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ACORO® CERTIFICATE OF LIABILITY INSURANCE 4/30/2020 DATE(MMIDD/YYYY) 1 1/28/2020 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Insurance Brokers, LLC 777 S. Figueroa Street, 52nd FL CA License#OF 15767 Los Angeles CA 90017 CONTACT PHONE FAX Nc Ez[: (A/C,No: E- MAIL ADDRESS: (213) 689-0065 INSURERS AFFORDING COVERAGE NAIC If INSURER A: Vi ilant Insurance Cornpany 20397 INSURED Best Best & Krieger LLP 1312669 3390 University Ave, 5th Floor INSURER B:Federal Insurance COOL an 20281 INSURERC: Riverside CA 92501 INSURER D INSURER E: INSURER F : COVERAGES BESBEOI CERTIFICATE NUMBER: 11767171 RFVlglntJ NUMBER: vvvvvvv 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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR p POLICY NUMBER POLICYEFF MMIDO POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [A]OCCUR Y N 35894252 4/30/2019 4/302020EACH OCCURRENCE $ 1,000,000 DAMAGE TO ED PREMISES Ea occunenca $ 1,000,000 X MED EXP (Any one person) $ 10,000 Deductible: $0 PERSONAL& ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY 0 JECTPRO- ❑OC GENERAL AGGREGATE $ 2000000 PRODUCTS-COMP/OP AGG $ Included $ OTHER: B LIABILITY N N 73555244 4/302019 4/302020 CEOMaBINEEDISINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS qOMOBILE BODILY INJURY ) (Per accident) $ iXXXXi�C HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ XXXX= $XXXXXXX UMBRELLA UAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ }(}[ 'X}�XXX AGGREGATE $ X ')' CXXX EXCESS LIAR CLAIMS -MADE DEO TTRETENTION$ $ )C XXXXX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED7 I Y I NIA NT 71750505 4/302019 4/302020 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE -EA EMPLOYE $ 1000 000 (Mandatory in NH) It yes, describe under E.L. DISEASE - POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER APPLICABLE TO THE CARRIERS LISTEDAND THE POLICY TEPU aS) REFERENCED. The City of Santa Ana, its officers, employees and agents are Additional Insured to the extent provided by the policy language or endorsement issued pp��ye,� by the insurance carrier. Coverage provided is primary and non-contributory. Waiver of Subrogation applies per attached end REVtEM 1 1Q11V tD Cancellation applies per attached endomement(s). 1` By RISC MANAGEMENT DIVISION 13 0 CERTIFICATE HOLDER r.ANCFI I ATInN q,, 11767171 City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza, 4th floor ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92701 AUTHORIZED REPft 7 @ 1488-201eKC9hD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD