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ll. izo� CERTIFICATE OF LIABILITY INSURANCE �^� DAT4/23/2018 l 04/23/2018 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 endorsements). PRODUCER CONTACT NAME; Steven Griswold Griswold & Griswold Insurance Agency Inc. 25550 Hawthorne Blvd. #200 N-2018-132 Torrance CA 90505 PHONE xt: (310) 377-7172 AIC No: EDDBESS, sleven@griswoldinsurance.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: GUIDEONE SPECIALTY MILT INS CO 14559 INSURED INSURER B: GUIDEONE MUT INS CO 15032 Shakespeare By the Sea INSURER C: 777 Centre Street INSURER D: INSURER E : San Pedro CA 90731 INSURER F: COVERAGES CERTIFICATE NUMBER: RFvISInN NIIMRPR• 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 OF INSURANCE ADDLSUBR INSD WVQ POLICYNUMBER POLICYEFF MMIDDIYYYY) POUCYEXP flMWDOrOYYJ LIMITS X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR EACH OCCURRENCE $ 1,000,000 AMAGE TO RE PREMISES(Ea occurrence $ 1,000,000 MEDEXP(An one arson) $ 5,000 PERSONAL &ADV INJURY S 1,000,000 A Y 1448-142 03/02/2018 03/02/2019 AGGREGATE LIMIT APPLIES PER POLICY PRO- ❑ JECT LOG GENERAL AGGREGATE $ 2,000, 000 GEN'L X PRODUCTS -COMIYOPAGG $ 2,000,000 $ OTHER I I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ B X OWNEAUTOS SCHEDULED HIRED AUTOS ONLY AUTOS AUTOS ONLY X AUTOSNON-OONLY AUTOS ONLY 1789-387 03/02/2018 03/02/2019 BODILY INJURY Per accident ( 1 $ PROPERTY DAMAGE per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE § EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below Each Claim Limit $1,000,000 A Directors & Officers Liability 1448-142 03/02/2018 03/02/2019 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) y 11 The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California, 92701; its officers, employees, agents and vole rs -)amed as ad Tonal insureds. SHOULD ANY OF THE ABOVI5'dESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHOORIIZ�ED REPRESENTATIVE Santa Ana CA 92701 (/LGre°" �`ni k AGUKU ZO (ZU1b1U3) © 1988-2015 ACORD The ACORD name and logo are registered marks of ACORD reserved.