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A-Z®►2^/1(/ A�� br CERTIFICATE OF LIABILITY INSURANCE 3/21/2018 ' 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 Frederiksen & Frederiksen, A Corp. Insurance & Risk Mgmt Services 12900 Preston Road, Suite 500 Dallas TX 75230 CONT Melinda Carey PHONE (972)387-8646 FAC e. (9'!2)991-930'! -MAZE II.melinda@fredandfred. com OR INSURERS AFFORDING COVERAGE NAICW INSURERA:Phoenix Insurance Company 5623 INSURED LD Systems 718 Scottish Mist Trail Suite 119 Highland Village TX 75077 INSURERB:Travelers Indemnity Company 5658 INSURER C:Travelers Casualty and Surety 19038 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:CL1832103164 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 JUR SUBIR VIVO POLICY NUMBER POLICY EFF IMMIDDIYYYYI POLICY EXP IMWDDIYYyYlLIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 680-0661W261-18-42 /25/2018 /25/2019 DAMAGE TO RENTED 300,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO -LOC JFQT $ AUTOMOBILE LIABILITY EasBIIJeDSINGLE LIMIT t 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 680-0661W261-18-42 /25/2018 /25/2019 BODILY INJURY(Peraccident) $ XX NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Pereccidenl $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 B EXCESSLIAB CLAIMS -MADE DED X RETENTION$ 10,00 $ OP-7584YS75-18-42 /25/2018 /25/2019 C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE MeGERflaEn NH EXCLUDE07 ( ry ) NIA -3x497461-18-42 /25/2018 /25/2019 X I WCSTATU-OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE -EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701; its officers, employees, agents, volunteers and representatives are named as additional insured as required by written contract. �✓ 3 PP by: City of Santa Ana Treasury Manager 20 Civic Center Plaza M15 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 Frederiksen/MRC INS025r9mixm m Thn ArnPn name and Inn^ aro ranietored m�rkc of ArnPr1