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AC"Rbr CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDNYYY) <br />8/2/2019 <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 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 />Wood Gutmann & Bogart Insurance Brokers <br />15901 Red Hill Ave., Suite 100 <br />Insurance License #0679263 <br />Tustin CA 92780 <br />CONTACT <br />NAME: Jamie Bingham <br />PHONE 714-824-8380 n/c N. <br />noortlEss: Jamie bib.com <br />INSURE S AFFORDING COVERAGE <br />NAICS <br />INSURER A: National Surety Corp. <br />21881 <br />INSURED ADVAN31 <br />Advantage Mailing, LLC A-2017-010,A-2017-010-01 <br />FC Printing, LLC <br />INSURER a: Arch Insurance Company <br />21849 <br />INSURER c:Lloyds ofLondon <br />85202 <br />INSURER D: <br />1600 N. Kraemer Blvd <br />Anaheim CA 92806 <br />INSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1859703496 RFVIRIr1N NUMRFR- <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 />IN SR <br />LTR <br />TYPE OF INSURANCE <br />IADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />MOLICY YYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LABILITY <br />CLAIMS -MADE X OCCUR <br />Y <br />DXJBM6342 <br />7/152019 <br />711M020 <br />EACH OCCURRENCE <br />31,000,000 <br />RENTED <br />PREMISES se occurrence <br />$Ica," <br />N ED EXP (Any one parson) <br />$ 5,00o <br />PERSONAL B ADV I INJURY <br />$1.000,000 <br />GENL <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY D PRO- <br />JECT LOC <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMP/OP AGG <br />$2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILELUIBILITY <br />DXJ80998342 <br />7/152019 <br />7/152020 <br />WMBINED UINGUE LIMIT <br />Me accident <br />$1 000 000 <br />X <br />BODILY INJURY (Per Pereon) <br />s <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />( ) BODILY INJURY Per eccitlent <br />$ <br />HIREDAUTOS ANUTOSWMED <br />PPgr W&Id DAMAGE <br />$ <br />A <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />XAU3241MN <br />7/152019 <br />7/152020 <br />EACH OCCURRENCE <br />$5p00,000 <br />AGGREGATE <br />$5,000,MO <br />EXCESS UAB <br />CLAIMS -MADE <br />DED <br />RETENTION$ <br />$ <br />B WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />ZAWCI1803100 <br />7/152019 <br />7/1/2020 <br />X PER O - <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$1p00,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1.000.o i <br />(Mandatory in NHt <br />It yes, de6Cllbe Ilrider <br />E.L. DISEASE - POLICY LIMIT <br />$1,000.000 <br />DESCRIPTION OF OPERATIONS below <br />C Advertising & Communications Limb <br />CR163783 <br />1=112018 <br />10/3112019 <br />$5,0000D) Limit $25K Retention <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />The City of Santa Ana Risk Management, it's officers, employees, agents, and representative are named as additional insured on the General Liability per <br />CG71930114 as required by written contract subject to the terms and conditions of the policy. Primary and Non -Contributory applies on the General Liability <br />per attached CG71930114. Notice of Cancellation Wording Applies to the General Liability (form to follow). <br />REVI WED & APPROVED <br />y R MANAg1EMENT DIVISION <br />-M aside <br />M. LAMBERT <br />The City of Santa Ana Risk Management <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <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 />1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />