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ACC>R J0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 08/13/2019 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 endorsement(s). PRODUCER CONTACT NAME: Pk p .> a0; Lx Automatic Data Processing Insurance Agency, Inc. E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 1 Adp Boulevard Roseland NJ 07068 INSURER A: NorGUARD Insurance Company 31470 INSURED INSURER B : INSURER C : SWAYZER CORPORATION INSURER D : 1665 E DEL AMO BLVD INSURER E: INSURERF: Carson CA 90746 COVERAGES CERTIFICATE NUMBER: 1236621 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 TYPE OF INSURANCE SD SCf WVO POLICY NUMBER MMIpDlYYYY WD POLICY lAtNt]D1 Y LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PA�TA�TQ CLAIMS -MADE u OCCUR PREMISES (Ea occurrence)- $ $ MED EXP (Any one person) $ PERSONAL & ADV INJURY AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ I'L POLICY PROJECT i.00 PRODUCTS -COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY Ea ax)denl $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PRROPERTYDAM E Peraccidenl, $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLYL $ UMBRELLA LIAB . OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A W COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED9 N (Mandatory in NH) N/A N SWWC005325 05/16/2019 05/16/2020 SPURT ERORKERS -TA E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,I)OD DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) REV ED & APPROVED y R15 NNACEMENT DIVISION T* 212019 GtK I Ir'IL A I t MULUtK '%— Jx■ A K rri r • ■ ■ I ■ ■ ■"r�r I.ANI;tLLA I IUN CITY OF SANTA ANA Attn: RISK MANAGEMENT DIVISION, 4th Floor 20 CIVIC CENTER PLAZA 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD