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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM <br />06/29/2018 YY, <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 have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Northeast, Inc. <br />New York NV Office <br />CONTACT <br />NAME: <br />(866) 283-7122 FAX (800) 363-0105 <br />(NC. No.EM): FAX <br />No.: <br />E-MAIL <br />199 Water Street <br />New York NV 10038-3551 USA <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURED <br />INSURERA: Great Northern Insurance CO. 20303 <br />ICF Jones & Stokes, Inc. <br />INSURER B: Federal Insurance Company 20281 <br />Attn: Misha Freilmann <br />9300 Lee Highway <br />INSURER C: Continental Casualty Company 20443 <br />INSURER D: <br />Fairfax, VA 22031 USA <br />INSURER E: <br />$1,000,000 <br />PREMISES Ea occurrence <br />MED ERE (Any one person) $10,000 <br />INSURER F: <br />COVERAGES CERIIFiCAIC NUMBER: 570072I0/52/ RCVIJIUNINUIVIOMM: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITH STANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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. Limits shown are as requested <br />LTR <br />TYPE OF INSURANCE <br />INS <br />WVD <br />POLICY NUMBER <br />MMIDDI <br />MMrDD/Y <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $1,000,000 <br />CLAIMS MADE � OCCUR <br />Package - Domestic <br />$1,000,000 <br />PREMISES Ea occurrence <br />MED ERE (Any one person) $10,000 <br />X Contractual Liability <br />PERSONAL & ADV INJURY $1,000,000 <br />GEN IT AGGREGATE LIMITAPPLIESPER <br />GENERAL AGGREGATE $2,000,000 <br />X POLICY PRO LOC <br />PRODUCTS-COMP/OPAGG $2,000,000 <br />OTHER <br />A <br />AUTOMOBILE LIABILITY <br />73522955 <br />Automobile - All States <br />07/01/2 018 <br />07 /01/2019 <br />COMBINED SINGLE LIMIT $1,000,000 <br />(Ed accident) <br />BODILY INJURY ( Per person) <br />X ANY AUTO <br />BODILY INJURY (Per accident) <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />;� HI RED AU TOS X NON OWNED <br />ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />(Per acciden[ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />EXCESS LIAB <br />CLAIMSMADE <br />DED <br />RETENTION <br />B <br />WORKERS COMPENSATION AND <br />EMPLOVERS'LIABILITY VIN <br />ANY PROPRIETOR /PARTNER/ EXECUTIVE <br />71754337 <br />Workers Compensation <br />07/01/2 018 <br />07 /01/2019 <br />X PER OTH- <br />STATUTE ER <br />EL. EACH ACCIDENT $1,000,000 <br />0FFICEwMEMBER EXcw DED' N <br />(Mandatory in NHQ <br />NIA <br />EL. DISEASEEAEMPLOYEE $1,000,000 <br />under <br />If yes DESCRIPTION <br />DESCRIPTION un OPERATIONS below <br />EITDISEASE-POLICY LIMIT $1,000,000 <br />C <br />E&O-MPL-Primary <br />652011911 <br />07/01/2018 <br />07/01/2019 <br />Prof Liab Agg - All $1,000,000 <br />Errors & Omissions <br />Overall policy aggri $1,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insureds as <br />their interests may appear with respects to General Liability. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />O <br />Z <br />d <br />A <br />U <br />C <br />N <br />U <br />City Of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE _ <br />POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE -_ <br />20 Civic Center Plaza (M-30) <br />PO BOX 1988 <br />Santa Ana CA 92702 USA <br />_ <br />�/ E <br />/y1 lilt/- //"��d rlaz � <br />cYY09L@1998888-2015 ✓AII <br />ACORD CORPORATION. rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />