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<br />SEDAINC-01 DAWNPHILLIPS
<br />A� Ro CERTIFICATE OF LIABILITY INSURANCE DAM(MMIDDIYYNY)
<br />01/23/2019
<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(ies) 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 this certificate does not confer ri hts to the certificate holder in lieu of such endorsements .
<br />PRODUCER CONTACT Angela Merideth
<br />NFP Property & Casualty Services, Inc. PHONE
<br />1551 North Tustin Avenue lac, No, Ball: FAx
<br />(A/C, No):(714) 975-8966
<br />Suite 500 E-MAILDRSS. angela.merjdeth@nfp.com
<br />Santa Ana, CA 92705
<br />INSURERS AFFORDING COVERAGE NAIL#
<br />- - - - INSURER A: Sentinel Insurance Company Ltd 11000
<br />INSURED INSURER B: Hartford Accident and Indemnity Co 22357
<br />Sedaru, Inc. INSURER C:Admiral Insurance Company 24856
<br />168 E. Arrow Hwy, Suite 101 INSURER p
<br />San Dimas, CA 91773 -
<br />COVERAGFS
<br />--- -- "' "'^' """•'�'_^• REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
<br />INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT
<br />WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES
<br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
<br />MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR TYPE OF INSURANCE IN ADDPOLICY NUMBER
<br />'SUBR POLICY EFF POLICY E%P
<br />LIMITS
<br />A X. COMMERCIAL GENERAL LIABILITY
<br />$ 1,000,000
<br />CLAIMS -MADE X OCCUR EACH OCCURRENCE
<br />- - _ X X 72SBABA9623 Ot/O6/2019 01/O6/2020 TO RENTED
<br />11000,000
<br />_ PREMIISSDAMAGE
<br />SO aE cu
<br />$
<br />$ 10,000
<br />- - _MED EXP An one person
<br />$ 1,000,000
<br />- PERSONAL &ADV INJURY
<br />DEVIL AGGREGATE LIMIT APPLIES PER _GENERAL AGGREGATE
<br />X
<br />$ 2,000,000
<br />$ 2,000,000
<br />_ POLICY _ jE LOC
<br />_PRODUCTS-COMP/OP GO
<br />OTHER:
<br />B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br />J 1,000,000
<br />$
<br />X ANYAUTO (Ea eccJent
<br />- - X X 72UECPX8358 01/06/2019 01/06/2020
<br />OWNED SCHEDULED BODILY INJURY Per non
<br />$
<br />_ AUTOS ONLY AUTOS BODILY INJURY -(Pereccitlent
<br />NON-OWNED
<br />AUTOS
<br />$
<br />$
<br />. ONLY PROPERTY DAMAGE
<br />-(Reraccident
<br />Is
<br />$ 2,000,000
<br />A _UMBRELLA LIAB X OCCUR EACH OCCURRENCE
<br />,
<br />EXCESS LIAB CIAIMS-MADE 72SBABA9623 01/06/2019 01/06/2020 REGATE
<br />2+000,000
<br />r DED RETENTION $
<br />WORKERS COMPENSATION _
<br />AND EMPLOVERS'LIABILITY
<br />STATE
<br />YIN ERH
<br />ANY PROPRIETOR/
<br />EXCLUDED'
<br />OFFICER/MEMBER EXCLUDED. NIA EL EACH ACCIDENT (Mandatory In NH) - -
<br />$
<br />$
<br />If yes, describe under E.L. DISEASE -EA EMPLOVEEj
<br />DESCRIPTION OF OPERATIONS below
<br />-
<br />EL.DISEASE- POLICY LIMIT
<br />C E&O/Professional Lia L000002663205 08/30/2018 08/30/2019 Per Claim Limit
<br />$
<br />11000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space is required) If required by written contract, The City, its elected or appointed officials, boards,
<br />agencies, officers, agents, employees and volunteers are Included as
<br />Additional Insureds with Primary/Non-Contributory wording and Waiver Subrogation
<br />of as respects General Liability per Endorsement SS00080405 attached.
<br />If required by written contract, The City, Its elected or appointed officials, boards,
<br />agencies, officers, agents, employees and volunteers are Included as
<br />Additional Insureds with Primary/Non-Contributory wording and Waiver Subrogation
<br />of as respects Auto Liability per Endorsement HA99160312 attached. 30
<br />days notice of intent to cancel policies will be provided subject to 10 days notice for
<br />nonpayment for General Liability per endorsement SS12230611 and as
<br />respects auto liability per endorsement 1H03130611 attached.
<br />REVIEWED
<br />EVIEWED BY:
<br />rcorlvlr wry urr n�.a
<br />City of Santa Ana
<br />Attn: Water Resources (M-85)
<br />220 S. Daisy Avenue
<br />Santa Ana, CA 92703
<br />Arnon 9C Nne.
<br />SHOULD ANY OF THE AB04��p pOUCI[S BE
<br />THE EXPIRATION DATE THEREOF, NOTICE -WILL
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />V �
<br />W Tsaa-ZU10 AUVKU CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />31(q
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