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Digitally signed by Francine R. Francine R. Villareal Villareal AFRO® CERTIFICATE OF LIABILITY INSURANCE AM o2/oa/z1YTY 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(jes) 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: COMPLETE EQUITY MARKETS INC AICNNo Ext: 847 541-0900 FAX, No: 847 541-0444 AD RIESS: 1190 Flex Court INSURER(S) AFFORDING COVERAGE NAIC# Lake Zurich, IL60047 INSURERA: Underwriters at Lloyd's London ohs Complete Equity Markets Insurance Agency, Inc. INSURED Stephen H. Solomon INSURER B INSURER C INSURER D: 18861 Ridgewood Lane INSURER E: Villa Park, CA 92861 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 R TYPE OF INSURANCE ADDL WVDSUBR POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDI, YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1XI OCCUR PFEN-rE REM SEE Ea occO nce 50 000 $ MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ EXCLUDED A X 1500312 02/05/21 02/05/22 GENU AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2000000 X POLICY PRO-JECT LOC PRODUCTS - COMP/OPAGG $ 1,000,000 $ OTHER'. AUTOMOBILE LIABILITY COMBI NED S INGLE LIMIT Ea accident $ BCD I LY INJURY (Per person) $ MY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OVirtdED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per ad. dent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION EMPLOYERS'LIABILITY YIN PERT STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E. L EACHACCIDENT $ OFFI CER/MEM BER EXCLUDED? ❑ NIA E. L. DISEASE - EA EMPLOYE $ (Mandatory in NH) f yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ Each Claim $1,000,000 A Professional Liability X 859995 06/01/20 06/01/21 A99regate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Subject to all policy terms, conditions, exclusions and endorsements of each respective policy. The City of Santa Ana, it's officers, employees, agents and representatives is an additional insured but only per the terms 8 conditions of the endorsement generated for each respective policy and subject to all policy terms, conditions, exclusions and endorsements. Primary/Non-Contributory, Waiver of Subrogation and 30 Day Notice of Cancellation applies to the General Liability policy. SURPLUS LINES NOTICE TO POLICYHOLDER - PLEASE SEE ATTACHED CERTIFICATE HOLDER CANCELLATION The City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Floor Santa Ana Ca 92701 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 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD RiSle Mrsnaganad Division ram. rREmEWED &{APPRO�VVED By., olllli111.1� /-z' rb6HlM�e VaRRE/t¢bl. ® Risk Management Analyst