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/4��Rr 7 0 `CO CERTIFICATE ®F LIABILITY INSURANCE DATE (MMIDDIYYYY) 5/22/2017 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(les) 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 endorsement(s). PRODUCER LT$$C Insurance $erV] oeS #OF13098 1820 E . First Street, Ste 500 Santa Ana CA 92705 COAME: TACT Jeanette Mueller N PHONE (714) 569-2700 (AICNo pIC (714)569-3099 E•MAL ODRE S: Jeanette.mueller@hubinternational,com INSURERS AFFORDING COVERAGE NAIC # INSURER A:Technology Insurance Company 042376 INSURED Desmond, Marcello & Amster, LLC 6060 Center Drive, Suite #825 Los Angeles CA 90045 INSURER B : INSURERC: INSURERD: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:2017 WC 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 LTR TYPE OF INSURANCE ADDL INAR S BR WVQ POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY _ D A END PREMISES Ea occurrence $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY OMBIN D SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRT DSAUTOS NON OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA WC3619792 4/29/2017 9/29/2018 X WC STATU• OTH- E.L. EACH ACCIDENT $ 1,000,000 E,L.DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) RE: Contract # A-2011-069, A-2015-157 and A-2015-160. REVIEWED BY: EUNICE HEREDIA (PG f OF 0 L:tK I It-IL+A It HULUtK L:ANL:tLLA I IUN City of Santa Ana 20 Civic Center Plaza M-36 Santa Ana, CA 92701 ORD 25 (2010/05) 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 s Monahan/JUBAE O 1988-2010 ACORD CORPORATION. All rights reserved, INS(1125 r7n1nnfil n1 Tha Ar`.r)Pr) name nnrl Innn nra ranletararl mark¢ of ArOPr)