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" CERTIFICATE OF LIABILITY INSURANCE <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. if <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk services South, Inc. <br />Atlanta GA Office <br />3550 Lenox Road NE <br />Suite 1700 <br />Atlanta GA 30326 USA <br />CONTACT <br />PHONE (g66) 283-]122 FAX (800) 363-0105 <br />(A/C.No.E.U:INC. No.: <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAICN <br />INSURED <br />U. S. Security Associates, Inc. <br />200 Mansell Court East, 5th Floor <br />Roswell GA 30076 USA <br />INSURERA: Lexington Insurance Company 19437 <br />INSURERS: Lloyd's Syndicate NO. 2003 AA1128003 <br />INSURER o: Liberty Mutual Fire Ins CO 23035 <br />INSURERD: Liberty Insurance Corporation 42404 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570072573488 <br />REVISION NUMBER - <br />ca <br />m <br />a <br />c <br />m <br />D <br />0 <br />2 <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. Limits shown are as requested <br />INSIR <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WAD <br />POLICY NUMBER <br />in <br />Ni <br />MMIDD/YYYY <br />LIMITS <br />EACHOCCURRENCE $2,000,000 <br />CLAIMS OCCUR <br />SIR applies per policy terns <br />& condi <br />ions <br />R NT D $500,000 <br />tOOMMERCIALGENERA-LIABILITY <br />-MADE ❑X <br />PREMISES Ea occurrence <br />MED EXP(Any one person) $10,000 <br />PERSONAL a ADV INJURY $2,000,000 m <br />GENT AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $4,000,000 rp+ <br />n <br />POLICY [:]JECT FX LOC <br />TS- COMWOP AGO Included n <br />OTHER: <br />nal Liability Included o <br />C <br />AUTOMOBILE LUIBILItt <br />AS2-641-443931-058 <br />08/01/201808/01/2019 <br />D SINGLE LIMIT <br />Eant $1,000,000 <br />JURY( Per person) 0 <br />ab <br />X ANY AUTO <br />INJURY (Par 7m.r0 m <br />OWNED SCHEDULED <br />AUTOSAUTOS <br />FRNOSY NON -OWNED <br />TY DAMAGE <br />ONLY AUTOS ONLY <br />ent W <br />m <br />B <br />X <br />UMBRELLA LIAa <br />X <br />OCCUR <br />CSUSA1801997 <br />08/01/2018 <br />08/01/2019 <br />EACH OCCURRENCE $$,000,000 L1 <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE $5,000,000 <br />DED I X <br />RETENTION S2S, 000 <br />0 <br />WORKERS COMPENSATION AND <br />Wg764D443931018 <br />0810112018 <br />OS O1 <br />)( PER STATUTE OTH- <br />ER <br />EMPLOYERS' LIABILITY YIN <br />AOS <br />E.L. EACHACC)DENT $1,000,000 <br />D <br />ANYPROPRIETOR/ PARTNER I EXECUTIVE <br />NIA <br />WC7641443931048 <br />08/01/2018 <br />08/01/2 019 <br />OFFICEWMEMBER EXCLl1DFDt <br />(Mandatory in NH) <br />MN & WI <br />E.L. DISEASE -EA EMPLOYEE $1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $1,000.,000— <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD Inn, Additional Remarks Schedule, may be attached H more space is required) y� U <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Addi l lured in <br />accordance with the policy provisions of the General Liability policy. General Liability polis evide Cpd.�%q ein is Primary <br />y <br />provisions. Should General Liability, Automobile Liability and workers' Compensation policies be <br />and Non -Contributory to other insurance available to an Additional insured, but only in accordanceW�A <br />expiration date thereof, the policy provisions will govern how Notice of Cancellation may be delivered <br />in accordance with the policy provisions of each policy. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />/S\\v_��.IN <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES LLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREDIN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />The City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana CA 92701 USA <br />e-Y7rofa cJ/�GYL �sN,vat9 �KGGiL Jisa <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />