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Rp® CERTIFICATE OF LIABILITY INSURANCE DATE 1 077/03/2/03/2017 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, ANDTHE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or 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 York Alternative Risk Solutions, LLC 333 City Blvd. West, Ste. 1500 Orange, CA 92868 NAMEA Cheryl TrawiCk PHONE 205-870-1448 F'ix 614-717-6371 FONAIC No 'MAIL Che I Trawick orkrs com ADDRESS: ry @Y g INSURER(S) AFFORDING COVERAGE RAID# COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR INSURER A:Arch Insurance Company 11150 INSURED Onex York Holdings Corp. INSURER B: INSURER C: and its Subsidiaries 1 Upper Pond Road Building F, 4th Floor INSURER D: INSURER E: Parsippany, NJ 07054 INSURER F COVERAGES CERTIFICATE NUMBER:VHZAX9Y9 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 POLICIES 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 ADDLSUBR Wyp POLICY NUMBER POLICY EFFPOLICY MM/DD/YYYY ERP MMIDDM'YY LIMITS AEACH X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR ZAGLB1820001 07/01/2017 07/01/2018 OCCURRENCE $ 1,000,000 A A ESO RENT 300,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER: PRO- POLICY D PRO- LOC JECT GENERAL AGGREGATE $ 2,000,000 GEN'L PRODUCTS 5 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY ZACAT1811401 07/01/2017 07/01/2018 COMBINED SINGLE LIMIT Ea accident 1,000,000 X ANY AUTO _ ZACAT1 812101 - State of MA only BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS 1 BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARfNERDXECUTIVE OFFICER/MEMBER EXCLUDED? NIA ZAWC11804401 07/01/2017 07/01/2018 XPER OTH- S ATU E ER E.L. EACH ACCIDENT $ 1,0001000 E. L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) THE CITY OF SANTAANA, ITS OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED (EXCEPT WORKERS COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT. THIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY OVER ANY EXISTING INSURANCE AND LIMITED TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED AND WHERE REQUIRED BY WRITTEN CONTRACT WITH REGARD TO GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION Page 1 of 3 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ��vv&k It, "rr S ( 0 ¢ �, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Finance Department 3rd Floor 20 Civic Center Plaza M17 AUTHORIZED REPRESENTATIVE SANTA ANA, CA 92701 Page 1 of 3 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ��vv&k It, "rr S ( 0 ¢ �,