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�" CCOR0 CERTIFICATE OF LIABILITY INSURANCE DATE/2018 IYYYY)
<br />�,,,,,�,,,,....-• o5rzz2ole
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGI4TS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW, TI.118 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 polioy(les) 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 rilghts to the certificate holder In lieu of such endorsement s).
<br />PRODUCER
<br />{Harsh Risk R Insurance Services
<br />17901 Von Karman Avenue Suite 1100
<br />(949) 399.5800; License #0437163
<br />Irvine, CA 92614
<br />CONTACT
<br />NAME:
<br />N o Ext . AANo ;
<br />JAIC
<br />MAIL
<br />INSURERS AFFORDING COVERAGE
<br />NAIC i!
<br />INSURER : Hartford Fire Insurance Company,,.,..--19682
<br />318366-STND•GAWUI.18.19
<br />INSURED
<br />First American Financial Corporation
<br />INSURER B : Commerce and Indust InsuranceCOm an
<br />19410
<br />INSURER c : Trumbull Insurance Company
<br />27120
<br />First American Title Insurance Company
<br />1 First American Way
<br />Santa Ana, CA 92707
<br />INSURER D ;Twin City Fire Insurance Comp@DL_
<br />-
<br />29469
<br />INSURER E: National Union Fire Ins. Co, of Pittsburgh, PA 119446
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: LOSZ2300202.12 RF.VISION NIIIMI
<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 />iim LSR
<br />TYPE OF INSURANCE
<br />ADDL
<br />S BR
<br />POLICYNUMBER
<br />72CSER32911
<br />1$
<br />POl)CYIrM
<br />Y
<br />0610112018
<br />EXP
<br />MnNy
<br />06101/2019
<br />LIMITS
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />OCCUR
<br />X
<br />DAMAGCLAIMS-MADE
<br />Egog E c rr ce PREMISESS E
<br />(
<br />$ 1,000,000
<br />MED EXP (An one person)
<br />$ N/A
<br />GEN'L
<br />X
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY C jF Q I " I LOC
<br />OTHER;
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS, COMPIOP AGG
<br />$ 2,000,000
<br />A
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />720SER32909
<br />06/0112018
<br />06101/2010
<br />Fa asl INdE�D�SINGLE LIMIT
<br />$ 3,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />PROP t1)1AMAGE
<br />Par acalda t
<br />$
<br />X
<br />UMRELLALIAB
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />BE043171631
<br />06101/2018
<br />06/0112019
<br />EACH OCCURRENCE
<br />2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />DED RETENTION $
<br />$
<br />C
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITYJE
<br />YIN
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMSEREXCLUDED? FN
<br />(Mandatory in NH)
<br />It yas, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N 1 A---
<br />72WNR32908 (AOS)
<br />72wI 06489 ( WI)
<br />0610112018
<br />0610112619
<br />0610112019
<br />X SER U o7RH
<br />F.L.EACH ACCIDENT
<br />$ 1000,000
<br />121, DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />E
<br />Internet LlabilitylCyber Risk
<br />01-426-46-63
<br />0610112018
<br />0610112019
<br />Each Claim:
<br />SIR - various per pollcy
<br />6,000,000
<br />DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required)
<br />REVIEWED BY; 3 EUNICE HE RI IDiAPG O .}
<br />It
<br />City of Santa Ana
<br />Public Works Agency
<br />20 Civic Center Plaza, 3rd Floor
<br />Ross Annex M-36
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh Risk & Insurance Services
<br />Sally Sonnenburg
<br />01988.2016 ACORD CORPORATION. All rinhfa rASArCArI
<br />ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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