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` t. O� CERTIFICATE OF LIABILITY INSURANCE DATE (MMm01YYYY 6/30/2019 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(ies) 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 A n e Millennium Corporate Solutions P (949)857-9500 F'ixNM- (949)857-4800 License # OC13480ADDRESS .jbunce@mcains. com 5530 Trablucc, Road INSURERS AFFORDING COVERAGE NAIC# INSURER A:Citizens Insurance Company of Irvine CA 92620 INSURED INSURER B Acire, Inc INSURER C: 211 Simplicity INSURERD: NSURER E: Irvine CA 92620 / INSURER F: COVERAGES CERTIFICATE NUMBER:CL1463025616 REVISION NIIMRFR- 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 OF INSURANCE ADUL SUER F POLICY EXP LIMBS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 occurrence)$ 30,000 A X COMMERCIAL GENERAL LIABILITY CLAIMSJMADE Fx] OCCUR DB3 A0id591 01 b=p OV D O v® /6/2015 MED EXP An one ersan $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE X POLICY LIMIT APPLIES PER: LOC PRODUCTS-COMP/OP AGO $ 2,000,000 aka 1t PRO $ AUTOMOBILE LIABILITY01 a� Ci`! AttQ INLIMIT1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS rAO345AVIVJSt an t /6/2014 /6/2015 BODILY INJURY (Per accident) $ X HIRED AUTOS X[.:I AUTOS -OWNED PROPER V DAMAGE $ UMBRELLA UAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE RETENTION S WORKERS COMPENSATION I WCSTATU- DTH- ANO EMPLOYERS' LIABILITY Y I N ANY PROPRIETORtPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability ZXB3 A034591 01 /6/2014 /6/2015 EACH CLAIM LIMIT $1,000,00C Claims -Made Policy AGGREGATE LIMIT $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Ie required) The City of Santa Ana is included as additional insured with primary 6 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 Arta ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-36 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 Diem Jurkoaky/JEITBUN ACORD 25 (2010/05) INS025,nn1nnst m ©1988-2010 ACORD CORPORATION. All rights reserved. Th. Ar.nRn namn and Innn of ACORn