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Digitally signed by Frmdne F.
<br />Francine R. Villareal VIII".I
<br />Dale: 2021.05 21 11:31:24-07'00'
<br />A� �® CERTIFICATE OF LIABILITY INSURANCE
<br />DAT5IMMIDD 9 Y)
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Lovett & Touch6 A Marsh and McLennan Agency, LLC
<br />1050 W Washington Street, Suite 233
<br />Tempe AZ 85281
<br />CONCT
<br />NAMEA Kolb Kearney
<br />PHONE , 602-792-2300 ac Not:602-956-2258
<br />EMAIL
<br />ADDRESS: kkearney@lovitt-touche.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIL#
<br />_
<br />INSURER A: Houston Casualty Company
<br />55555
<br />INSURED NATIHOU-Cl
<br />Nati's House
<br />INSURERS:
<br />Neutral Ground
<br />INSURER C:
<br />INSURER D:
<br />1733 Valencia St
<br />Santa Ana CA 92706
<br />INSURER E :
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 982983375 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ILTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />INSID
<br />MD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDWYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />H21SS2007100
<br />1/6/2021
<br />1/6/2022
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE I OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Es occurrence
<br />$50,000
<br />X
<br />MED EXP LA.y one person)
<br />$5,000
<br />L000
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$3,000,000
<br />POLICY PRO-
<br />ECT � LOC
<br />PRODUCTS-COMPIOPAGG$1,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />H21SS2007100
<br />1/6/2021
<br />1/6/2022
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />IANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY(Per accident)
<br />$
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accitlenl
<br />$
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DEO RETENTION$
<br />$
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY YIN
<br />PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$
<br />ANVPROPRIETORIPARTNER/EXECUTIVE
<br />OFFICERIMEMBEREXCLUDED9 ❑
<br />NIA
<br />E.L. DISEASE - EA EMPLOYEE
<br />$
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$
<br />A
<br />Professional Llabillty
<br />H21 SS2007100
<br />1/6/2021
<br />1/6/2022
<br />Each Claim
<br />1,000,000
<br />Sexual/Physical Abuse
<br />Prof Aggregate
<br />SAMLAggregate
<br />3,000,000
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be abashed if more space is required)
<br />Certificate holder is named Additional Insured to General Liability coverage if required by written contract, subject to all policy terms, conditions, definitions and
<br />exclusions. Primary/Non-Contributory applies. Notice of Cancellation for Specified Entity, City of Santa Ana.
<br />"City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or
<br />memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and
<br />noncontributory."
<br />The City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD C
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />Risk
<br />II
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