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CERTIFICATE OF LIABILITY INSURANCE DATEY)A" 712512018� 0712512018 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(les) must 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 Kathy Lamm(975534H) 2915 Red Hili Ave #F201 CONTACT NAME__ rPnND7_:*)_NE866-416-8939-12C.FAX Not: A� snm(DifarmersagDnt com __ INSURERISI AFFORDING COVERAGE ____ NAIC# INSURER A; Truck Insurance Exchange 21709 Mesa CA 92626 _Costa _ _ INSURED INSURER a: Farmers InsuranceEXChanga 21652 INSURERC: Mid Century Insurance Company 21687 VAALA INSURER D; U.S. Liability Insurance Group _ 25895 1600 N. Broadway Suite 210 INSURER E: Sequoia Insurance Company 19755 ( I _ INSURERF: CLAIMS -MADE ® OCCUR II Santa Ana CA 92706 rnvcnAncc reRTlcICATP MtIMRFR, 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 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 TE OF INSURANCE _ YP UbL BR POLICYNUMBE� POLICY EFF (MMIOD POLICY EXP M ID _ _ ___ LIMITS AUTHORIZED EFRE �1VE GENERALUJUIlLITY _�— EACH OCCURRENCE 1,000,000 X1 COMMERCIAL GENERAL LIABILITY __$ "DA NTE PREMISES (E aLranee $ 100,000 MED EXP Anyone arson) $ 51000 CLAIMS -MADE ® OCCUR PERSONAL&ADV INJURY $ 1,000,000 D_ Y - NPPIS69963 02/10/2018 02110/2019 GENERAL AGGREGATE $ 2,000,000 GE_N'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000.000 Directors & officers $ 1,000,000 POLICY PRO- LOC—COMBINED LIABILITY C MEIN ° OLE IMIT Fe eccLd�ti 9,900,000 — - — BODILY INJURY IPWPeraon) $ �AUTOMOBILE X ANY AUTO 9001 LY INJURY(Peraoddenq $ D ALL OWNED SCHEDULED AUTOS X HMEO AUTOS NON -OWNED ✓�. X AUTOS y NPPI559963 02/10/2018 02/10/2019 PROPERTYDAMAGE $ $ UMBRELALIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ _ EXCESS UAB_ CLAIM_^sMAOE PED RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYCRVLIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE —NIA WC STATUS OTRH- E.L. EACH ACCIDENT $ E.L. DISEAGE-EAEMPLOYE $_ OWCERIMEMSEREXCLUDED4 Li iMandatory In NH) E.L. bI$EASE-POLICYLIMIT $ if yyesldeNcdba under OESCAIPTION OF OPERATIONS below s T^ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAK ch ACORO 101, AddlBonal Remadas Seheduk, if mum space Is required) The City of Santa Ana, its officers, employees, agents and representatives have been named as Additional Insureds on the liability policy by blanket endorsement. r`AAlf^CI l ATInId GER 1riCAIG•------- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED EFRE �1VE Santa Ana, CA 92701 ACORD 25 (2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are register d marks of ACORD g e i&led (, w tq