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Client#: 160973 WESTHART DiYYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE =17 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. ....... . .. . ....... . . . . . ......... I dkfARt: If the hOide'r is -an—ADDITIONAL INSURED, the policy(ies) must 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CON A T _NAME: USI Southwest PHONE _(AYCNo Ext): 713.4907 -4600 713-490�-4700 9811 Katy Freeway, Suite 500. . ...... .. .... Houston, TX 77024 APPR) S.;__ . .... .. ................... .... .. . . . ..... ........ 713 490-4600 INSURERS)AFFORDING COVERAGE NAIC # _.....- . . ....... INSURER A : Geruinf Insurance Company 10833 INSURED . .... . , �' C' Town of West Hartford � D, 50 South Main Street West Hartford, CT 06107 > COVERAGES CERTIFICATE NUMBER: INSURER 8 :Safety National Casualty Corp 15105 INSURER.. C INSURER D REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIONI OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -,- ___ — — --__ — - - -_ - _-- -- IINSR ADDL SUB LTR TYPE OF INSURANCE WVD POLICY NUMBER . . . . . .. . ......... . . ............. . .................................... . .. POLICY EFF POLICY EXP (MMfDDfYYYYJ (MMiDMYYYY) LIMITS A _.—INSR X COMMERCIAL GENERAL LIABILITY PEMOO4'000'605 07/011/2017 07/0112018 EACHOCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE R ENTED PREMISES E S . X $250,000 ... ..... . ........... . . . .. .................. MED EXP (Any one person) $ PERSONAL & ADV INJURY ...... ._._.m ....... ....... . .... ......... $ - .... . .... . . .................. Retained Limit . .... ... .. . ...................... ... GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $11,000,000 PRO - 17 F7 POLICY JECT LOG PRODUCTS - COMP/OP AGG $ $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident ) $ BODILY INJURY (Per person) $ ANY AUTO I ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acadent) S NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ 7 UMBRELLA LIAR OCCUR E�9OCCURRENCE _ $ EXCESS LIAB CLAIMS -MADE .. . ........ .... . . . .... .. .... .. . AGGREGATE ................. $ $ DED� RETENTION S WORKERS COMPENSATION SP4057079 O7/0112017 07101/201 x PER �ORTH- AND EMPLOYERS'LIABILITY . ANYPROPRIETORiPARTNERIEXECLTIVEY"I-N F L EACH ACCIDENT $1,000,000 OFFICEMMEMSFREXCLUDED? N E.L DISEASE - EA EMPLOYEE (Mandatory in NHJ !NIA $500,000 SIR If yes, describe under DESCRIPTION OP OPERATIONS below E.L.DISEASE - POLICY LIMIT' 51,000,000 �16A,, Z AOF DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Effective Date: March 19, 2015 -0� e) Description: Consultant Agreement- Institute of Museum and Library Services (IMLS) Leadershipl�8rant City of Santa Ana, its officers, employees, agents and representatives are named as additional insured wit 0 respects to the Generali Liability, when required by written contract. " City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 2'5 (2014/01) 1 of 1 #S21509898,/M21258453 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BZLHA