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'c�►eo°� CERTIFICATE OF LIABILITY INSURANCE
<br />FDATE(MM/DD/YYYY)
<br />09/19/2019
<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 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
<br />CONTACT Stacey Campbell
<br />NAME:
<br />KIA Insurance Associates, Inc,
<br />PHONE (661) 835-4542 AIC (661) 835-4500
<br />No);
<br />License # 0416101
<br />E-MAIL scampbell@kernins.com
<br />ADDRESS:
<br />P.O. Box 11390
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />Bakersfield CA 93389-1390
<br />INSURERA: Travelers Casualty Insurance Co of America
<br />19046
<br />INSURED
<br />INSURER B : Travelers P & C Cc America
<br />25674
<br />Infinity Communications & Consulting, Inc.
<br />20478
<br />INSURER C: National Fire Insurance of Hartford
<br />P.O, Box 999
<br />INSURER D : Certain Underwriter at Lloyds
<br />INSURER E:
<br />Bakersfield CA 93302
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 19-20 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 />LTR
<br />TYPE OF INSURANCEJUL
<br />POLICY NUMBER
<br />PMMLDWYYYy
<br />POLICY
<br />m iawyyyy
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FXI OCCUR
<br />. EACH OCCURRENCE
<br />$ 2,000,000
<br />DAMA
<br />PREMISES Ea urrence
<br />300000
<br />$ ,
<br />MED EXP (Any oneperson)
<br />_
<br />$ 5,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000.000
<br />A
<br />680001J742131
<br />02/17/2019
<br />02/17/2020
<br />GEN'LAGIOREGATE LIMITAPPLIES PER:
<br />POLICY Q PRO- ❑
<br />}}-....J!!! JECT LOC
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />4,000,000
<br />$
<br />PRODUCTS -COMP/OP AGG
<br />OTHEI4
<br />_ _
<br />$
<br />$ 1,000,000
<br />AUTOMOBILE
<br />LIABILITY
<br />COh1HINED5INGLELIMiT
<br />a aGGklanl
<br />X
<br />BODILY INJURY (Per person)
<br />ANYAUTO
<br />$
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BA9N276397 19
<br />10/24/2019
<br />10/24/2020
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />$
<br />Uninsured motorist
<br />$ 1,000,000
<br />UMBRELLA LAB
<br />X
<br />OCCUR
<br />EACIi (7C:GURRENCE
<br />$ 2,000.000
<br />X
<br />AGGREGATE
<br />$ 2,000,000
<br />B
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />CUP002J348555
<br />02/17/2019
<br />02/17/2020
<br />DED I I RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />ANDND EMPLOYERS' LIABILITY Y I N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICERIMEMBEREXCLUDED7
<br />(Mandatory in NH)
<br />II yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />4018266026
<br />07/01/2019
<br />07/01/2020
<br />/� STATUTE 11TH-
<br />$ 1.000.000
<br />1,000,000
<br />1,000,000
<br />E.L, EACH ACCIDENT
<br />E L. DISEASE - EA EMPLOYEE
<br />E L. DISEASE - POLICY LIMIT
<br />D
<br />Professional Liability claims made
<br />CR-164984
<br />08/19/2019
<br />08/19/2020
<br />per claim
<br />aggregate
<br />$2,000,000
<br />$2.000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is reclulrod)
<br />RE: Santa Ana Public Library. The City of Santa Ana, Risk Management 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents
<br />and representative are named as additional insureds and coverage is primary and non-contributory for General Liability per written contract and attached
<br />endorsements
<br />REVIEWED & APPROVED
<br />By RISK MANAGEMENT DIVISION
<br />City of Santa Ana Risk Management
<br />20 Civic Center Plaza M-23
<br />Santa Ana
<br />I Y LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />EXPIRATION THEREOF, NOTICE
<br />FRANCINE R. VILLA ZEAtORDANCE WIDTH ATE T1 E POLICY PROVISIONSL BE DELIVERED IN
<br />AUTHORIZED REPRESENTATIVE
<br />CA 92702r—
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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