS - COMP/OP AGG s 2,000, OOO <br />s <br />AUTOMOB/LE <br />L/AB/L?Y <br />COMBINED SINGLE LIMIT <br />(Ea appitlenrl $ I_000' 000 <br />ANY AUTO <br />BODILY INJURY (Par parsonl 9 <br />ALL OWNED AUTOS <br />BODILY INJURY IPer accitlenil s <br />A <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />6S SBM NW0430 <br />03/09/2010 <br />03/09/2011 <br />PROPERTYnDAMAGE 9 <br />X <br />X <br />s <br />NON -OWNED AUTOS <br />9 <br />UMBRELLA L/AB <br />EXCESS L/AB <br />OCCUR <br />CLAIMS-MADE.J� <br />�� <br />-01Z LVl <br />EACH OCCURRENCE s <br />AGGREGATE s <br />DEDUCTIBLE <br />RETENTION s <br />Gl/- <br />9 <br />s <br />WORKERS COMPENSAT/ON <br />-- <br />_ <br />WC STATU- OTH- <br />ANOEMPLOYERS'L/AB/L?Y <br />YIN <br />< 'Lill: l <br />_ <br />it Sj; t•. �j <br />T RY IMIT R <br />E.L. EACH ACCIDENT s <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBEREXCLUDEDI <br />/Mande _ /n NH/ <br />N/A <br />A,­i""1f ( <br />/ y <br />1iV/11.L 0 rn <br />y <br />E.L. DISEASE - EA EMPLOYE s <br />If yes, describe untler <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT 9 <br />DESCR/PT/ON OF OPERAT/ONS / LOCATIONS / VEHICLES /Affach ACORD 701, Addhbna/ Remarks SeheduN, W- fpaca b iapunad/ <br />TYlose usual to the Insured's Operations. See Cover Page. <br />CERTIFICATE HOLDER CANCELLATION <br />City Of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />Attn : Robert CaY Y•O11 <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />20 Civic Center Plaza (M-75) <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.. <br />AUTHOR/ZED REPRESENTATIVE _ <br />PO BOX 1988 <br />SANTA ANA, CA 92702 <br />—7a2_ <br />c 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />