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UNIX11ITN7fN <br />DCHOE <br />ACORO" <br />CERTIFICATE OF LIABILITY INSURANCE <br />yyy <br />D0513012ATE v8 <br />WHICH THIS <br />05130/2018 <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(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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />NAME: <br />HO <br />The Wooditch Company Insurance Services, Inc. _(PMC,, No, Ext): (949) 553-9800 (AnCC, Nod(949) 553-0670 <br />1 Park Plaza, Suite 400 ADDAIL <br />RESS: <br />Irvine, CA 92614 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A: Old Republic General Insurance Corporation 24139 _ <br />INSURED INSURER B: Berkley Assurance Company 39462 <br />Video Voice Data Communications INSURER C: _ <br />12681 Pala Drive INSURER D: <br />Garden Grove, CA 92841 <br />,INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 <br />WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />I TYPE OF INAD <br />SURANCE INDL SUER POLICY NUMBER <br />N D WVG <br />POLICY EFF <br />POLICY EXP LIMITS <br />A X I COMMERCIAL GENERAL LIABILITY II <br />I EACH OCCURRENCE $ <br />1,000,000 <br />CLAIMS -MADE ] EZ OCCUR X A1CG12781700 <br />11/14/2017 11/14/2018 DAMAGESGE T ERRENTED <br />e$ <br />100'000 <br />5'000 <br />'MED EXP(Anyone emon $. <br />I PERSONAL &ADV INJURY1'000'000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />2'000'000 <br />POLICY X PEST _ LOC <br />PRODUCTS - COMP/OP AGO $ <br />2,000,000 <br />OTHER' <br />I$ <br />A AUTOMOBILE LIABILITY <br />_ <br />COMBINED SINGLE LIMIT <br />(Ea ac_cideIlO— — <br />1,000,000 <br />XANY AUTO AlCA12781700 <br />11114/2017 11114/2018 BODILY. INJURYIPgUerson)_,i"$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident $ <br />— <br />Is <br />AUTOS ONLY _. AUT090NLB <br />IPe�accitlenlDAMAGE <br />Is <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE I$ <br />EXCESS LWB CLAWSMADEAGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />A WORKERS COMPENSATION <br />X ORH <br />AND EMPLOVERV YIN AlCW12781700 <br />STR U ETE <br />11114/2017 11/14/2018 <br />1,000,000 <br />TORJPABILITY <br />TNER <br />NIA <br />E.L. EACH ACCIDENT $ <br />OFFICEANYPROMEMBERIPARTNERIEXEGUTIVE <br />REXCLUDED? <br />- <br />1'000'000 <br />(Mantlatoryin NH) <br />(Mandatory InN <br />E . DISEASE EA E_MPLO_V_E_E_4 <br />If yes, describe under <br />1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT 5 <br />B ProfdP011ution PCXB-5003680-0318 <br />0310312018 <br />03/0312019 ,Occurrence <br />1,000,000 <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: All operations performed by the Named Insured during the current policy period. <br />glai <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are included <br />as Additional insured as respects General Liability <br />per <br />attached endorsement. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <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 />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />