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a� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDONYYY) <br />�•'�� <br />06107t2017 <br />THIS CERTIFICATE IS 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 INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certifleate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the 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 />PRODUCER <br />` NAE: David Cormier <br />M <br />Heron Insurance Ag <br />PHONE (818)376-0105 (866) 542.9546 <br />100 N Brand Blvd. Ste404 <br />�_ <br />dcormleraheronins.com <br />__ INSURERS) AFFORDING COVERAGE <br />NAIC0 <br />Glendale CA 91203 <br />INSURER A; Penn$lar <br />INSURED <br />INSURER B: USLI <br />SHAKESPEARE BY THE SEA <br />INSURER C: _ <br />INSURER D: <br />777 S CENTRE ST <br />INSURER E: <br />SAN PEDRO CA 90731.3732 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMRER• ncvmrnal nu,ae�L.. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />ILTR <br />TYPE OF INSURANCE <br />WV <br />POLICY NUMBER <br />MNIDDIYYYY <br />FO <br />MMIOO/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1,000,000 <br />CLAIMS -MADE 1Z OCCUR <br />pREMi3E3 En accurre ce <br />E 100,000 <br />MED EXP An are erson <br />S 5,000 <br />PERSONAL$ ADV INJURY <br />s 1,000,000 <br />A <br />Y <br />N <br />CPVC010710 <br />0512812017 <br />05/28/2018 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑JJECOT LOC <br />GENERAL AGGREGATE <br />E 2.000,000 <br />GEN'L <br />PRODUCTS-COAIPIORAGO <br />E INCLUDED <br />OTHER: <br />E <br />AUTOMOBILE <br />LIABILITY <br />SINGLE <br />E'—""" <br />UTO <br />BODILY INJURY (Per personl <br />S <br />WNED SCHEDULED <br />BODILY INJURY(Peracndenti <br />S <br />S AUTOS <br />AUF03 AONJOWNED <br />PROPERTY DAMAGE <br />E <br />fUTOS Perucodent, <br />E <br />kE <br />ELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />3 <br />SS LIAB <br />CLADIAMADE <br />AGGREGATE <br />S <br />RETENTIONS <br />WORKERS COMPENSATION <br />PER T - <br />ANDEMPLOYERSDASNITY YIN <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETCRJPARTNEWEXECUTNE <br />OFFICERAIENISER EXCLUDED) <br />NIA <br />N <br />(6landaMry In NNl <br />URy deeeribevnder <br />0 §S RIPTION OF OPERATIGNSbAce <br />EL. CISEASE-EA EMPLOYE <br />S <br />E.L. DISEASE - POLICY LIMIT <br />5 <br />Directors and Officers Liability <br />Policy Limit $1,000,000 <br />B <br />N <br />N <br />ND010210690 <br />QW09/2017 <br />05/09l201B <br />Each Claim $1=0.000 <br />DESCRIPTION OF OPERATION5) LOCATIONS IVEHICLES IACORB tat Additional Remarks Schedule, maybe anached if morn apace Is required) ^1e <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its <br />officers, employees, agents andvolunteers are named as additional insureds I <br />Fa�ueJr�\�o„ <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />... (<o Ivro U I ne wwrcU name and logo are registered marks of ACORD <br />