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P1f,YC R,. <br />1 °ly: ml ,a. FuhJo <br />1r YVr4 PP C, TFFI <br />_v Cs Biwim.uim <br />rt1NCILh(t Mh FP'. <br />t l.0 rf, Ai., <br />P F,,d BI navj <br />I' ➢r LJlc t9e nm�, <br />Insurance <br />CITY OF SANTA ANA <br />FINANCE & MANAGEMENT SERVICES AGENCY <br />PURCHASING DIVISION <br />2O( VIC (:F10 l( PI ,,'.A M Ii, <br />v v N:K I "8f 'A I iA AIV< FLb °l')PPilti ,?1i11 <br />!-Hv 1Nc 171 a. 64 l5-I -0 1.4 I1.:S44 <br />CI77 M/+J` A, 1 F <br />G , eid bl ta:rn <br />I IY RI1 UK. aft <br />cLCRK0111I <br />Pi,1"nI ",d� <br />As a condition of, and throughout tide term of the contract, the vendor shall have and maintain the insurance <br />described below: <br />Certificate of Insurance (Acord's 25 -5 Corot no.) to include: <br />• General Liability -- $1,000,000 each occurrence <br />• 'Worker's Compensation — Within the limits required by the <br />State of California <br />• Automotive Insurance -- $1,000,000 combined single limit <br />A notation in the Cancellaflon elause (in the bottom right band corner) of the Certificate must be made that the <br />City will be mailed 30 days` written notice o olicy (:ancellation and the references "_ enrd_ eavor to "and "ai � <br />mail srreh notice shall ire ose no obligation or liability of naE kind n on the company, its a erns or <br />rearesentatives" shall be either removed or X "d through. <br />The attached "Additional Insured Endorsement' provided by City must be completed and signed by the insurance <br />broker, or the insurance companies provided form number CG20 10. The forms must include the following <br />statement. "The City of .Santa Ana it's officers ern rlay„ees, agents, and representative are named as additional <br />insured,'. The form must reference the Certificate of Insurance Policy number oil the Additional Insurance. <br />Additionally, vendors working on City vehicles housed on the vendor's property are required to carry Garage <br />Liability. <br />rxbibi.t: D <br />