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AC<A?br CERTIFICATE OF LIABILITY INSURANCE DATE(MMDD1YYYY)
<br />11125/2019
<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 B'y" 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(Nos) must. have ADDITIONAL, INSURED provisions or Ibe endorsed.
<br />If SUBRCDCATION IS WAIVED, subject to the terms and conditions of the po icy„ certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate Molder in lieu of such endorsement('s).
<br />PRO UCEFI CONTACT
<br />NArAA.....
<br />'�Dealey, Renton & Associates PHONE FAX
<br />R 0, Box 1 675 CA �. �u Ertl. 510-4655-�3090 IA cy ��,d 5d i7-452-21 I
<br />Cakian'd CA 46014mm s7 EMAIL certdficates@ dealeyrenton corn
<br />COVERAGE ---_ NR,IC #.. �..'..
<br />_... -_- ----. ----. ----. ----. ----.
<br />INSURER A. Berkley' Insurance Cornpa'ny 326,03
<br />�
<br />INSURED NNEdi' RElFaCO,
<br />INSURER 8 Travelers Pro erty Casualty Cornj any of ArTlenca 25674
<br />MIG, Inc.
<br />800 Hearst Ave.
<br />INSURERC The Charter Oak Fire insurance Company 25615
<br />Berkeley CA 947101
<br />INSURER D "
<br />INSURER E
<br />IINSURER F
<br />COVERAGES CERTIFICATE NUMBER: 1952401546
<br />REVISION NUMBER
<br />TF0S IS TO CERTIFY T'lIIAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEEN rSSI.JED TO THE INSURED NAMEDABOVE rOR TIDE: POLICY P F"II0U
<br />IINDICATED N'07 WITHiSTANDMG ANY REQUIREMENT. TERM OR CCIND} TICJN
<br />OF ANY CONTRACT OR OTHER DOCUMIEINT" WWITH'' RESPECT TO 4"'JIHICWH THIS
<br />("3E'RTIFIC.;ATE MAY I€CE ISSUED OR MAY 'PERTArN„ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POL II";IE:S. LI1 M1TS SI-r,0WrfN MAY HAVE
<br />BEEN REDUCED BY PAID CLAIMS,
<br />......... ,-FiDOL Sues-...... ......
<br />uNV3I' ...................................TYPE
<br />I `POLICY EFF„ . P£,66Y ekfP ..,. .. .,.... ...,. ......,
<br />CYF INSURANCE
<br />ILTR POLICY NUMBER
<br />MMlDMYYYY MMrti EYYYY LIMITS
<br />---
<br />B X , COMMERCIAL GENERAL LIABILITY ! Y I I 6801HO99998
<br />i 913112019 3N39A2020 EAl;IirY00UB�Gdr"'NCF 50-'I,000, d00
<br />_
<br />DAMAGE TO 3.ENJ EE) - ...
<br />C berrkVS-MADE ,X r'kC"„,,UR '..
<br />PREMISIE.-ISiF_u wa, a^rHr,,r al, 'S100CUC1E2
<br />yart„,aptar�cir�G
<br />hrED FXP Ari_AC.XW
<br />INJURY
<br />PERSONAL A x E 7 000, 1C19
<br />i'.'3EN"I Afac.uf'~dF.i-N"-ATE[.PAITAP,P[,li.'".S�•SER
<br />.....
<br />FRf7.- JEC1LOC
<br />I'r3ucy
<br />t'Fve➢kal.lC,1"„', C'µClPwRFr/o,?I A,,:ar:M$21700030 ....
<br />OTHE.FR. ��
<br />I
<br />C AUTOMOBILIELiABIUUTY A i ' EA6k931299
<br />W31/2219 81/1/2020 1 COMBINED SINGLE LIMIT 3 1,000 0100
<br />(Ea ,¢F,x.idoMj
<br />X ANY Ada' 0
<br />'.,. P00Y k E INJURY (Hmx p orscm) S
<br />CS'WNFU='rt"b9I-f,3W EI'�1 AU I OS
<br />F34'P4A0f Y PW,Iklhtr fFSRry RUP,AUdRrftltlD n
<br />X HIHA Lb NON -OWNED
<br />LDAKNS 43E: $'
<br />AU P ri9 rJNa Yr WLJ I R,ay CIN Y
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<br />'3
<br />B X I UMBRELLALtAS i'7rE�;�d,iFY a„ "` CUPOH758'762
<br />8P3'9r"2019 3M3SJ2020 EArNr(, Cl„IHRE.rvdCE S10.,000,000
<br />EXCESS LIAS CI AIMS-MIADE�
<br />AGL.HEGAtt $ 10,000,000
<br />DE P b N deb d $
<br />H WORKERS COMPENSATION ',. " �° I Ue2L,553909
<br />PER
<br />8/3flls""019 9f31P2020 X
<br />AND EMPLOYERS" LIABILITY
<br />I _ S7ATUTEI ER
<br />�rSMtl"NE'fTOPP,IE'fOrZ(PAA''PM3Fa,lEXk'"CE.JTJVF, N
<br />OFFIC1P.RIMERW71SEREX LI,It"aElkN f
<br />E 6,, EA HAr 3'IDE.Ntl 'S1,000,000
<br />- -
<br />.__ �NiA
<br />(Mandatory in NH)
<br />E 4. II it k.A or-- EA Fr"I G:BYH'I S 1,000,0010
<br />re,ye«i, I SEjiba umter
<br />........_®
<br />LIESC Fr lETflC)N Cur OPI 7ftiAT@a,)N3 token
<br />E.L CASEASE . POL�T" R L MI7 51,000,000
<br />i^ FrxA%asslomw AEC9013'162701
<br />5T3112019 S13'si2020 , Per C" airn $3,000"000
<br />Liars b y
<br />i Arms v F gray; ata $5,002 0�00
<br />DESCRIPTION OF OPERATIONS) LOCATIONS J VEHICLES IAOOR..D 101, Additional Remarks SchefttO may be attached it more space Is rart••rsinsdl
<br />REF All operations of the named insured.
<br />The City of Santa Ana" its officers, employees, agents, volunteers and representatives are named as Additional insureds as (respects General avid Auto Liability
<br />as required per written rC'ontract or agreement General Liability Insurance is PrimaryiNon-Contrlbulory per, policy forrii wordrng. InSUrance Coverage IrtclludeTs
<br />Waiver of Subra ~gabon per the ahached. Ca Days„ Nofice of Carlc0lation
<br />� s •, : r w w .a w is r.
<br />NOTICE DELIVERED 1SINM1 EXPIRATIONDATE
<br />ry R D w r
<br />AUTHORI REPRESENTATIVE
<br />... Vw "' D r 6. 1 w C i * IY name w: ■ aw, M are registered marks of •. •D
<br />
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