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<br />ACORLO0
<br />ACC> CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />11/17/2018
<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 />Willis Insurance Services of Georgia, Inc.
<br />c/o 26 Century Blvd
<br />P.O. Box 305191
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />/C No Ext: 1-877-945-7378 AIC No: 1-888-467-2378
<br />JA/.,
<br />E-MAIL c
<br />ADDRESS: ertificates@willis. com
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />Nashville, TN 372305191 USA
<br />INSURERA: Hartford Fire Insurance Company 19682
<br />INSURED
<br />Fidelity National Financial Inc and its Subsidiaries
<br />Attn: Risk Mgmt Dept
<br />INSURER B: Continental Insurance Company 35289
<br />INSURERC: Hartford Accident and Indemnity Company 22357
<br />INSURER D: Twin City Fire Insurance Company 29459
<br />601 Riverside Ave, Bldg 5
<br />Jacksonville, FL 32204
<br />INSURER E: Allianz Global Risks US Insurance Company 35300
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: W8879296 REVISION NUMBER:
<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 />ILTR
<br />TYPE OF INSURANCE
<br />ADDDL
<br />WVD SUER
<br />POLICY NUMBER
<br />MM/DPOLIDYIYEYYY
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />X I COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE � OCCUR
<br />DAMAGE(ED 1,000,000
<br />PREMISESSEaa occurrence $
<br />MED EXP (Any one person) $ 0
<br />A
<br />X Host Liquor Liability
<br />Y
<br />20CSEC90929
<br />11/15/2018
<br />11/15/2019
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 10,000,000
<br />X POLICY I PRO- JECT ❑ LOC
<br />PRODUCTS - COMP/OP AGG $ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />)(
<br />ANY AUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />20CSEC90930
<br />11/15/2018
<br />11/15/2019
<br />BODILY INJURY (Per accident) $
<br />X
<br />HIRED NON-OWN�iED
<br />,h,.?. NLY �eiTtD15 OUL
<br />Caae is Ix
<br />PROPERTY DAMAGE $
<br />dent
<br />Per accire
<br />$
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 10,000,000
<br />AGGREGATE $ 10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />6011818715
<br />11/15/2017
<br />12/15/2018
<br />DED I X I RETENTION $ 0
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N
<br />OFFICER/M EMBER EXCLUDED? No
<br />(Mandatory in NH)
<br />NIA
<br />20WNC90926
<br />11/15/2018
<br />11/15/2019
<br />X PER OTH-
<br />STATUTE OR
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />El. DISEASE - POLICY LIMIT $ 1,000,000
<br />D
<br />Workers Compensation and
<br />20WBRC90927
<br />11/15/2018
<br />11/15/2019
<br />E.L. Each Accident $1,000,000
<br />Employers Liability -
<br />E.L. Disease- Ea Emp $1,000,000
<br />Per Statute
<br />E.L.Disease-Pol Limit $1,000,000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required)
<br />Additional Named Insureds:
<br />Commonwealth Land Title Company
<br />SEE ATTACHED
<br />14
<br />REVIEWED BY: EUNICE HEREDIA (PG I OF )
<br />CERTIFICATE HOLDER CANCELLATION
<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 />City of Santa Ana AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Drive U V
<br />Santa Ana, CA 92701 Q
<br />©1988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />SR ID: 17059368 BATCH: 958186
<br />
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