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ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYW) ��- 06/30/2017 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lockton Affinity, LLC Lockton Affinity, LLC NCNNo Ext :877-487-5407 NC No: 913-652-7599 E-MAIL P.O. Box 874952 ADDRESS: INSURERIS) AFFORDING COVERAGE NAIC# Kansas City, MO 64187-4952 INSURERA:Certain Underwriter's at Lloyd's, London AA1122000 INSURED INSURER B 1st Pennsylvania Light Artillery, Battery "B^ Division of Union Army of the West INSURER D: 39266 Calle De Companero INSURER E: Murrieta, CA 92562 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 POUCIES 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 ADDLS INSD BR WVD POLICY NUMBER POLICY EFF (MWDMWYI POLICY EXP MMIDD/YW LIMITS A X COMMERCIAL GENERAL LIABILITY y L201619110 11/02/2016 11/02/2017 EACH OCCURRENCE S1,000,000 DAMAGE 10 HEN HEL, PREMISES Ea occurrence S 300,000 CLAIMS -MADE OCCUR MED EXP(Any one person) S5,000 PERSONAL B ADV INJURY 51, 000, 000 AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $1,000,000 GEN'L X POLICY JERCT 171 LOC PRODUCTS. COMP,OPAGG $1,000,000 IS OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accdent $ BODILY INJURY (Per person) S ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS QJ �� • •I� \ BODILY INJURY (Per amident) S PROPERTY DAMAGE Peraccident S e� UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE �� - ` V `QJ •� EACH OCCURRENCE $ AGGREGATE 8 DIED RETENTIONS $ G WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANY PROPRIEfORIPARTNER/ ECUTIVE OFRCEWMEMBER EXCLUDED? ❑ (Mandatory in NH) NIA �� G� y Q G� I PER STATUTE ERH EL EACH ACCI DENT $ E.L. DISEASE - EA EMPLOY S If Yes, describe under E.L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents and representatives are named as additional insureds with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured for Event dated 07/01/17 - 07/08/17. This insurance is primary and non-contributory if required by contract. Notice of Cancellation Initiated by the Company: for non-payment- 10 Days; for other reasons: 30 Days Notice of non -renewal Initiated by the Company: 10 Days. Failure to provide notice will not invalidate the cancellation or non -renewal. no NAIC number an. above is the Alien Insurer Identification Number (AIIN) assigned by the National Association of Insurance Co,®iss s (NAIC) 940960 City of Santa Ana, its officers, employees, agents SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN and volunteers ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED PRESENTATIVE Santa And, CA 92701 1988-2014 AIJORDICORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered tarks of ACORD 23514698 940960