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A� O® CERTIFICATE OF LIABILITY INSURANCE °A06MO2200°"""' 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(!") 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 endorsement(s). PRODUCER Marsh Risk & Insurance Services 17901 Vol Kaman Avenue, Sude 1100 CONTACT NAME: PHONE FAX : 'AIC NO Fan (949) 399-5800; License 90437153 EJAAIL A Elul: Irvine, CA 92614 INSURERSAFFORDING COVERAGE NAIC# Am: NewportBeach.CerlRequest@marsh.comlF: 212-9484323 INSURER A: Crum&FMISr SPOCIAnY Insuranco Co 44520 CN115158923-01-01-20-21 INSURED PlaceWaks, Inc INSURER B : Travelers Indemnity Company of Connecticut 25682 INSURER c : Travelers Pcoerbr Casualty Company Of America 25674 3 MacArthur Place, Suite 1100 INSURER D : Santa Ana, CA 92707 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: LOS-OD2212046-24 REVISION NUMBER: 9 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. INSR LTR TYPE OFINSURANCE ADDL SUER POLICY NUMBER POLICY EFP POLICY UP LJMRS A X COMMERCIALGENERA LIABILITY X X EPK131438 0701/2020 OT0112021 EACHOCCURRENCE S 5.004000 CLAIMS -MADE � OCCUR PREMISES Ea occurrence $ 50,000 X N ED EXP (Any orw person) $ 5,000 BI & PD Dec. $5.000 PERSONAL& ADV INJURY S 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE S SAD0,000 ul X POLICY❑JECT LOC PRODUCTS-COMP/OPAGG 5 5.000,000 Contractors Pollution 5 5,000,000 OTHER B AUTOMOBRELUBI W X X BA1N96406A20CAG 0701020 0701Rg21 COMBINED SINGLE LIMIT Ea accident) 5 1,000,000 BODILY INJURY (Per person) 5 AINY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per ecddgd) $ PROPERTY DAMAGE Per amdanl S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ComplCdi Deductibles S 1,000 UMBRELLA LIAR X OCCUR EX513287562014 07101)2020 07101IM21 EACH OCCURRENCE s 4,000.000 X AGGREGATE S 4,000A00 EXCESS UAB CLAIMS -MADE DIED I I RETENT 5 I 1 C WORKERS COMPENSATION AND EMPLOYERS' UASILRY ANYPROPRIETOWPARTNEREXECUTIVE YIN OFFICERIMEMBEREXCLUDED'1 1 (VAMMM In NH) NtA UB7K72867620140 07M1020 07101QO21 % STATUTE ERµ E.L EACH ACCIDENT $ 1,000,000 EL DISEASE -EA EMPLOYEE S 1.D00,000 If yea. dasul0e under DESCRIPTION OF OPERATIONWm E L DISEASE -POLICY LIMIT S 1,000,000 A Errors & Omissions -Claims Made EPK131438 07/0112020 07N12021 Each GaimlAggregate 5,00Q000 Reim Dates-. See 2nd Page DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tat, AddlDorul Remarks Schedule, may W atleched V more OR" M "UnHill Re: Operations performed by the named insured for the certificate holder 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- 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 applicable where required by written contract with respect to General and Auto Liability A. AOI3CInX/Fr'% Gty of Santa Ana Risk Management Division 20 Critic Center Pfau, 4th H Santa Ana, CA 92701 2 7 020 H ANCINE IL REAL 1wT92Lala�LBLLwli. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE of Mash Risk & Insuance Services Rosalynda Martinez R_`YY1wA#t4n4e�% CoZL:T:T:bLi[:l ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD