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AC"R & CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDD/YYYY) <br />TYPE OF INSURANCE <br />5/19/2016 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER Keenan & Associates <br />2355 Crenshaw Blvd., Suite 200 <br />Torrance, CA 90501 <br />CONTACT <br />PHONE FAX <br />c 310 - 212 -0363 uc Na : 310 - 212 -0363 <br />EMAIL <br />ADORES& <br />INSURERS AFFORDING COVERAGE <br />NAICA <br />www.keenan.com 0451271 <br />INSURER A: Zurich American Insurance Co. <br />16535 <br />INSURED <br />Keenan & Associates <br />INSURER B: <br />MED EXP Any one person) <br />$ <br />PO Box 4328 <br />INSURER C: <br />PERSONAL &ADV INJURY <br />2355 Crenshaw Blvd., Suite 200 <br />Torrance CA 90501 <br />INSURER D: <br />GENERAL AGGREGATE <br />INSURER E: <br />PRODUCTS -COMPIOPAGG <br />INSURER F: <br />$ <br />l91'Ia:PW 4-�"R Y I IirdL\li CUIId aM.- i0LOART'r ay11f- 9(�1d�d111,A1e1 - <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 INSURANCE <br />ADDL <br />SUER <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />L� <br />`V\ <br />ryVl� <br />1 <br />/p �/ <br />v <br />EACH OCCURRENCE <br />$ <br />DAMAGET R NTED <br />PREMISES Ea occurrence)5 <br />MED EXP Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY [71 PEOT D LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS -COMPIOPAGG <br />$ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />n,l h.t( <br />j� <br />\ <br />Z <br />\ <br />COMBINED SINGLELIMIT <br />Ea accident <br />$ <br />BODILY INJURY(Per person) <br />$ <br />BODILY INJURY ( Per accdent I <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED I I RETENTION$ <br />I $ <br />A <br />AND EMPLOYRSELABILIITY YIN <br />RIETONPARTNERJE <br />OFFCERPMEMB REXCLUDEOp ECUTIVE <br />(Mandatory In NH) <br />If yes, descrlbs under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WC 5896463 -03 <br />10116/2015 <br />10/16/2016 <br />�/ STATUTE ✓ EERH <br />E.L. EACH ACCIDENT <br />$ $1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ $1090000 <br />E.L. DISEASE - POLICY LIMIT <br />If $1,060,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />ACORD 25 (2016/03) <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 />AUTHORIZED REPRESENTATIVE <br />John Stephens <br />The ACORD name and logo are registered marks of ACORD <br />29981394 I KE2NA6 S I Maa¢er Certificate 2015/2016 1 Ingrid Darman 1 5/19/2016 0:35:01 AM (PM I gaga 1 of 2 <br />