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acoR®® CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDD/YYYY) 1 11/14/2018 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 pollcy(les) 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 endorsement(s). PRODUCER ICA Insurance Services 130 Vantis, Suite 250 Aliso Viejo, CA 92656 CNAME:ONTACT Betty Tran PHONE 949-297-5962 FAX No: 949-297-5960 -MAIL ADDRESS: beff .tran ioausa.Com INSURERS AFFORDING COVERAGE NAICM INSURERA: RLI Insurance Company 13056 www.loausa.com CA License#OE67768 INSURED Johnson -Frank & Associates, Inc. 5150 E. Hunter Avenue INSURER B: INSURER C: INSURER D: Anaheim CA 92807 NSURER E : NSURERF: COVERAGES CERTIFICATE NUMBER: 45386536 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMILDDY� POLDIDYEXP LIMITS A ✓ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1✓ OCCUR Prim/NonCon ,� r/ PSB0001301 Scheduled AlEndt #PPB3130212 Professional Services 12/1/2018 12/1/2019 EACH OCCURRENCE $1000000 PREMISES Ea AGE TO occunence $1 000 000 ✓ MED EXP (Any one Person $10 000 Wvr of Subr PERSONAL a ADV INJURY $1000,000 ✓ performed by the insured LIMIT APPLIES PER: POLICY [7/]PEO- ❑✓ LOD GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE are Excluded PRODUCTS -COMP/OPAGG $2000000 $ OTHER: A AUTOMOBILE ,V LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY ✓ AUTOS ONLY ✓ ✓ PSA0001078 Designated Insured Endt #CA20481013; Prim/NonCon and Blkf WVr of Subr included on Dg 2 of Form 12/1/2018 12/1/2019 Ea MBINEDSINGLE LIMIT $1000000 BODILY INJURY (Per person) $ _✓ BODILY INJURY(Peracddent) $ DAMAGEHIRED Per accident) $ ✓ Prim/NonCon ✓ l Wvr of Subr #PPA3000313 $ A UMBRELLA LIAB L11i OCCUR PSE0001230 12/1/2018 12/1/2019 EACHOCCURRENCE $4000000 EXCESS LIAB CLAIMS -MADE Excludes Professional Liability ✓ AGGREGATE $4000000 OLD RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? ❑Y NIA ✓ PSW0002298 Waiver of Subrogation Endt#WC0403060484 12/1/2018 12/1/2019 �/ STATUTE EORH E.L. EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYEE SJLQQU0 (Mandatory in NH) f yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1000000 A Professional Liability RDP0034448 12/1/2018 12/1/2019 $2,000,000 Each Claim Claims -Made $2,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate Holder is an Additional Insured with respect to General Liability (GL) and Automobile Liability but only when required by written contract with the Insured prior to an occurrence as per Endorsements noted above. GL includes Separation of Insureds and Contractual Liability per limitations in the BusinessOwners' Coverage form. A Workers' Compensation Waiver of Subrogation as noted above is included for the person or organization named in the Schedule that are parties to a contract requiring this Endorsement, provided that contract is executed before the loss. Coverage subject to all policy terms, conditions, limitations and exclusions. 30 Day Notice of Cancel/10 Days for Non -Payment in accordance with policy provisions. City of Santa Ana, its officers and employees PO Box 1988 M-36 Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (AVC) Alicia K. laram ✓ , v ACORD 25 (2016103) IE1988-2015 ACORD CORPORATION_ All rinhfs The ACORD name and logo are registered marks of ACORD 45386536 112118-19 GL/AUTO/EXCESS/WC/PL I Tesess Prank 111/14/2018 1:11:22 PM (PST) I Page 1 of 3