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' br CERTIFICATE OF LIABILITY INSURANCE 3/9/2016�Y' THIS 'CERTIFICATE IS ISSUER 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 poiicy(ie's) 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 CONTACT Susan Harp NAME., P= (310)326_6333 A/C Na:(310)326-5416 Nickerson Insurance Services, Inc.FAX LIC #0491589 E-MAILADDRESS: susan@nicicersonins.com INSURERISIAFFORDING COVERAGE NAICid 2.106 West Lomita Blvd. INSURERAPhiladel hia Indemnity Ins Co 1.8058 Lomita CA 90717 INSURED INSURERa-Mercu. Casualty Company 11908....... INSURER C: Thlydwave Corporation -INSURER D: 11900 W Olympic Blvd #200 INSURER E! 0/224/2015 'INSURER F: Los Angeles CA 9'0069-1584 WINGLY42:141!'i,..7r N9:Ji/IISINs■/'7..111 "'IMM 21#ILN r6l.1/.Xi 11A 1=1am. 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. lNSR'. LTR TYPE OF INSURANCE ADDL D POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL, LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [i] OCCUR X PESD1078175 0/224/2015 0/24/2016 DAMAGE TO RENTED PREMISES Fe occurence 50,000 MED EXP(Any one person) S 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE. S 2,000,000 GE;N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 X POLICY' PRC(- LOC S AUTOMOBILE LIAMI ITY COMBINED SINGLE LIMIT JEa accident) $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS. AUTOS CCA00083.63 /5/2016 '/5/201,7 BODILY INJURY (Per accident) $ NON-OWNEDPROPERTY HIRED AUTOS AUTOS DAMAGE Peraccident $ Longevity Credit $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE S 1,000,000 AGGREGATE S 1, 000, 000.. A EXCESS LIAR CLAIMS -MADE DED RE' S PHUB514514 9/10/2015 9/10/2016 WORKERS COMPENSATION WC STATU- OTH- TQRY LIMITS ER__ AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETORlPARTNER/EXECUTIVE EXCLUDED? N 1 A E.L. DISEASE - EA EMPLOYE $ (Mandatory WH I n' ) If yes, describe under E.L.. DISEASE - POLICY LIMIT $ ''.. DESCRIPTION OF OPERATIONS beIaw A Professional. Liability PESD1078175 10/24/201510/24/2016 Each Claim $1,000,000 Aggregate $1,000,000 y o f Santa OF OPERATIONS DESCCity if'rnore space nrlu de Ana/LoCATIONS I it officers (Attacha ents, andddi Additional eesarks S are y g employees hereby included as Additional Insureds on the liability as respects to claims arising from the insureds covered operations per Additional Insured Endorsement form PI-MANU-1 (01/00) and Businessowners Policy -Elite Enhancement form PI--PB-001, (9/05). 30 days notice of cancellation subject to 10 days notice for non payment of premium. ur_m I irlun I e nu umm City of Santa Ana Attn: Purchasing Department 20 Civic Center Plaza 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 Sarah. Kelly/SH - -r- AGURD Z5 (ZW90/05) @)198,8-2010 ACORD CORPORATION. All rights reserved. I N.ra025 r7ni nngi ni Thn 6. r`.rarxr, name a..nrl Innn nrn ronietorarl marlre of Af("'l R'R ryp ,yg' Y fltl7 ,/,r M 1!