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<br />AGC?Rl7" CERTIFICATE OF LIABILITY INSURANCE
<br />DATE fMMi°wri Y,
<br />�-/-�
<br />11 /912017
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s),
<br />PRODUCER
<br />CONTACT
<br />-NAME", Marleen Francis
<br />PHONEExu, (877)455-5640 FAX a. If25)4SS2'1
<br />The Partners Group Ltd
<br />1122$ BE 6th St.N-2004-018-01
<br />mf rancis @ tpgrp. Gom _ ..-
<br />,_ _ MSURE,R(S)AFFORDING COVERAGE
<br />NAICN
<br />Suits 110
<br />INSUREIRA_Se_ntinel Insurance Co, LTD
<br />11000
<br />Bellevue WA 98004
<br />_
<br />INSURED
<br />, _
<br />INSURERS:
<br />INSURERC:
<br />X
<br />Technology Unlimited Inc
<br />6802 South 220th Street
<br />INSURER D: .._.._.Y.....__
<br />_
<br />INSURER E:
<br />PERSONAL A ADV INJURY
<br />S 1,000,000
<br />1 INSURER F: ^-
<br />Hent WA 98032
<br />rn\/9RAr1FS MY. aT. FT. sc oevlefnal.11 naeoro.
<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 />4
<br />TNSR
<br />TYPE OF INSURANCE
<br />ADD
<br />Ue
<br />pOL CYN NUMBER
<br />POLICYMWBB,EPP
<br />MNLDOIrip
<br />L17NiT3
<br />A
<br />X I COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE F_X] OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />_15AWWE T-6 RUNT-Elf—'1,000,000
<br />N1SE@..LEA,elq e
<br />$
<br />MED EAP (A one sen)
<br />$ 10,000
<br />X
<br />52SBAct0466
<br />0/4/2017
<br />8/4/2018
<br />PERSONAL A ADV INJURY
<br />S 1,000,000
<br />OEN'L AGGREGATE LIMIT APPLIES PER;
<br />- X
<br />POLICYF]JEPRCOT Ox
<br />GENERAL AGGREGATE
<br />PRODUCTS COMP/OP AGG
<br />S.,_...-.,,._2,000,000
<br />$ 2,000,000
<br />S
<br />OTHER:.
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED L LIMIT
<br />emidan
<br />$ 1,000,000
<br />a001LY INJURY (Por Person)
<br />$
<br />A
<br />X
<br />X
<br />ANY AUTO
<br />ALL OS SCHEDULED
<br />AUTOS TO
<br />HIREDAUTOS X NON-OWNED
<br />52MCH82224
<br />8/4/2017
<br />8/4/2018
<br />BODILY INJURY Per accidxm
<br />f )
<br />S
<br />PROPERTY DAMAGE (Per aacIde.1
<br />S
<br />$
<br />X
<br />UMSRELLA,UAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 4 000 000
<br />AGGREGATE
<br />S 4 000 000
<br />A
<br />EXCESS LIAR_ _J_j
<br />CLAIMS MADE
<br />528amXB466
<br />0/4/2017
<br />9/4/2010:
<br />DEO
<br />X E EN710N8 10,000
<br />S
<br />A
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'UASILITY YIN
<br />ANY PROPRIETOP)PARTNERIEXECUTIVE
<br />OFPCERIMEMBER EXCLUDED?
<br />(Mandatory
<br />NIA
<br />528BAIX8468
<br />8/4/2017
<br />8/4/2018
<br />PE OTH-
<br />E.L. EACHACCIOENT
<br />S 1,000,000
<br />-
<br />E.L_DISEASE-EAEMPLOVE
<br />'-
<br />$ 1 000,000_
<br />Ir Mydeecdbo u9tler
<br />4ESGRIPTIGNGFOPERATIONS below
<br />EL: atop Gap WA
<br />E.L. DISEASE-FOLICV LIMIT
<br />1 S 1 OOtl 000
<br />71
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more space Is required)
<br />The City of Santa Ana, its officers, agents, volunteers and representatives are included as Additional
<br />Insured on General Liability -Primary as respects opersations performed by or on behalf of the Named (f//r/
<br />Insured. See form S5 00 08 04 05 attached. **Update to COI sent B-4-2017 �.- j APP
<br />yyp.�.�1.I�ff�ic-Pr`
<br />�-Et ,r✓,/"'
<br />A ` #v ='�' �'.
<br />PC ) �
<br />-5304 achavez@santa-ana.org
<br />City of Santa Ana
<br />Attn: Mirella Vargas
<br />Alfonso Chavez
<br />20 Civic Center Plaza
<br />PO Box 1964
<br />Santa Ana, CA 92702
<br />ACORD 25 (2014101)
<br />INSO25 tmunn
<br />V
<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
<br />J..a
<br />Kevin Lane/NFRAN==5''G'�rt-.� c"�r
<br />The ACORD name and logo are registered marks of ACORD
<br />
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