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A� O® CERTIFICATE OF LIABILITY INSURANCE <br />°A06MO2200°"""' <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(!") 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 Vol Kaman Avenue, Sude 1100 <br />CONTACT <br />NAME: <br />PHONE FAX : <br />'AIC NO Fan <br />(949) 399-5800; License 90437153 <br />EJAAIL <br />A Elul: <br />Irvine, CA 92614 <br />INSURERSAFFORDING COVERAGE <br />NAIC# <br />Am: NewportBeach.CerlRequest@marsh.comlF: 212-9484323 <br />INSURER A: Crum&FMISr SPOCIAnY Insuranco Co <br />44520 <br />CN115158923-01-01-20-21 <br />INSURED PlaceWaks, Inc <br />INSURER B : Travelers Indemnity Company of Connecticut <br />25682 <br />INSURER c : Travelers Pcoerbr Casualty Company Of America <br />25674 <br />3 MacArthur Place, Suite 1100 <br />INSURER D : <br />Santa Ana, CA 92707 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: LOS-OD2212046-24 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 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 />TYPE OFINSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFP <br />POLICY UP <br />LJMRS <br />A <br />X <br />COMMERCIALGENERA LIABILITY <br />X <br />X <br />EPK131438 <br />0701/2020 <br />OT0112021 <br />EACHOCCURRENCE <br />S 5.004000 <br />CLAIMS -MADE � OCCUR <br />PREMISES Ea occurrence <br />$ 50,000 <br />X <br />N ED EXP (Any orw person) <br />$ 5,000 <br />BI & PD Dec. $5.000 <br />PERSONAL& ADV INJURY <br />S 5,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER'. <br />GENERAL AGGREGATE <br />S SAD0,000 <br />ul <br />X POLICY❑JECT LOC <br />PRODUCTS-COMP/OPAGG <br />5 5.000,000 <br />Contractors Pollution <br />5 5,000,000 <br />OTHER <br />B <br />AUTOMOBRELUBI W <br />X <br />X <br />BA1N96406A20CAG <br />0701020 <br />0701Rg21 <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />5 1,000,000 <br />BODILY INJURY (Per person) <br />5 <br />AINY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per ecddgd) <br />$ <br />PROPERTY DAMAGE <br />Per amdanl <br />S <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />ComplCdi Deductibles <br />S 1,000 <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EX513287562014 <br />07101)2020 <br />07101IM21 <br />EACH OCCURRENCE <br />s 4,000.000 <br />X <br />AGGREGATE <br />S 4,000A00 <br />EXCESS UAB <br />CLAIMS -MADE <br />DIED <br />I I RETENT <br />5 <br />I <br />1 <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' UASILRY <br />ANYPROPRIETOWPARTNEREXECUTIVE YIN <br />OFFICERIMEMBEREXCLUDED'1 1 <br />(VAMMM In NH) <br />NtA <br />UB7K72867620140 <br />07M1020 <br />07101QO21 <br />% STATUTE ERµ <br />E.L EACH ACCIDENT <br />$ 1,000,000 <br />EL DISEASE -EA EMPLOYEE <br />S 1.D00,000 <br />If yea. dasul0e under <br />DESCRIPTION OF OPERATIONWm <br />E L DISEASE -POLICY LIMIT <br />S 1,000,000 <br />A <br />Errors & Omissions -Claims Made <br />EPK131438 <br />07/0112020 <br />07N12021 <br />Each GaimlAggregate <br />5,00Q000 <br />Reim Dates-. See 2nd Page <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tat, AddlDorul Remarks Schedule, may W atleched V more OR" M "UnHill <br />Re: Operations performed by the named insured for the certificate holder <br />City of Santa Ana, is officers, agents, employees, end 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 end kneed to liability arising ou(of the operations of the named insured end where required by writer, contract win respect to General Liabdlty Waver of subrogation is <br />applicable where required by written contract with respect to General and Auto Liability <br />A. AOI3CInX/Fr'% <br />Gty of Santa Ana <br />Risk Management Division <br />20 Critic Center Pfau, 4th H <br />Santa Ana, CA 92701 <br />2 7 020 <br />H ANCINE IL REAL <br />1wT92Lala�LBLLwli. <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 />AUTHORRED REPRESENTATIVE <br />of Mash Risk & Insuance Services <br />Rosalynda Martinez <br />R_`YY1wA#t4n4e�% <br />CoZL:T:T:bLi[:l <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />