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�1 A. -a-ollp • 0 28 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 1/11/2018 THIS CERTIFICATE I5 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 lieu of such endorsement(s). PRODUCER Alliant Insurance Services, Inc. - San Marcos License #: OC36861 570 Rancheros Drive Suite 1-00 an arcos CA 92069 NAME: CT KelseyTheakston PHONE C Ez1: 760-304-7151 FAX No). 760-304-7362 EMAIL -ABDREss:—KelsB �kleaksten Hiatiteenl— - INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Ohio Security Insurance Company 24082 INSURERS: INSURED HADRINC-01 HadroneX, Inc., INSURER C: dba: Smartcover Systems 2067 Wineridge Place Ste E Escondido CA 92029 INSURERD: INSURER E: NSURER F: COVFRAr:FC rcerionwrv. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO KGVIJIUN NUMBII THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES WITH RESPECT TO WHICH THIS DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID HEREIN IS SUBJECT TO ALL THE TERMS, CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MMIDp A X LIMITS COMMERCIAL GENERAL LIABILITY Y BKS 57741748 212/2018 2/2/2019 CLAIMS-MADElxl EACH OCCURRENCE $1,000.000OCCUR PREMISES (Ea occurrence $ 300.000 MED EXP (Any one person) $15,000 PERSONAL &ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY E LOC GENERAL AGGREGATE $2,000,000 JET PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAS 57741748 2/212018 2/2/2019 COMBINED SINGLE LIMIT $ Ea accident 1 000 000. X. - BODILY INJURY (Per person) $ ANY AUTO AOSCHEDULED BODILY INJURY (P.,accident) $ AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accitlent UMBRELLA Lim OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ OED RETENTION$ WORKERS COMPENSATION $. AND EMPLOYERS'LIABILITY YIN PER OTH- STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. EACH ACCIDENT $ (Mandatory in If yes, describe under E.L. DISEASE- EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attacher) if more space is required) Certificate holder is named as additional insured as respects to General Liability when required by written contract insured or agreement, for services by the named for the certificate holder per the attached endorsement. provided rco7•rnrwrc urr nom.. City of Santa Ana 20 Civic Center Plaza, M-21 Santa Ana CA 92701 ....v,"' m t'u . "..I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD 1 ne ACURU name and logo are registered marks of ACORD All rights reserved