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- c k& A� !�'a® CERTIFICATE OF LIABILITY INSURANCE 51DATE(M ,ODIYYYY) 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 cortificate holder in lieu of such endorsement(s), PRODUCER Alliant Insurance Services, Inc. - San Marcos License #: OC36861 670 Rancheros Drive, Suite 100 San Marcos CA 92069 NAME: T Kelsey Theakston ___ _ PHONE 760-304-715'1 FAX 760-304-7362 +C -N F�U,7----4 �nIC.Ne ._._ EMAIL Kelse Theakston alliant.com ss. Y @ _., —, _ _ INSURERS)AFFORDINGCOVERAGE NAIC# INSURER A; Everest National Insurance Company_i__ 10120 EACH OCCURRENCE INSURED HADRINC-01 INSURER 9: _ HadroneX, Inc. 2067 Wineridge Place Ste E@suRr.Rc: Escondido CA 92029 $10,000 GEN'L X INSURER D: PERSONAL &ADV INJURY INSURER E AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT LOC OTHER: GFNERALAGGREGATE INSURER F: PRODUCTS-COMP/OP AGO $2,000,000 COVERAGES CERTIFICATE NUMBER. 2062371711 RFVISION NHMRFR- 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. WER TYPE OF INSURANCE g� SUBR WVD POLICY NUMBER MMIODNYVY MM/tlOMXYY .� LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FOOCCUR Y CFIGLOOI 10-161 2/2/2016 2/2/2017 EACH OCCURRENCE $1,000,000 _DTMAGF TO RENTED '^" PREMISES(Ea owurrence $100,000 _ MED EXP (Any one person) $10,000 GEN'L X _ PERSONAL &ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT LOC OTHER: GFNERALAGGREGATE _ $2,000,000_ PRODUCTS-COMP/OP AGO $2,000,000 — S —.N. A AUTOMOBILE X LIABILITY AINI�Y AVVUyyTO AUfOOSNED SUTHOEDULEO AANON-OWNED FARED AUTOe AUTOS CFl CA00030-161 5/1/2016 2/212017 E LIMIT Ea accitlent)___. _ $1,000,000 BODILV INJURY iPer person) $ eODILY INJURV IPer accitlon0 $ PROPERTY DAMAGE ,LPer accidont _ -_.._.__.....—. $ $ UMBRELLA LIAS EXCESS LIAB OCCUR CLAIMS -MADE EACHOCCURRENCE 3 AGGREGATE $ DEO I I RETENI ION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOMPARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (mandatory lnNH) II Yas, descdbe under DESCRIPTION OF OPERATIONS belay NIA PER OTH STATUTE E.L. EACH ACCIDENT $ E.L. DISEASE EA EMPLOYE __-- $v "—'---'—' E.L. DISEASE � POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Certificate holder is named as additional insured as respects to General Liability when required by written contract or agreement, for services provided by the named insured for the certificate holder per the attached endorsement. City of Santa Ana 20 Civic Center Plaza, M-21 Santa Ana CA 92701 SHOULD ANY OPTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS cREEPRESE//N//TATIVE / (AG Ar npn rnrNPI PATIr1M All dr.hfe roe.—r! ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD