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AC RbP CERTIFICATE OF LIABILITY INSURANCE <br />YY' <br />0DATE 2/09120/8 <br />02/09/2018 <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 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 CONTACT <br />- <br />NAME -AP INTE00 INSURANCE GROUP LLC iarH sit Exti: faBet ass -sass ( ONE FAX <br />No): (ass) 7e3-5112 <br />375 WOODCLIFF OR 1ST FL E-MAIL <br />FAIRPORT, NY 14450 ADDRESS; travelmselect a mllaemioee "velem.com <br />(866) 890-9965 INSURER(S) AFFORDING COVERAGE NAIC it _ <br />INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />INSURED INSURER B <br />(WATER, INC. <br />12 GOODYEAR INSURER C: <br />SUITE 130 INSURERD: <br />IRVINE, CA 92618 INSURERE: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 744399004161040 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 />INSR <br />LTR <br />AUDI <br />TYPE OF INSURANCE INSD <br />SUER <br />WVD <br />POLICYEFF <br />POLICY NUMBER <br />MMIDO YYY <br />POLICY EXP <br />MMlDDIYYVV <br />LiMRS <br />OCCURRENCE <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />_ <br />ACH GE RENT <br />PREMISES Ea occurrence) <br />$ <br />MED EXP An one orapn <br />$ <br />PERSONAL&ADVINJURY <br />$ <br />GENERALAGGREG <br />$ <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑PROP ❑DOC <br />JECT <br />PRODUCTS -COM OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea acbdMbN <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />BODILY INJURY (Pera<xvdent) <br />$ <br />ALLOWNED SCHEDULED <br />ALIT AUTOS - <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />(Paraccident) <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />CLAIMSMADEAGGREGATE <br />$ <br />DED RETENTION $ <br />A <br />WORKERS COMPENSATION NtA <br />AND EMPLOYERS' LIABILITY YIN <br />ANY <br />US-1E524932-18 02/15/2018 <br />02/15/2019 <br />X STATUTE Oita <br />E.L. EACH ACCIDENT <br />$1000,000 <br />OFFICEOPRIETCREXCLWR`j1ECUTIVE❑ <br />(Mandatory In NH) <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />11Ef yes, describe under <br />SCRIPTIONOFOPERAI'IONSbelow <br />DESCRIPTION OF OPERATIONS / IOCATlONS t VEHICLES (ACORD 101, Additional Remarks Schedule, may be attachad if mare space is required) '.. <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />ROSS ANNEX (M) <br />SANTA ANA, CA 92701/J.(, <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 (,7 <br />LY <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD - <br />-i,�ti/a, Nay... ra/ yr <br />