MISSION LINEN & UNIFORM SUPPLY - 2017

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CERTIFICATE OF LIABILITY INSURANCE 1/1/2019 DATE 12/21/2017/21/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Lockton Insurance Brokers, LLC 725 S. Figueroa Street, 35th FI. CA License #DF15767 Los Angeles CA 90017 (213) 689-0065 NAM : NO ria Ext: Arc Na: EMAIL ADDRESS: INS ER S AFF DING COV A E NAIC INSURER A: Safety National Casualty Corporation 15105 INSURED Mission Linen Sup ly 1346478 702 E. Montecito t. Santa Barbara CA 93103 INSURER B: INSURER C: INSURER D INSUR E: N RER F: COVERAGL5 iV11JL1UD a..—vi.. '---'—'—'---------- -- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INr6RR TYPE OF INSURANCE ADDL ISD SUER W E POLICY NUMBER MMIDDI EFF 1/1/2018 MM ICV EXP 1/1/2019 LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y XT GIA045506 EACH OCCURRENCE Is 2.000000 DAMAGE TO RENTED E occurrence 500 000 PREMISES(ER MED EXP (My one cement s XXXXXXX PERSONALS ADV INJURY $ 2.000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POUCYD jEO NJ LOG OTHER: PRODUCTS - COMP/OPAGG $2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO AUTOS ONLY AICITOSULED HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY N N CAS4045508 1/1/2018 1/1/2019 OMBIINEeD SINGLE LIMIT $5000000 BODILY INJURY (Per person) $ XXXXXXX XX BODILY INJURY (Pereccident $ XXX}(7v' PROPERTY DAMAGE $ XXXXXXX PraWldent $XXXXXXX UMBRELLA LIMB EXCESS LIAR HOCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DEORETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICERRAEMBER E%CWDED�(ECUTNE 7 (Mandato,yln NHl awe describe under DESCRIPTION OF OPENATIONS below NIM N LDS404$$04 1/1/2018 1/1/2019 X STATUTE OTH- E.L. EACH ACCIDENT $ 1,000,000 EL. DISEASE -EA EMPLOYEE 1.000,000 EL DISEASE -POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, it's officers, employers, agents, and representatives are named as additional insured in regards to general liability, per attached, to the extent provided by the policy language or endorsement Issued or approved by the insurance carrier. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15085893 AUTHORIZED REPRESENTATIVE City of Santa Ana Finance Dep Stephanie Martinezt 20 Civic Center Plaza Santa Ana CA 92701 ACORD 25 (2016/03) @108-2015-ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks Or AUUKU