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CERTIFICATE OF LIABILITY INSURANCE <br />"09%18/2019 YY) <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER.THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY <br />AMEND, EXTEND OR ALTEATHE COVERAGE AFFORDED BY THE POLICIES BELOW. THISCERTIFICAFE OF INSURANCE DOES NOT CONSTRUTEACONTRACT BETWEEN THE ISSUING INSURER(S). <br />AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the POIICY(Ieel must have AODRIONALINSURED provisions or be endarsed.If SUBROGATION IS WAIVED, subject to the terms and <br />conditions of the poll,, cetrain palldes may require an endorsement.A statement on this cerdncate cops not confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />Chuck Hyneman <br />16371-A Lemon Drive <br />NAME: Chuck Hyneman <br />PHONE <br />(A/c. No. EXf): 714-777.9823 <br />FAX <br />(Aye, No): 714-777.9823 <br />Yorba Linda, CA 92886 <br />E-MAIL <br />ADDRESS: <br />INSURER(S)AFFDRDINGCOVERAGE <br />NAICy <br />INSURED <br />INSURERA: United States Liability Insurance Company <br />Second Chance Orange County <br />290 N PaulaRno Avenue <br />NSURERS: <br />INSURER C: <br />INSURER D: <br />Costa Mesa, CA 92628 <br />INEURER E: <br />INSURERF: <br />COVERAGES CERTIFICATENUMBER: REVISIONNUMSER: <br />THIS IS TOCERTIFYTHATTFIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEABOYE FORTHE POLICYPERIOD INDICATED, NOTWITHSTANDINGANY <br />REDUIREMEM. TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BEISSUED ORMAY PERTAIN, THE INSURANCE AFFORDED BY THE <br />POLICIES DESCRIBED HEREIN ISSURJECTTO ALLTHE TERMS, EXCLUSIONSANO CONDITIONS OF SUCH POLICIES. UMIFS SHOWN MAYMAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LIA <br />TYPEOFINSURANCE <br />A <br />SO ODn <br />INon <br />uall <br />VNO <br />POLICY NUMBER <br />POUCYEFF <br />(MM7DD/YYYY) <br />POLICY RIP <br />(MMyOD/VYYY) <br />LIMBS <br />COMMERCIAL GENERALLIABILITY <br />EACHOCCIIBRENCE <br />s 1,000,00 <br />CLAIMS -MADE OCCUR OCCUR <br />OAMAGETORENTED <br />PREMISES(EaOccunence) <br />S 100,00 <br />MEDEXP(AnyoneparsuN <br />s 500 <br />PERSONALBADVINJURY <br />t 1,000,00 <br />A <br />Y <br />NPPI57834JS <br />OW 1412019 <br />09/14/2020 <br />GENT AGGREGATE UMIT APPLIES PER: <br />POLICYEl PROJECT 1-1LOC <br />GENERALAGGREGATE <br />S 2,000,00 <br />PRODUCTS-COMP/OPAGG <br />S Incluch <br />OTHER: <br />1 <br />AUTOMOSTELIARRITY <br />COMBINEDSINGLELIMIT <br />(Ea accidam) <br />S {,000,00 <br />ANY AUTO <br />BODILYINJURY(Prepaker) <br />$ <br />A <br />X ONYEDAUTOS SCHEDULED <br />NPPI57R34113 <br />09/14/2019 <br />09114P2D20 <br />BOOILYINIURY(Paaccitlen[)S <br />PROPERTY DAMAGE <br />(Peraccick,M) <br />t <br />X HIREDAUTOS X NON -OWNED <br />ONLY AUTOS ONLY <br />t <br />UMBRELLALMa <br />OCCUR <br />EACHOCCURRENCE <br />q <br />S <br />EXCESS LIA9 <br />CLAIMSMADEAGGREGATE <br />DEO RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LLABILITY <br />PER <br />STANTE <br />OTHER <br />S <br />ANY PROPRIETOR/PARTNER/ wN <br />EXECUTIVE OFFICER/MEMBER <br />N/A <br />E.L. EACH ACCIDENT <br />f <br />E.L. mRFARE-6t EMPLOYEE <br />EXCLUD EDi (Mandatory In NH) <br />lives. describe under DESCRIPTION OF <br />OPERATIONSbelow <br />E.L. DISEASE. POLICY LIMIT <br />t <br />A <br />Prof <br />Professional E&O Liability <br />NPP1578341B <br />OW1412019 <br />09/14/2D20 <br />$1.000,000-Each Inc. <br />$2.000,000-Agg <br />$1.000.000 <br />DESCRIPTION OF OF ERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Auto Insurance -Thera is no owned vehicles 30Aay priorwritten notice of cancellation <br />City of Santa Ana, OKlcers,agents,employees and volunteers are names as additionally insured On this policy pursuant to written contract. agreement, Or <br />memorandum of understanding. Such Insurance as is afforded by [his policy should be pdmary and any insurance Carried by City shelf be excess and <br />noncontdbutary <br />CERTIFICATE HOLDER CANCELLATION <br />Ilya a�1a a <br />Risk Management Division <br />SHOURDANYOFTHEA NBED POLICIES BE CANCELLED BEFORE THE EXPIRUTON <br />WkT,NOTICE WILBE U]I IVERED IN AC[ DA CEWRN THE POLICY PROVISIONS. <br />20 Civic Center Plaza REVIEWED & AP <br />7n <br />ta Ann ra D22 av RiskMIN <br />RE PSEnTA We ( — <br />T Divislory AIv ��r1 <br />ACORD25(2015/03) na TA ff {r�� e/L @1988-2015 ACORO CORPO ATION.AII Rights Reserved <br />31-1769 tlgA DLTS�aI�S ThegJ r,1d rksof ACORD <br />ER NCINE R. VILLAREAL <br />