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`'l b® CERTIFICATE OF LIABILITY INSURANCE DATE 6/30/20114 ) 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 Ilou of such endomement(s). PRODUCER CONTACT Jf1Rn1£er Bnnnfl Millennium Corporate Solutions PHONE F.U. (949) 857-4500 FAX . (949)B$?-4e00 License # OC13480 E-MAIEsm 3bunce@mc sins. com 5530 Trabuco Road INSURERS AFFORDING COVERAGE NAIC 9 INSURERA:Citizens Insurance Company of Irvine CA 92620 INSURED INSURER B : Acire, Inc INSURER c: INSURER D: 211 Simplicity INSURER E : Irvine CA 926202t1/3t37 INSURERF, COVERAGES CERTIFICATE NUMBER:CL1463025616 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OFINSURANCE A NUMBER POLICY EFF POLICY EXP1121. LIMIT$ GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISESmoorrencal $ 30,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DB3 AOY4591 01 AS� �'I-D Ov n 1 1F® 16/2015 MEDEXPM onspemon) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ 2,000,000 �� X POLICY PRO LOC ak0 $ A AUTOMOBILE X LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS M AUTOS 0 4�/ ,A pp�pi$lart city [�AG`345Yf9)1 �t10 /6/2014 /6/2015 COMBINED SINGLE LIMIT 11000,00 BODILY INJURY(Per person) S BODILY INJURY (Per aadent) $ PROPERTYDAMAGE r ac d t $ 8 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CL "'44ADE ED I I RETENTION $ WORKERS COMPENSATION WC BTATD- OT& AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEJIECUTIVE OFFICEIVIeWER EXCLUDED? (Mand.emy In NH) Ifym,demdbeundw NIA E.L EACHACCIOENi $ E.L. DISEASE - EA EMPLOYE1 $ EL. DISEASE -POLICY LIMB I $ OE SCRIPTION OF OPERATIONS below A Professional Liability S3 A034591 Ol /6/2019 /6/2015 EACH CLAIM LIMIT $1,000,000 Claims -Made Policy AGGREGATE LIMIT $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ANach ACORD 101, AddlUonal Remarks Schedule, If more apace Is re4uired) The City of Santa Ana is included as additional insured with primary & non-contributory wording for general liability per attached form 391-1006 0609 when required by written contract as respects to the insureds operations. *10 days notice of cancellation for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-36 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 •/ /� Diem Jurkoeky/JEt4BIJN U ACORD 25 (2010/05) INR07fi on1nnat m ©1988-2010 ACORD CORPORATION. All rights reserved. Tho ArnPn nama and Innn ara ranidarad mark¢ of Ar.npn