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CATHENT-01 PPISANO I i .44Cof2v' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIY8 04l241201 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(ies) 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 CONTACT (PAHOIN o, E,n : (714) 779-2000 ui. No :(714) 779-4129 CTK North American Insurance Services, LLC I INSURICA 1240 North Lakeview Avenue, #240 Anaheim, CA 92807 E -MAI INSURER(S) AFFORDING COVERAGE NAIC p INSURER A: Zurich American Insurance Company 16535 INSURED INSURER B: American Guarantee and Liability Ins. Co. 26247 INSURER C: CathyJon Enterprises, Inc. INSURER D: 2120 Main Street, Ste 250 Huntington Beach, CA 92648 INSURER E INSURER F: 0510112018 COVERAGES CFRTIFICATF NI IMRFR- REVISION NUMBER - 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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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 11R.A TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY UP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 11000,000 DAMAGE TO RENTED 100,000 PREMISES (5, occurrence) CLAIMS -MADE �X OCCURX PRA590649205 0510112018 05/0112019 MED EXP (Any oneperson) 10,000 PERSONAL B ADV INJURY 1'000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 X POLICYjECT " LOC ABUSIVE ACTS 1,000,000 OTHER- A LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per erson $ ANY AUTO PRA590849205 0510112018 0510112019 BODILY INJURY Peraccident $ POMOBILE OWNED SCHEDULED AUTOS ONLY AUT OSWNE PeOaoc tlent AMAGE $ AUTOS ONLY X 00 ONLY B X UMBRELLALIAB OCCUR EACH OCCURRENCE 11000,000 AGGREGATE 11000'000 EXCESS LIAB X CLAIMS -MADE UMB649949905 05101/2018 0510112019 DED X I RETENTION$ O WORKERS COMPENSATIONPERISTATU OTH- ER AND EMPLOYERS'LIABILITY YIN AAWPROPRIET RJPREARTNER ECUTIVE ❑ (Mantlstory In NH) NIA E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE -POLICY LIMIT byes. descnbe under DESCRIPTION OF OPERATIONS below A Crime PPA590849205 0510112018 0510112019 $2,500 ded 50,000 A Professional Liab. PRA590849205 05/0112018 0510112019 $1 MI$2M DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of Santa Ana, Its officers, employees, agents, and representatives are named as additional Insured as respects to general liabilty. The City of Santa Ana shall be goven 30 days written notice of cancellation. Insurance afforded is primary and non-contributory. Separation of Insured endorsement. CERTIFICATE HOLDER CANCFI I ATION ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and Ic psi rerVilyed marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE ACCORDANCE WITH THE POLICY PROVISIONS.TION DATE THEREOF, CE WILL BE DELIVERED IN 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE 1 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and Ic psi rerVilyed marks of ACORD