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AC RQ® CERTIFICATE OF LIABILITY INSURANCE
<br />°ATE`MM1°°"""
<br />1110812017
<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 have ADDITIONAL INSURED provisions or be endorsed,
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s),
<br />PRODUCER
<br />Marsh Risk & Insurance Services
<br />17901 Von Karman Avenue, Suite 1100
<br />(949) 399.5800; License 90437153
<br />Was, CA 92614
<br />CONTACT
<br />NAME:
<br />NCNNo. Exth FAX
<br />Noi:
<br />E-MAIL
<br />ADDRESS,
<br />...-,,._�e.......- .................... ......_......._.—
<br />INSURERS AFFORDING COVERAGE NAGff
<br />11/0312017
<br />INSURER A: As en Insurance OR Ltd 1120337
<br />TBD --Full-17-16
<br />INSURED IPC (USA), INC.
<br />INSURER e : IJO ds Of London And London Cam anies
<br />INSURER C:
<br />ATTN: RAHUL JAIN
<br />TEL NO.949.64&5677
<br />4 HUTTON CENTRE DRIVE, SUITE 700
<br />INSURER D:EEEI
<br />INSURER E:
<br />SANTA ANA, CA 927077
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: LOS -002179476-06 REVISION NUMBER: 18
<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 />INR
<br />LTR
<br />TYPEOFINSURANCE
<br />AODL
<br />War,
<br />SUER
<br />VVVT,
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM itg
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL IABLITY
<br />CLAIMS -MADE � OCCUR.
<br />X
<br />80509MARLW1700448
<br />11/0312017
<br />11103/2018
<br />EACH OCCURRENCE 5 1,000,000
<br />DAMAGE TO
<br />PREMI E, eoccurraace S 7,090,000
<br />MED EXP An one parson) 5 10,900
<br />PERSONAL & ADV INJURY S 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY ❑ PRO- JECT 0 LOC
<br />GENERALAGGREGATE S 2,000,000
<br />PRODUCTS - COMPIOP AGO S 2,000,900
<br />S
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE
<br />eaBIEDSINGLE LIMIT S
<br />BODILY INJURY (Per person) 5
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURYPer ancident $
<br />C 1
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />L
<br />PROPERTY DAMAGE S
<br />UE'VAIROKS1011-
<br />S
<br />B
<br />UMBRELLA UAB.
<br />X
<br />OCCUR
<br />80509MARL'N1700443
<br />11103/2017
<br />11'0312016
<br />EACH OCCURRENCE g 5,900,909
<br />X
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />AGGREGATE S 5,000,006
<br />PED I I RETENTIONS
<br />EXCESS OF g 1,000,009
<br />I
<br />WORKERS COMPENSATION
<br />PER 01'14- _ `-'----
<br />ANDEMPLOYERTUASILITY YIN
<br />STATUTE E
<br />E.L. EACH ACCIDENT $
<br />ANYPROPRIETOMPARTNEILEXECUTIVE
<br />OFFICERIMEMSEREXCLUDED9 N
<br />N(A
<br />E.L. DISEASE -EA EMPLOYEE 5
<br />(Mandatory In NH)
<br />It you, descabe under-
<br />-------
<br />E.L. DISEASE -POLICY LIMIT S
<br />,DESCRIPTIONOFOPERATIONShe.
<br />DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD HI, Additional Remarks Schedule, maybe attached if more apace is required)
<br />The City of Santa Ana Its officers, employees, agents, volunteers and representatives are Included as additional insured where caseload by written contract. The insurance Is primary and non-contributory over any
<br />existing insurance and limited to liability arising out of the operations of the named Insured subject to policy tenns and conditions. Sudden and accidental pollution for Bodily duty and Prosody Damage as per
<br />Endorsement CGU12B. The General Hastily shall require insurer to provide mint mum of 60 calendar days' notice to the U.vner {Named Insured) for any material change In coverage, cancellation, or non,renewal,
<br />except for non-payment of premium which shall provide 15 days' notice.
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Attn: Purchasing Depadment
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />24 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Santa Ana, CA 92791
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh Risk & Imemmus, SeNlnas
<br />L. Lambey le�
<br />(91088-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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