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Ac"Rb' CERTIFICATE OF LIABILITY INSURANCE �...r " 6/1/2017 DATE IMMIDDIYYYY) 6/1/2016 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poI''ieies may require an endorsement. A statement on this certificate sloes not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Insurance Brokers, LLC CONTACT NAME: arC, Na, Ext : FAX No ): E -MAIL ADDRESS: CA License #OF15767 Two Embarcadero Center, Suite 1700 San Francisco CA 94111 INSURER(SI AFFORDING COVERAGE NAI (415) 568-4000 INSURER A : Valle Forge e Insurance Company 2050'6 6/112010 /+ INSURED ACTIVE. Network, LLC 1397685 717 North Harwood St., Suite 2500_ Dallas TX 75201 INSURER B : The Continental Insurance Company 35289 INSURER C ; CLAIMS -MADE I lh l OCCUR I X I if1 ri,Err,'D INSURER E DAMAGE 7O RENTED PREMISES Ea occurrence 1 .444.. INSURER F: MED EXP Any person 15,000 COVERAGES 1084882 CERTIFICATE NUMBER: 13529467 REVISION NUMBER: XXXXXXX. 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 IS 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 ADDL INSD SUER WVD POLICY NUMBER POLICY EFF MM DD YYY POLICY EXF' MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N 6016940273 6/112010 6/1/2017 EACH OCCURRENCE 1,000,000 CLAIMS -MADE I lh l OCCUR I X I DAMAGE 7O RENTED PREMISES Ea occurrence 1 .444.. MED EXP Any person 15,000 - nst @..jatior l..,iab. .X Included PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE UMIT APPLIES PER GENERAL AGGREGAIE.... $ 2,.400,004 }�. POLICY❑ JET 7 L(7C PRODUCTS - COMP /CPAGO $ 2,400 „444 $ OTHER 'ALITOd3�'REtIM3P S t 2016 6(112017 COMBINED SINGLE Li MIT a accident $ 1.000 000 FODILY INJURY (Per person) $ XXXXXXX '.... X ANY AUTO ALL OWNED SCHEDULED, AUTOS AUTOS PODII.Y INJURY {Peraccident $ XXXXXXX PPerr acidentOAh1AGE $ XXXXXXX . . -- HIRED AUTOS AUT©SWNED X Comp S500 X Coll S500 $ XXXXXXX UMBRELLA. LIiA6 OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAR CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ 1 1 i B WORKERS COMPENSATION AND EMP LOYERS "LIABILITY YIN ANY, PR OPRI F Cr Rry io NN) EXCLUDED? EC'UTIW.. ON (M atoryVin NH) F NIA 61116'940256 6/1/2016 - 6/1/24)17 PER 'PR X. SfiATUTE - _ EL 2 EACH AGKIIDEN'6' .$ ...... 1,000,000 E.V., bISEA9F - FA EIMPLO'MEE 1,000,000 yy s DESCRIPTION OF OPERATIONS LO.. 1.1-DIS ASL- 1'al.ICVI.-11 .� 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1..01„ Additional Remarks Schedule, may be attached if more space is required) RE,, City of Santa, Ana, its officers„ agents anti eniplo c es are Additional Insured to the extent provided by the policy language or endorsement issued or appro'Wed by the insurance carrier. Insurance prorride to Additional Insured(s) is primary and non - contributory as per the attached cmdorseinents or. policy language. 1)11111 RitI IaL9 -1iN 7::c0J MIDI �:. rfii"�It&IG�,y ": ill�.�l cel'1�1 7s>:711w - 13529467 City of Santa Ana Attn: PRCSA 20 Civic Center Plaza, M -23 Santa Ana CA 92701 ACORI7 25 f2014/01) ate; °'p��5p 'VNyy� rX .SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 'DELIVERED IN ACC'ORDANCE.. WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @1988-2014 ACORD CORPORA N. All rights reserved The ACORD name and logo are registered marks of ACORD