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4� °® CERTIFICATE OF LIABILITY INSURANCE D TE(MMMo 5Y) 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 WAPVED, 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 NA CO MNTACT E: Susan Dias e Insurance Solutions PHONE (949) 345 -7400 AIC Not (949)348 -2373 License #0746539 E -MAIL .(EnD@ins- solutions. com ADDRESS: INSURERS ) AFFORDING COVERAGE HAIG0 33302 Valle Rd, Suite 200 INSURERA:NiSCOX Insurance Company Inc. 10200 San Juan Capistrano CA 92675 INSURED INSURERB:State COMP Ins Fund CLAIMS -MADE 51 OCCUR Network Kinection LLC INSURER C: 1142 S. Diamond Bar Blvd. Ste. 160 INSURER D: INSURER E, $ 100,000 Diamond Bar CA 91765 INSURER F: COVERAGES CERTIFICATENUMBER:15 -16 GL & WC 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. INSR LTft TypE OFINSURANCE ADDLSUBR ACCORDANCE WITH THE POLICY PROVISIONS. POUCYNUMSER POLICY EFF MMIDDIYYYY ) POLICY EXP (MMIDEVYYYYli LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE 51 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 51000 UDC1433206CGL15 3/15/2015 3/15/2016 PERSONAL &ADV INJURY $ 11000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GENL X POLICY ❑PRO- ❑ ECT LOG PRODUCTS - COMP /OP AGO $ included $ OTHER: AUTOMOBILE LIABILITY CEOMBINaccide nED t SINGLE LIMIT a $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Peraccldent $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 1r PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ 1,000,000 B ANY OFFICERIMEIMBCREXCLUDWE ECUTIVE ❑ (Mandatory in NH) If yes, describe under NIA 9094396 -15 4/2/2015 4/2/2016 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Santa Ana, its officers, employees, agents and volunteers are named as additional , insured per the attached endorsement. CERTIFICATE HOLDER CANCELLATION SVazquez @Santa - ana.org 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 T Alessandra /PETERS ACORD 25 (2014/01) I NS025 (2014011 ©1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD