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saw Ro® CERTIFICATE OF LIABILITY INSURANCE OATE(MMDDMYY) 2/13/2020 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 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 Van Wagner Agency 135 Crossways Park Drive P.O. BOX 9017 CONTACT NAME PHONE FAX 11-800-735-1588 l888-29"302 EWAIL ADDRESS INSURE S AFFORDING COVERAGE NAIC• Woodbury NY 11797 INSURER A: Great American Assurance Company 26344 Licensall: BR-14185 8 REACEMP-01 Assistance, Inc EAnaheA SURER B: INwREac: INSURERD: e, #230 INSURER E 05 INSURER F: COVERAGES CERTIFICATE NUMBER: 2056513644 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 T TYPE OF INSURANCE ADDL SUB POLICY NUMBER MM ICY EFF MOLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILIIj GLP 478-88-02 V17CO20 V172021 EACH OCCURRENCE $I'"." CLAIMS -MADE M OCCUR / PREMISES E $10DDDO MED EXP (Myme person) $ 5.000 PERSONAL 8 ACV INJURY $1.000.000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 %( POLICY �J�� LOC PRODUCTS - COMP/OP AGG $3,000,000 $ OTHER: AUTOMOBILE LIABILITY M INEDt SINGLE LIMIT (Ea acc,der $ BODILY INJURY (Per person) E ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY( Per awdwi) $ PROPERTY D E (Per accidentl $ NON -OWNED HIRED AUTOS AUTOS E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER TH- STATUTE ANY PROPRIETOR/PARTNERIEXECUrIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Rofassional Liability / GLP 47888-248 V172020 2/172021 Each Incident $1900,000 Aepegate $3,000.0D11 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is regWred) REVIEWED & APPROVED By Risk MANACIEMENT DIVISION JU 4 2020 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE / THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Employee Benefits M-34 / Attn: Carrie Hanes AUTHORIZED REPRESENTATIVE P.O. BOX 1988 Santa Ana, CA 92702-1988 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD