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UP III YC ,4coR0 CERTIFICATE OF LIABILITY INSURANCE DATE (MIN/DOM YYH IkI 1211712019 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 endorsements . PRODUCER ICONTACTJune Samaria INSURED Ins Agcy 6033 W. Century Blvd. 5th Fir Los Angeles, CA 90045 INSURER(3) AFFORDING COVERAGE INSURER A: Sentinel Insurance Company INSURERS: Federal Insurance Company _ INSURER c: Aspen Specialty Insurance CnVFRACFS r1FRTIFICATF NI IILIRFR- RFVISION NUNIII 686-299.1010 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. INSLTRi LT TYPE OF INSURANCE 3L9fl POLICY NUMBER MO DOS MMLOD CY E users GENERAL UN ILRY EACH OCCURRENCE $ 2,000,00 A X COMMERCIAL GENERAL LIABILITY x 2SBAAK0318 12/14/2019 12/14/2020 rTOA PREMISES Ea occurrence $ 1,000,00 CLAIMSMAOE OCCUR MED EXP (My one pawn) $ 1 D,00 PERSONAL$ ADV INJURY $ 2,000,000 GENEMLAGGRE_GATE _$ 4.000.00 PRODUCTS-COMMOPAGG S 4.000,00 BEN'LAGGRE�GATE UMMAPPLIES PER. j F- S X POLICY : PART AUTOMOBILE LIASILRY COMBINED SINGLE LIMIT I S 2,000,00 (EaacddaM) ANY AUTO BODILY INJURY (Par Person) $ �, B ALL OWNED AUTOS 9001LY IN11RY (Per ar<ad.0 S SCHEDULED AUTOS . PROPERTY DAMAGE$ A X HIRED AUTOS 72SBAAK0318 12I14/2019 12114/2020 (PER ACCIDENT) A NON OWNED AUTOS 72SBAAK0318 12114/2019 12114/2020 _ $ .X _ $ X UMBRELLA Like LX OCCUR EACH OCCURRENCE $ 4,000,00 EXCESS LIAR CLAIMS VALE AGGREGATE S 4,000,00 p -i— -- 72SBAAK0318 12114/2019 12/14/2020.- --_ DEDUCTIBLE $ X1 RETENTION S 10,000 $ 'WORKERS COMPENSATION WC STATU- OT4 X:TORY LIMITS E0. AND EMPLOYERS LLUMUTY B ANY PROPRIETORIPARMERIEY.ECUTNE Y� N A 7175-05-95 04/01/2019 04/0112020 E.L. EACH ACCIDENT EXCLUDED'! S t,000rD0 S 1,000,00 OEFICERIMEMSER (M.Watory In NH) E.L. DISEASE EA EMPLOYEE 1,000,00 Il yea, desalbounder DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT$ C Professional Llab. LRA9AF818 12/1012019 12110/20201,Per Claim 6,00 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLE5 (Attach ACORD 10I Mdldon.I Remark. Schedule. It more apace la rpuired) Certificate Bolder is named as an Additional Insured in regards to attached General Liability Form SS 00 08, per written contract or agreement. CITYSAA L Jx� SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE City of Santa Ana RFVILD lY APPROVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza By Rik ANngeMFNr Divisio P.O. BDIX 1988 AUTNORMED REPRESENTATIVE Santa Ana, CA 92702 B 2 g 2020 rsn 4onR_DnnA eCnlxn CORPORATION. All rlRhts reserved. ACORD 25 (2009109) Ae AIVCORD I rUi Inv a, me and log or =d"I hgare registered marks of ACORD