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URSAFUT•01 AGREEN <br />DATE(MMIDONYYY) <br />y� <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE <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(les) must be endorsed, If SUBROGATION IS WAIVED, subject to <br />the farms 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(st. <br />PRODUCER <br />Brown & Brown of Now York Inc. <br />900 Westchester Avenue, N•311 <br />Rye Break, NY 10973 <br />CONTACT <br />NRME: <br />PHONE337.1833 c Na 1]14 337.1598 <br />c No.a,,U:(914)..__....__......_....._.............-_� ..ia..,..._.k;..{.......�....� <br />ADDRESS, certificateSrrpp��bbinsn com <br />C 5.�._........_nyt.._......_.�.............._.._, <br />INSURER S APPORDING COVERAGE <br />NAIC If <br />INSURER A: Liberty Sur lus Insurance Corp <br />10725 <br />INSURED <br />INSURERS: <br />$ <br />INSURERC: <br />CLAIMSWADE 0 OCCUR <br />Urban Futures, Inc. <br />INSURER D: <br />- <br />17821 E. 17th Street <br />INSURER e: <br />Tustin, CA 92780 <br />INSURER P r <br />MED EXP (Anyone Person) <br />$ <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWTHSTANDING 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 />LTR <br />TYPE OF INSURANCE <br />AIM <br />INSO <br />WV0 <br />POLICY NUMBER <br />MMfbOf(YYY <br />MMIDDf <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMSWADE 0 OCCUR <br />- <br />PREMISES Ea ocanence <br />$ <br />MED EXP (Anyone Person) <br />$ <br />PERSONAL a ADV INJURY <br />GEN'LAGGREGATE <br />_ <br />UMITAPPUES PER: <br />GENFRALAGGREGATE <br />_$_ <br />$ <br />POLICY[JEa EE]LOC <br />PRODUCTS-COMPIOPAGG.$ <br />_ <br />COMBINED SINGL'U IT <br />Ea arsadaM <br />$� <br />AUTOMOBILE <br />OTHER: <br />LIABILITY <br />�— <br />SCOILY INJURY (Per person) <br />$_ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS <br />BODILY—INJURY (Par -aeeident) <br />$ <br />PE AMA <br />Paraaitlent <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />UMBRELLA UAB OCCUR <br />_ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR CLAIMB.MADE <br />DED RETENTION <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE ❑ <br />OFFICER(MEMBER EXCLUDED? <br />NIA <br />$ <br />E.L. EACH ACCIDENT <br />$ <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yyeas. describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />E&O(Cyber Liability <br />X <br />EOSNABET3NO01 <br />12t23t2019 <br />12]2312017 <br />Each ClainVAggregate <br />2,000,00 <br />A <br />E&O/Cyber Liability <br />EOSNASET3N001 <br />12/2312016 <br />1212312017 <br />Retention Each CWUT <br />80,00 <br />DESCRIPTION OE OPERATIONS I LOCATIONS I VEHICLES (ACORD Uni Additional Remarks Schedule, may he attached if mere apace Is required) <br />City of Santa Ana Is listed as an Additional Insured under the Errors & Omissions Liability policy. Waiver of Subrogatlon is included. <br />CERTIFICATE HOLDER CANCELLATION <br />Y <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />Attn: Teresa Ramirez <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />THE POLICY PROVISION <br />ACCORDANCE WITH S. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />i Santa Ana, CA 92701 <br />101990.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />ply <br />