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ACORD® lkl CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 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 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 Lockton Companies ON A 3280 Peachtree Road NE, Suite #250 NAME: gan P ONE Atlanta GA 30305 ETaaL FAX No (404) 460-3600 ADDRESS: INSUR S AFFORDING COVERAGE NAICN INSUREDINSURER A: National Fire Insurance Co of Hartford 20478 144Vacant PropertySecurity LLC INSURER B: The Continental Insurance Corn an 446275 1230 Veterans Highway, Suite F3 35289 INSURER c :Ame-ri1can Casual Comp an of Readin PA 20427 Bristol PAl9oo7 INSURER D:Berkle Insurance Co m an 32603 INSURER E CGVERAGFS roerrv,n.r.-. INSURER F: THIS INDICATED. CERTIFICATE EXCLUSIONS IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH OF PERTAIN, POLICIES. INSURANCE r»DIj» LISTED BELOW HAVE BEEN ISSUED TO TERM OR CONDITION OF ANY CONTRACT THE INSURANCE AFFORDED BY THE POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY THE INSURED OR OTHER DESCRIBED PAID CLAIMS. REVISION NUMBER: NAMED ABOVE FOR THE DOCUMENT WITH RESPECT HEREIN IS SUBJECT TO ,`{�{xxxxx POLICY PERIOD TO WHICH THIS ALL THE TERMS, INSR TR TYPE OF INSURANCE AODL SUBR POLICYEFF POLICY NUMBER MMIDD POLICVEXP M p LIMITS A X COMMERCIALGENERALUASIUTY CLAIMS -MADE OCCUR Y N 6072126021 6/3/2019 6/3/2020 EACH OCCURRENCE $ 1000000 PREMISES EaEocclleanca $ 300 000 MED EXP (Any one ) $ 15,000 PERSONAL SADV INJURY $ 1000000 GEN'L AGGREGATE LIMB APPLIES PER: GENERALAGGREGATE $ 2 000 000 A POLICY ❑ OTHER JEo- LOC AUTOMOBILE LIABILITY X ANYAUTo OWNED SCHEDULED HIRED N AUTOS ONLY AUTOS AUTOS AS L UTOONY AUTOS ONLY N N 6072126648 6/3/2019 6/3/2020 PRODUCTS-COMP/OPAGG $ 2 000 000 MBINED SI LE LIMIT (Fa accident) $ 1000000 BODILY INJURY (Per parson) $ XXXXX}C7C BODILY INJURV(Per acdtlent) $ xxxxxxx PROPERTYDAMAGE Per accident $ xxxxxxx EACH OCCURRENCE $ xxxxxxx $ 25,000,000 H X UMBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS -MADE N N 6072126634 6/3/2019 6/3/2020 AGGREGATE $ 25 000 000 DED RETENTION$ C WORKERS COMPENSATION AND EMPLOYERS'LIABILRY YIN EXCLUDED ANY ECUrIVE ONIA In NH)fyes,describe N 6072126617 6/3/2019 6/3/2020 PER ERH-OFFICERIMEMBER T =EMPLOYES $ 1000000(Mandatory PLOYE $ 1000 O00DESCRIPTION D under OF OPERATIONS below Crime N N BCCR45000270-24 613M19 6/3/2020 Y LIMIT Limit: $10,000,000 $ 1000000 Deductible: $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may ba atlechad if more spass is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRD?R$ LISTED AND THE POLICY TERMS) REFERENCED. The City Of Santa Ana, its Officers, employees, agents, and representatives are mcl s Additional Insured in accordance with the policy provisions of the General Liability policy. & APPRO, REVIEWED By Risk MANAGEMENT DIVISION 19 2019 CERTIFICATE Nni nFC 15367553 City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ©1988-2019 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD