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ACCOR17 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/OD /YYY) 11/29/2018 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 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 CONTNAME pCT ANA LEE INSURANCE LAND INSURANCE SERVICES PHONE FAX (A/C,.Np,.EXq: 213-388-5505 Iac,Nel: 213-388-7148 4032 WILSHIRE BLVD E-MAIL ADDRESS: INSURANCELANDQGMAIL. COM SUITE 309 INSURER( S AFFORDING COVERAGE NAICN LOS ANGELES CA 90010 INSURER A:EVANSTON INSURANCE COMPANY 35378 INSURED .F}-p"�I-I-10�.5- INSURER B: UNITED FINANCIAL CASUALTY CO. 11770 VALLEY MAINTENANCE CORPORATION,+_am—N INSURER CUNITED STATES LIABILITY INS. CO. 25895 _ �. -.'� INSURERD: ICW GROUP 27847 10002 PIONEER BLVD. SUITE 101 INSURERE: TRAVELERS CASUALTY AND SURETY COMPANY 19038 SANTA FE SPRINGS CA 90670 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR LTR TYPE OF INSURANCE D POLICY EFF POLICY EXP POLICY NUMBER MMIDDIYYYY) MMIDDIYYYY) LIMITS V/ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 3AA183369 OB/13/201808/13/2019-DAMAGETO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occRence $ 100,000 MEDEXP(Anyonepersan) $ 51000 A X PERSONAL BADV INJURY $ 1,000,000 DEVIL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS - COMPIOP AGG S INCLUDED OTHER: CONTRL.PROPERTY OTHERS S 25, 000 AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ 062921651 11/02/2018 11/02/2019 (Ea accident) _. 2,000,000 ANYAUTO BODILY INJURY (Per person) S B ALL OWNED SCHEDULED X AUTOS V AUTOS BODILY INJURY (Per accident) S NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE $ _Per accitlent AGGREGATE $ 1,000,000 UMBRELLA LIAR OCCUR XL1578400A 05/02/201805/ 02/ 2019 EACH OCCURRENCE $ 5,000,000 C] EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DED RETENTION$ PRODUCTS $ 5,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN WSA5037498 O1 OB/13 /2018 OB/13/2019__§TATUTE ER_ _ ANY PROPRIETORIPARTNER/EXECUTIVE E. L. EACH ACCIDENT $ 11000,000 D OFFICER/MEMBER EXCLUDED? Y❑ NIA - --- (Mandatory in NH) ELDISEASE - EA EMPLOYEE$ 11000,000 If yes describe under DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $ 11000,000 E CRIME 105620659 05/24/2018 05/24/2019 THIRD PARTY $1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached if more space is required) THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, ANDSENTATIVES ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIA$T��\ �� G�a�`'asr. CITY OF SANTA ANA SHOULD ANY OF THE ABOVE D'I POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATIVE SANTA ANA CA 10163-4668 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD