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CERTIFICATE OF LIABILITY INSURANCE <br />°;�41Ng° "rAa <br />22g� <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(les) 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 USA, Inc. <br />1166 Avenue of the Amencas <br />CONTACT <br />NAME: <br />JPHONEAIG-No, W) i (AIC No): <br />E-MAIL <br />ADDRESS: <br />New York, NY 10036 <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />CPP 641020200 <br />INSURER A : Tokio Marine America Insurance Compel y <br />10945 <br />CN108113475—WU-18-19 <br />_ _ <br />INSUREDc� 2q1236 <br />OverDrive Inc. �, �Q�p — D LJ 1 <br />INSURER B: TransT2n5 Pacific Insurance CO <br />DAMAGE TO RENTED <br />100,000 <br />INSURER C: TNUS Insurance Company <br />32301 <br />One OverDrive Way <br />INSURER D <br />PREMISES (Ea occurren_c_e)_ _$ <br />Cleveland, OH 44125 <br />INSURER E, <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: NYC -010393849-02 REVISION NUMBER: 6 <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 <br />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 />ADDLSUBR, <br />POLICYEFF POLICYEXP <br />LTR TYPE OF INSURANCE <br />POLICYNUMBER <br />MMILQUrVYY MMIDOM'YY LIMITS <br />A X COMMERCIAL GENERAL LIABILITY <br />CPP 641020200 <br />06/30/2018 06/30/2019 EACH OCCURRENCE $ 1,000,000 <br />V I <br />DAMAGE TO RENTED <br />100,000 <br />CLAIMS -MADE IOCCUR <br />XJ <br />PREMISES (Ea occurren_c_e)_ _$ <br />_ <br />_MEDEXP(Anyonepemon) $ 10,000 <br />_ PERSONAL B ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LI MIT APPLI ES PER: <br />GENERALAGGREGATE $ 2,000,000 <br />PRO - <br />_. PROX LOC <br />POLICY T <br />PRODUCTS-COMP/OP AGG $ 2,000,000 <br />OTHER: <br />S <br />A AUTOMOBILE LIABILITY ICPP641020200 <br />06/30/2018 06/30/2019 COMBINEDSINGLE LIMIT $ 1,000,000 <br />=SINGLE <br />X ANY AUTO <br />BODILY INJURY (Per person) $ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />HIRED NON WIRED <br />PROPERTY DAMAGE $ <br />AUTOS ONLY AUTOS ONLY <br />_(Per accident) <br />UMBRELLA LIABI OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB CLAIMS -MADE <br />_AGGREGATE $ <br />DED % . RETENTION$ <br />$ <br />C I WORKERS COMPENSATION WC641020300 <br />106/3012018 06130/2019 X PER 0TH- <br />IAND EMPLOYERS' LIABILIT' YIN <br />STATUTE ER <br />ANYPROPRIETOR/PARTNERIEXECUTIVE (CA,CO,DQFL,GA,L,N,KY,MD,MI,MN <br />E.L. EACH '$ 1,000,000 <br />OFFICERIMEMBI EXCLUDED9 N NIA <br />(Mandatory In NH) NC,NJ,NY,PA,SC,TN,TX,UT,VA,WI) <br />_ _ <br />E.L. DISEASE -EA EMPLOYEE s 1,000,000 <br />If yes, tlesadbe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT 8 1,000,000 <br />B WORKERS COMPENSATION WC641020400(AR,AZ,CT,KS,MA <br />06/30/2018 06/3012019 SEE ABOVE LIMITS <br />CONTINUE NV,OH,OR,WA) <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) <br />The City of Santa Ana, it's officers, employees, agents, and representative are included as Additional Insured (except <br />for Workers' Compensation) where require Ben contract. Thi umnce is primary and <br />noncontributory over any existing insurance and limited to liability arising out of the operations of the named insured <br />subject to policy terms and conditions. rof subrogation is (cable where required by <br />written contract and subject to policy terms and conditions. <br />The City of Santa Ana <br />20 Civic Center Plaza <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 />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of March USA Inc. <br />Sead Gutic�.1�-l_e€ <br />reserved, <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />