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Y <br />CERTIFICATE OF LIABILITY INSURANCE Razz DATUM"V 111 0Y1 <br />12/22/2015 <br />THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR. PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATIONIS WAIVED, subject to the <br />terms and conditions of the policy,. certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />S'PONEBROOK INSURANCE SVCS INC/PHS <br />186261 P:(866) 467-8730 F:(888) 443-6112 <br />PO BOX 33015 <br />SAN ANTONIO TX 78265 <br />INSURED <br />SLOAN VAZQUEZ LLC <br />18006 SKY PARK CIR STE 205 <br />IRVINE CA 92614 <br />Liao:N,.ENT (866) 467-8730 iac, Nnp (88$) 493-6112 <br />INSURER(S) AFFORDING COYERAOE <br />waURERA: Sentinel Ins Co LTD <br />INSURER S': <br />INSURERC: <br />INSURER. D.: <br />INSURER E: <br />INSURER F: <br />NAIC# <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE :MAY BE ISSUED OR MAY PERTAIN, THE. INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMStEXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />/NSR <br />LTR <br />TYPE 01OAS'DIT016W <br />ADDL <br />_IW <br />,EVER <br />JEW <br />A01]( AVAII)ER <br />POLICYE'PT <br />iAPP"rr <br />POIRTRXp <br />LLWLTS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />5]„ 000., 000 <br />A <br />CLAIMS -MADE I OCCUR <br />X General Liab <br />72 SBM AH6839 <br />01/06/2016 <br />67.)'rQ6f i0a14a-L <br />P__6,NMNGE TO <br />REMISES Ea ecce once) <br />$1, 000, 000 <br />X <br />MED EXP (AID ona pm.) <br />10,.000 <br />PERSONAL &ADV INJURY <br />el., 000, 000 <br />GEN'L AGGREGATE LIMIT APPLIES AER: <br />POLICY❑ JECT PRO- M LOC <br />GENERALAGGREGATE <br />S2,00p, Q00 <br />PRODUCTS-.COMPIOP AGO <br />�2,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINEDSINGLE UNIT <br />(E,acclden(I <br />1, 000, 000 <br />`A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />72 SBM AR6639 <br />01/06/2016 <br />l� <br />�i <br />10J./06)2011] <br />BODILY INJURY(Perp..,,I <br />e <br />X <br />BODILY IINJURY(P,f aceldenB <br />5 <br />X <br />HIRED AUTOS X NONOWNED <br />AUTOS <br />PROPERTY DAMAGE <br />(Pm ac,ddeob <br />UMBRELLA. LIPS <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />gGGREGATr.: <br />5 <br />am <br />RETCNrlows <br />i'Nowl vcnnmE,vs rrtnn' <br />AAD IIPWITAS'LfABILITY <br />PER rnR. <br />STATUTE ER <br />ANYPROPRIETORMAR1NMUEXECUTIVE YIN <br />OFFICENMEMBER EXCLUDED? <br />(Mandatory in NH) ❑ <br />E.L. <br />E.L. EACH ACCIDENT T <br />$ _— <br />_ <br />E.L. QISEAS&E EEMPLOYEE <br />�— <br />If yee, descrlbe under <br />DESCRIPTION OF OPERATIONS below <br />--- <br />E.L. DISEASE- POLICY LIMIT <br />S <br />RCVIEWED BY: <br />EUNICE HEREDIA (PG (OF �) <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Addlllanal Remarks Schadule, Pay be allacbad If race, space Is required) <br />Those usual to the Insured's Operations. The City of Santa Ana, its officers, <br />agents, employees, and representatives are Additional. Insured - Vendors per <br />the General Endorsement Form IH12001185 attached to this policy. Notice o <br />cancellation will be provided in accordance with Form SS1223 attached to this <br />policy. <br />U 11100 -AU 14 AGUP(U UUKVUKAI IUN. All rights reserVed. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />CITY OF SANTA ANA <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />FINANCE & MANAGEMENT SERVICES AGENCY <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />U 11100 -AU 14 AGUP(U UUKVUKAI IUN. All rights reserVed. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />