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A -'�61 "�o � <br />ACOR& CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDIYWY) <br />111 4/30/2017 <br />1 4/2012016 <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 policydes) must be endorsed, It SUBROGATION IS 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 right$ to the <br />certificate holder In lieu of such endoisement(s). <br />PRODUCER Lockton Insurance Brokers, LLC <br />725 S. Figueroa Street, 35th FI. <br />CA License tlOF15767 <br />Los Angeles CA 90017 <br />(213) 689-0065 <br />N <br />OLI pY <br />A c, <br />_ <br />$ Exl : (M, Net <br />&MALL <br />AD Ess <br />INSUI AFFORDING COVERAGE NAIC <br />INSURER A: VI ilantinsurance Company 20397 <br />INSURED Best Best u Ktleger LLP <br />1312669 3750 Universit live., Ste. 125 <br />Riverside CA 92502 <br />INSURER B: Federal Insurance Company 20281 <br />INSURER C: <br />INSURER 0, <br />INSURER <br />INSURER F <br />COVERAGES BESBE 1 CERTIFICATE NUMBER: 11767171 REVISION NUMBER: XXXXXXX <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 RpEDUCED BY PAID CLAIMS, <br />INSR <br />TA <br />TYPE OF INSURANCE <br />Vila,POLICY <br />NUMBER <br />OLI pY <br />ML 0 <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADEFRI OCCUR <br />$0 <br />Y <br />N <br />35B94252 <br />4/300/2016 <br />4/30/2017 <br />1,000,000 <br />RE TED1 000 000 <br />a occurtence�,Dedudible' <br />one ersen 1O 000 <br />TOCCURRENCERRENCE <br />ADV INJURY $ 1 OOOODO <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY❑JECT LOC <br />GREGATE $ 2 00O 000 <br />-COMPIOP AGG $ IncludedOTHER <br />$ <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />AUTOS NED AUTO <br />HIREO`AUTOS X AUTOS NEO <br />N <br />N <br />73555244 <br />4130/2016 <br />4/30/2017 <br />EaeCcitlena NGLE LIMIT $1,000,000 <br />BODILY INJURY(Per person) $ XXXXXXX <br />BODILY INJURY(Peraccident II XXXXXXX <br />(PerROPocmnfl MAGE Is XXXXXXX <br />$XXXXXXX <br />UMBRELLALIAB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />NOTAPPUCABLE <br />EACH OCCURRENCE $ XXXXXXX <br />AGGREGATE $ XXXXXXX <br />DEO I I RETENTION $ <br />Is <br />B <br />WORKERS CO ENSATIONPER <br />AND EMPLOYERS'LIABILITY YIN <br />OANY <br />EXCLUDED9 Ecll'rIVE <br />(amd.tory h, NH) <br />If g, d9CPiheuntler <br />DESCRIPTION OF OPERATIONS be.W <br />NIA <br />N <br />71750505 <br />4/30/2016 <br />4/30/2017 <br />OTH- <br />X STATUTEER <br />LI, EACH ACCIDENT $ 1 009 22 <br />EL, DISEASE - EA EMPLOYEE 1 000000 <br />El DIS ASE -P L1CV LIMITA 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Ad dlti on al Remarks Schedule, may be attached if more S sea Is I'eq ulred) <br />The City of Santa Ana, its officers, employees and Ionia are Additional Insured to the cadent provided by the policy language or endorsement issued or <br />approved by the insurance Carrier. Coverage provided is primary and non-contributory, Waiver of Subrogation applies per attached endorsement(s). <br />11767171 '-Salldl'a IV" <br />City of Santa Ana SeniorAssistant City Attorney <br />Attention: City Manager - U <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />KIT`IGE11l➢Il <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />The ACORD name and logo are registered marks of ACORD <br />