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,�� V CERTIFICATE OF LIABILITY INSURANCE TE (MMIDDIYYYY) 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 CONTACT NAME: PHONE Evil. bVC, No 800-665-7020 FAX No: (877) 826-9067 Techlnsurance soi 1301 Central Expy. South, Suite 115 • O • Tech I nsu Cance Allen, TX 75013 E-MAIL ADDRESS: PRODUCER CUSTOMER ID F: INSURERS AFFORDING COVERAGE NAIC A $ 1,000,000 INSURED INSURERA: Sentinel Insurance Company, Limited 11000 INSURER B: Beazley Insurance Company Inc. 37540 Miller Mendel, Inc. INSURER C: 1425 Broadway Ste 430 Seattle, WA 981223854 INSURER D PRODUCTS - COMPIOP AGO_ INSURER E: $ INSURER F: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 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. /NSR LTR TYPE OF INSURANCE ODL AINSR SUER MVD POLICY NUMBER MMIDDIYYYV POLICY EXP LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5( 1 OCCUR ✓ STOP GAP (see below for limits) Yes 46SBMUF4112 12/26/2014 12/26/2015 EACH OCCURRENCE $ 1,000,000 DAMA✓ ETORENTED PREMISES PREMISES RENT rrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1000,000 GENERAL AGGREGATE $ 2000,000 GEML AGGREGATE LIMIT APPLIES PER: RO LOC ✓ POLICY PRO- JECT PRODUCTS - COMPIOP AGO_ $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Yes 46SBMUF4112 12126/2014 12/26/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ ✓ ✓ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE DEDUCTIBLE RETENTION $ _$ _ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/NER PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under STOP GAP DESCRIPTION OF OPERATIONS be ow N/A 46SBMUF4112 (STOPGAP) 12/26/2014 12/26/2015 WCSTATU- OTH- LIM TSANY E. L. EACH ACCT DENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Professional Liability (Errors and Omissions) t V17707140101 12/26/2014 12/26/2015 $1,000,000 / $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Santa Ana is named as Additional Insured as their interests may appear in regards to general liability and automobile liability. Re.v�( bVS/oBG� CERTIFICATE HOLDER CANCELLATION © 1988.2009 ACORD CORPORATION. All rights reserved. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <� © 1988.2009 ACORD CORPORATION. All rights reserved.