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A� p® CERTIFICATE OF LIABILITY INSURANCE
<br />ATE
<br />D06128/2019DIYYYYI
<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 />Marsh Risk & Insurance Services
<br />17901 Von Korman Avenue, Suite 1100
<br />A ..
<br />NAME:
<br />PHONE FAX
<br />C Ex[), JAIC, No
<br />E-MAIL
<br />ADDRESS:
<br />(949)
<br />Wine 399-5600; License #0437153
<br />(Ni, CA 92614
<br />Attn'. NewponBeach.CenRequest@marshcom1F: 212-948-4323
<br />INSURERS) AFFORDING COVERAGE
<br />NgICq
<br />INSURER A: Crum&ForsterSibecianyinsurani
<br />44520
<br />CN115158923-01-01-19-20
<br />_
<br />INSURED
<br />PlaceWorks, Inc
<br />INSURERe: Travelers Property Casualty Company OfAmedca
<br />125674
<br />- - -
<br />Dba: The Planning Center
<br />INSURER C
<br />INSURER D:
<br />-_-- —
<br />Design Community & Enviomment
<br />3 MacArthur Place, Suite 1100
<br />SantaAna,CA 92707
<br />INSURER E:
<br />INSURER F:
<br />_
<br />COVERAGES CERTIFICATE NUMBER: LOS-002212046-21 REVISION NUMBER: 9
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />MWDDY�
<br />EXP
<br />MM/DUIYYYY
<br />LIMITS
<br />;5,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />�i
<br />CLAIMS -MADE AI OCCUR
<br />X
<br />X
<br />EPK127413
<br />07/01/2019
<br />0710112020
<br />EACH OCCURRENCE
<br />$
<br />AGE TO RENTED
<br />PREMISES Ea occurrence
<br />S
<br />N ED EXP (Any one person)
<br />$
<br />X ' BI & PD Ded. $5,000
<br />PERSONAL&ADV INJURY
<br />$
<br />GEM AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />PRODUCTS - COMP/OP AGG
<br />$ 5,000,OD0
<br />'rX ' POLICY LJ "O_ E] LOC
<br />Contractors Pollution
<br />$ 5,000,000
<br />�l OTHER.
<br />B Auromoaa.E ugealTY
<br />X
<br />X
<br />BA1N96406A19CAG
<br />0710112019
<br />0710112020
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />g 1,000,000
<br />MANY AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />OWNED '.SCHEDULED
<br />AUTOS ONLY _ _ AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />BODILY INJURY (Par ia.ddenO
<br />S
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />ComplColl Deductibles
<br />S 1,000
<br />UMBRELLA LIAR
<br />X) OCCUR
<br />EX6J3287561943
<br />07/01/2019
<br />OV0112020
<br />EACH OCCURRENCE
<br />S 4,000,000
<br />X
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$ 4,000,000
<br />DED RETENTIONS
<br />S
<br />B
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERTUABILITY
<br />ANYPROPRIETORIPARTNEWEXECUTIVE YIN
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N/A
<br />UB K7286761943G
<br />07/01/2019
<br />0710112020
<br />g PER OT -
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />S 1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1.000.000
<br />If yes, descrho under
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />Errors & Omissions -Claims Made
<br />EPK127413
<br />07/0112019
<br />0710112020
<br />Each ClaimlAggregate
<br />5,000,000
<br />Retm Dates: See 2nd Page
<br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may beseeched if mare space is required)
<br />Re: Operations performed by the named insured for the certificate holder
<br />City of Santa Ana, its officers, agents, employees, and volunteers are included as additional insured where required by written contract with respect to General and Auto Liability. This insurance is primary and non.
<br />contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to General Liability. Waiver of subrogation is
<br />applicable where required by written contract with respect to General and Auto Liability.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 41h Floor
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />42019 - ACCORDANCE WITH THE POLICY PROVISIONS.
<br />of Marsh Risk & Insurance Services
<br />Resell Martinez
<br />1988-2016 ACORD CORPORATION. All riohts reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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