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,G►e' RbP CERTIFICATE OF LIABILITY INSURANCE 06i(04 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 Ileu of such endomement(s). PRODUCER CONTACT KENNY CHOI NAME: INSURANCE LAND INSURANCE SERVICES �CNEO 1,213- 388 -5505 aCNO:213- 388 -7148 4032 WILSHIRE BLVD EMAIL INSURANCELAND@SBCGLOBAL. NET ADDRESS: STE 309 INSURERS AFFORDING COVERAGE NAIC# LOS ANGELES CA 90010 INSURERA:COLONY INSURANCE COMPANY $ 5,000 INSURED INSURER B; EMPLOYERS PREFERRED INSURANCE A XANADU SERVICE SYSTEM, INC. INSURER C: INTEGON PREFERRED INSURANCE INSURER D : 3660 WILSHIRE BLVD. SUTIE 506 GENERAL AGGREGATE 2,000,000 INSURER E: LOS ANGELES CA 90010 1 INSURER F: ___$_ PRODUCTS - COMP /OPAGG COVERAGES CERTIFICATE NUMBER: 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. S ILTR TYPE OF INSURAN CE ADOL IN INSIR SUER MD POLICY NUMBER POLICY SEE MMIDDNYYY POLICY EXP MM/DDNYYY LIMITS GENERALLIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 14 OCCUR GL4136354 09/15/2014 09/15/2015 EACH OCCURRENCE A RE ED PREMISES Ea occurrence $ 11000,000 $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY S 1,000,000 A GENERAL AGGREGATE 2,000,000 GENT AGGREGATE LIMIT APPLIES PER', ___$_ PRODUCTS - COMP /OPAGG $ 11000,000 POLICY PRO- LOO _- $ AUTOMOBILE LIABILITY 2003172588 06/04/2015 06/04/2016 COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per person) $ C _ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED _ AUTOS PROPERTY DAMAGE$ Per accitlent UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE _ $ EXCESSLIAB CLAIMS -MADE DEB RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY ECUTIVE� OFFICER /MEMBEER EXCLUDED? NIA EIG 1663447 02 04/02/2015 04/02/2016 WCSTATU- OTH- 9SY_LN E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYE '- -' $ 11000,000 (Mandatory In NH) es, d scope under E.L. DISEASE - POLICY LI MIT $ I 000 00 U SCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) eA V CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. F;e'Ve" \�P/ >000�0000' CERTIFICATE HOLDER CANCELLATION laQ CLERK OF THE COUNCIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE Wl;H J POLICY PROVISIONS. 20 CIVIC CENTER PLAZA (M -30) AUTHORIZED REPR ENTATI E SANTA AN CA 92701 ,,, © CORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered a s of ACORD