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ACORO° CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />12/18/2018 <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 />CONTACT Josie Ruzette <br />NAME: <br />Newfront Insurance Services, LLC <br />A/CNNo Ext: (415) 754-3635 (FAX, No: <br />E-MAIL <br />ADDRESS: josie.ruzette@newfrontinsurance.com <br />101 2nd Street <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Suite 525 <br />INSURERA: Hartford <br />EACH OCCURRENCE <br />San Francisco CA 94105 <br />INSURED <br />INSURER B: Hartford <br />INSURER C: Hartford <br />Chattel, Inc. <br />INSURER D: Hartford <br />TO RENTED <br />PREMISES Ea occurrence <br />$ 1 000 000 <br />INSURER E: CNA Insurance <br />CLAIMS -MADE � OCCUR <br />13417 Ventura Blvd <br />INSURER F: <br />Sherman Oaks CA 91423 <br />COVERAGES CERTIFICATE NUMBER: 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 INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />r <br />EACH OCCURRENCE <br />$ 1,000,000 <br />XDAMAGE <br />COMMERCIAL GENERAL LIABILITY <br />TO RENTED <br />PREMISES Ea occurrence <br />$ 1 000 000 <br />CLAIMS -MADE � OCCUR <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />A <br />X <br />57SBABK9041 <br />2018-08-01 <br />2019-08-01 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />X POLICY PROECT LOC <br />J <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />B <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />57SBABK9041 <br />2018-08-01 <br />2019-08-01 <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />�/ NON -OWNED <br />HIRED AUTOS X AUTOS <br />X <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ 1,000,000 <br />C <br />EXCESSSLLIAB <br />CLAIMS -MADE <br />57SBABK9041 <br />2018-08-01 <br />2019-08-01 <br />DED X RETENTION $ 10,000 <br />$ <br />WORKERS COMPENSATION <br />X WC STAT <br />D <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER/MEMBEREXCLUDED? ❑Y <br />(Mandatory in NH) <br />NIA <br />57WECAB9AXK <br />2018-08-01 <br />2019-08-01 <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />E <br />Errors & Omissions <br />EEH114048832 <br />2018-11-21 <br />2019-11-21 <br />$1 M Per Occur/$2M Gen Agg <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />The City of Santa Ana, its officers, employees, agents and representatives are named as additional insured as their interest may appear with respects to the <br />operations of the named insureds. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Anna <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Finance and Management Services Agency <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />r <br />ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />