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ACOREI CERTIFICATE OF LIABILITY INSURANCE `� DATE IMM/DONyyy) 1 05/2012020 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 endomement(s). PRODUCER Cornish Insurance 8816 South Sepulveda Blvd, Ste 108 Los Angeles CA 90045 c°NEACT Blake Cornish PHONE . 310-215-3638 FAX Ne: 310.496-0627 EMAILDDRESS: blake@cornishinsurance.com A INSURERS AFFORDING COVERAGE NAIC N INSURER A: Northfield Insurance Company 27987 INSURED Sensemakers LLC 2401 East Katella Ave Ste 610 Anaheim CA 92806 INSURERS: Truck Insurance Exchange 21709 INSURER C: INSURER D: INSURERE: INSURER F : 'ER TIFICATE NI 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. ILTH TYPE OF INSURANCE A DL SURF POLICY NUMBER POLICY EFF POLICY EXP MM - Y LIMITS COMMERCIALGENERALUABILRYL/J WS402211 1112812019 1112,812026 EACHOCCURRENCE $ 1,000,000 CLAIMS © OCCUR -MADE PREMISES Ed gccunence $ 50,000 $ 5,000 COL. Per Occurance MED EXP(An one person) Professional -Claims Made PERSONAL& ADV INJURY 51,000,000 A AGGREGATE LIMIT APPLES PER: PECTRO- ElLOC GENERALAGGREGATE $ 2,000,000 GENL PRODUCTS-COMPIDPAGG $ 1,000,000 POLICY J $ OTHER: AUTOM081LE LIABILITY COMBINED SINGLELIMrr Ea acr n $ ANYAUT O OSODILYINJURY(Perpersa,) $ OWNED SCHEDULED BODILY INJURY(Per acdd.t) $ AUTOS ONLY AUTOS HIRED NON-0WNED AUTOS ONLV AUTOS ONLY PROPERTY DAMAGE Per attidenl $ $ UMBRELLALMB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LABCLAIMS_MADE OED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- ATUTE GE B ANDEMPLOYERS'LIABILIttYIN E.LEACHACCIDENT $ 1,000,000 NIA A09599357 05169/2020 051091Z021 OF CERIMEM EREXCLU EO'XXECUTIVE (Mandateryln NH) Ifyyes, tlescdbe uM E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY UMn $1,000,000 OESCRIPTION OF OPERATIONS bel. 0 Ll DESCRIPTION OF OPERATIONS I LOCATION$ I VEHICLES (ACORD 101, Atldlllonal Remarks Schedule, may be eU.cbed N more space is required) THE CITY OF Santa Ana, IT'S OFFICERS,EMPLOYEES,AGENTS, AND REPRESENTATIVE ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY PER ATTACHED CG2015 1188 ADDITIONAL INSURED FORM. Cancellation: Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation CITY OF SANTA ANA REVIEWED &APPROVED Risk Management Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE R1� Risk MANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA 4th FltidK ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92701 y �ry o9 Blake Cornish 1 L AUTHORIZED REPRESENTATIVE I 0512012020 01988.2015ACORDCORP171RATION eu .L.Hae ...�.......a ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD