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a4. o CERTIFICATE OF LIABILITY INSURANCE <br />D11/30/201YY) <br />7/1/2018 <br />11/30/2017 <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 Ilea of such a ndorsemenl(s). <br />PRODUCER LOckton Insurance Brokers, LLC <br />72$ S, Figueroa Street, 35d1 FI. <br />CA License 4OF15767A <br />LOS Angeles CA 90017 <br />CONTACT <br />NAMEPHONE <br />FAX <br />ExL A/c No: <br />EMAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />(213)689-006$ <br />INSURERA: SafetyNational CasualtyCor oration <br />1510$ <br />N <br />INSURED Mission Linen Supply <br />INSURER B <br />1346478 702 E. Montecito St. <br />Santa Barbara CA 93103 <br />INSURER C <br />INSURER D : <br />1 <br />INSURER E <br />GL4045506 <br />I/t/2017 <br />NS IRER F: <br />EACH OCCURRENCE <br />s 2,000,000 <br />COVERAGES MISLI06 CERTIFICATE NUMRFR• 15085893 <br />_.__---- ix 11 NUMBER: xxxxxXX <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT <br />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 />INS RI <br />LTR <br />TYPE OF INSURANCE <br />AODL <br />p <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYVY <br />POLICY EXP <br />MM/DGIYYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />Y <br />N <br />CLAIMS -MAGE 1XI OCCUR <br />GL4045506 <br />I/t/2017 <br />1/1/2018 <br />EACH OCCURRENCE <br />s 2,000,000 <br />PREMISES Ea occurrence <br />s 500,000 <br />MED EXP (Any one person) <br />$ jC'J{X'j{xxx <br />PERSONAL B ADV INJURY <br />$ 2000000 <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />PRO <br />❑ PRO- <br />GENERAL AGGREGATE <br />$ 2000000 <br />PRODUCTS-COMPIOP AGG <br />5 2000000 <br />POLICY y LOC <br />L <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />N <br />N <br />CAS4045508 <br />]/1/2017 <br />1/2018 <br />COMBINED SINGLE LIMIT <br />Esa«mem <br />$ 5,000,000 <br />X <br />ANY AUTO <br />BODILY INJURY (P., person) <br />$ XXXXXXX <br />OWNED SCHEDULED <br />AUTOS ONLY A" <br />BODILY INJURY(Peraccident) <br />$ XXXXXXX <br />X <br />AUTOS ONLY X ATOS ONLY <br />PROPERTY DAMAGE <br />S X'X'xxxxx <br />IPer accident)__ <br />$XXXXXXX <br />UMBRELLA LIAB <br />OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXX3{XXX <br />EXCESS UAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ XXXXXXX <br />DED RETENTION$ <br />S XXXXXXX <br />A <br />WORKERS COMPENSATION <br />N <br />_ <br />AND EMPLOYERS' LIABILITY YIN <br />LDS4045504 <br />1/1/2017 <br />1/1/2018 <br />X STATUTE _.. ORH <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOR/ EXCLUDED? <br />R EXCLUDED? <br />NIA <br />$ 1,00_0000 <br />(Mandatory in N <br />NH) <br />_ _ „ <br />If YO. dtoryin <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE <br />_$ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />Is 1,000,000 <br />EL DISEASE - POLICY LIMIT <br />7 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 151, Additional Remarka Schedule, may to attached if more space is requlred) <br />The City of Santa Ana, it's officers, employcos, agents, and represontatives or'e namod as additional insured in regards to genel'al liability, per attached, to the <br />extent provided by the policy language or endorsement issued or approved by the insurance carrier. <br />15085893 <br />City of Santa Ana <br />Finance Dep Stephanie Martinezt <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />AOUKU ZO )ZU1b/U9) <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 <br />The ACORD name and logo are registered marks of ACORD <br />CII lin Hoe I... .A <br />