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Awa® CERTIFICATE OF LIABILITY INSURANCE <br />4/27/2016Dmrr) <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 policy(les) must be endorsed. If 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 rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher Risk Management Services, Inc. <br />300 South Riverside Plaza <br />Suite 1900 <br />CONTACT Victoria Ochocinski <br />PHONE 312-803-7380 FAX312-803-7443 <br />Exf)E-MAIL <br />. victoria_ochocinski@ajg.com <br />INSURERS AFFORDING COVERAGE NAIC# <br />Chicago IL 60606 <br />INSURERA:Zurich American Insurance Company 16535 <br />GLO337400012 <br />INSURED <br />INSURER BArch Insurance Company 11150 <br />INSURERC:American Guarantee and Liability In 26247 <br />Rexel Holdings USA Corp <br />Dallas Pkwy. <br />a <br />Dallas <br />Dallas TX 75254-6533 <br />INSURERD:Arch Specialty Insurance Company 21199 <br />INSURER E:HCC Specialty Insurance Company11243 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 1688410751 REVISION NUMBER: <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 REDUCED BY PAID CLAIMS, <br />INSR <br />LTR <br />TYPE OF INSURANCEADDLSUbK <br />INSD <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />,X COMMERCIAL GENERAL LIABILITY <br />GLO337400012 <br />1/1/2016 <br />1/1/2017 <br />EACH OCCURRENCE $1,000,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGES( RENTED <br />PREMISES Eeoccurrence)$300,000 <br />MED EXP Any one person) $10,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $2,000,000 <br />X POLICY E JECTPRO- ❑ LOC <br />PRODUCTS - COMP/OPAGG $2,000,000 <br />$ <br />OTHER: <br />B <br />D <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />41 CAB4940508 <br />41 CAB4940608(MA) <br />1/1/2016 <br />1/1/2016 <br />1/1/2017 <br />1/1/2017 <br />COMB NED SI NG <br />Ea accident $2,000,000 <br />X <br />BODILY INJURY (Per person) $ <br />ALTOWNED SCHEDULED <br />AUTOS <br />BODILY INJURY (Per accident) $ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per accitlent <br />C <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />A000337400112 <br />1/1/2016 <br />1/1/2017 <br />EACH OCCURRENCE $14,000,000 <br />AGGREGATE $14,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO RETENTION$ <br />$ <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERVLIABILITY YIN <br />41WC14940208 <br />44WC10502201(NY) <br />1/1/2016 <br />1/1/2016 <br />1/1/2017 <br />1/1/2017ANY <br />PER OTH- <br />STATUTE ER <br />XECUTIVE <br />E.L. EACH ACCIDENT $1,000,000 <br />OFFICER/MEMBER EXCLUDED' F7 <br />NIA <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DE SCRIPTION OF OPERATIONS below <br />E. L. DISEASE -POLICY LIMIT 1 $1,000,000 <br />E <br />Excess Automobile <br />S16XC50022-00 <br />1/1/2016 <br />1/1/2017 <br />EACH OCCURRENCE 3,000,000 <br />AGGREGATE 3,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insureds solely with respects <br />to General Liability coverage as evidenced herein as required by written contract. <br />'�jar�J" egnr„v <br />CERTIFICATE HOLDER CANCELLATION <br />The City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />{ <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />