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A�'� & CERTIFICATE OF LIABILITY INSURANCE <br />DATe) <br />5/26/2p1826/2018 <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 endorsements <br />PRODUCER <br />1050 & WasTouhA - Tempe <br />1050 e Washington Street, Suite 233 <br />Tempe AZ 85281 <br />NTLovACT <br />MCAQe: Tonle Selfridge <br />p ONe 802.95&2250 FAX ; 602-956.2258 <br />-MAIL <br />tselfrld a Icvllt-touche.com <br />INSURERS AFFORDING COVERAGE NA-1CH <br />INSURERA: Philadelphia Indemnity Insurance Co 18058 <br />1/612018 <br />INSURED Ni <br />Nati's House <br />INSURERS: <br />INSURER C: <br />Neutral Ground <br />INSURER D <br />1733 Valencia St <br />Santa Ana CA 92708 <br />INSURERS <br />INSURER P: <br />COVERAGES CERTIFICATE NUMBER: 1294472462 REVIRIOM MIIMRrP- <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, <br />INBR <br />TYPE OF INSURANCE <br />ADD <br />NSD <br />3 BR <br />MIDPOLICY <br />NUMBER <br />POLICYEPF <br />MMIDD EXP <br />LIMITS <br />A <br />- <br />X COMMERCIALOENERAL LIABILITY <br />CLAIMS -MADE FX]OCCUR <br />PHPK1736164 <br />1/612018 <br />1/8/2019 <br />EACH OCCURRENCE <br />$1,000,000 <br />PREMISES Ea occurrence) <br />$1,000,000 <br />MED EXP (Any one person) <br />$ 20 000 <br />PERSONAL a ADV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER; <br />X POLICY ❑ jECT LOC <br />GENGRALAGGREOATE <br />$2,000,000 <br />PRODUCTS-COMP/OP AGG <br />$2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILBLIABILITY <br />PHPK1738184 <br />1/6/2018 <br />1/612019 <br />EaaBINEDS AIT <br />$1,000,000 <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />( ) <br />$ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />i sUL$ <br />UMBRELLA LIAB <br />OCCUR <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION, <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />PER OTF4• <br />STATUTE ER <br />EACH ACCIDENT <br />$ <br />ANYPROPRIETOR/PARTNER/EXECUTIVEE.L. <br />CFPICER/MEMSEREXCLUDEb1 F-1 <br />NIA <br />E.L. DISEASE -EA EMPLOYE <br />$ <br />(Mandatary In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS helm <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Professional Liability <br />SwuallPhysloal Abuse <br />PHPK1738184 <br />1182018 <br />1/812019 <br />LL <br />Aggregate <br />Aggrogalo <br />2.0DD000 <br />SOQo00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (AC ORD 101, Addltlonel Remarks Schedule, may be attached if more space Is required) <br />Certificate holder IS named Additional Insured to General Liability coverage If required by written contract, subject to all policy terms, conditions, Call nIII on3 and <br />exclusions, Primary/Non-Contributory applies. <br />CERTIFICATE HOLDER CANCELLATION <br />d 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />The City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />its officers, employees, agents and volunteers <br />AUTHORIZED REPRESENTATIVE <br />20 CIVIC Center Reza <br />Santa Ana CA 92701 <br />�- <br />d 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />