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A� ®® CERTIFICATE OF LIABILITY INSURANCE DATE (19/2DN ) 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 pollcy(les) 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 endorsements . PRODUCR MarshE& McLennan Agency LLC 409 E Monument Ave, Ste 400 Dayton OH 45402 T Nicola Hall PHONE Fax c Na Ear 937.228.4135 AIX No: ADDRIESS: INSURERS AFFORDING COVERAGE NAICR INSURERA: Travelers Property Casualty Co of Amer 25874 INSURED 4454 Ide Inc. Center Blvd. 454 de INSURER B: Phoenix Insurance Company 25623 INSURER C: Charter Oak Fire Ins Co. 25615 INSURER D: Underwriters at Lloyd's London 55655 Dayton OH 45430 INSURER E: Ohio Casualty Insurance Company 24074 INSURER F : COVERAGES CERTIFICATE NUMBER: 2140913277 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. ILTR TYPE OF INSURANCE AO La POLICY NUMBER POLICY EFF MMIDO POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR P6309D576779 12131/2016 3/312018 EACH OCCURRENCE $1,000,000 AMA TORENT PREMISES Ise occu a ce $500,000 MED EXP (Any one person) s 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY FX] JEC CT FXI LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGO $2,000,000 $ OTHER: C AUTOMOBILE LIABILITY P8109D21995A 12/31/2016 3/312018 — COMBINED SINGLET I MIT (Ed accident $1 000000 X BODILY INJURY (Per person) $ ANY AUTO AU OS AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AUTOSPSCHEDULED NO -CMED X PROPEaccRTY DAMAGE $ X $ Comp: 500 Coil: 1,000 A UMBRELLA LIAB X OCCUR CUP9D21995A 12/31/2018 3/31/2018 EACH OCCURRENCE $10.000.000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $10,000,000 DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED7 NIA UBBJ5386871743G 12/312017 3/31/2018 X SEATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L, DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ L000,000 DESCRIPTION OF OPERATIONS below E D Excess Llablllty Cyber Liability ECO1755844048 W187DBI50301 12/31/2016 12/31/2017 3131/2018 3/312019 01 Limit 5,000,000 01 Limit 5,000,000 Fineman 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Santa Ana, Its officers, employees, agents, volunteers and representatives are included as Additional Insured with respects to the above General Liability and Automobile Liability when required by written Contract This Insurance is prlmary/noncontributory on the General Liability policy for the Additional Insured when such liability accrues from an act or omission of the named insured on the policy. Waiver of subrogation applies to the General Liability and Auto Liability policy when requlred by written contract. Cancellation clause is amended to 30 days except for 10 day notice of cancellation for non-paymen o remlum per policy provisions. City of Santa Ana 20 Civic Center Plaza (M-30) PO Box 1988 Santa Ana CA 92702-1988 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 REPRESENTATIVE ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD All rlahts reserved_