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RJMDESI-01 AUSTI ,4COR0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `-� 9/7/2018 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 have ADDITIONAL INSURED provisions or 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 riahts to the certificate holder in lieu of such endorsement(s). PRODUCER License IF Utb t / IOA Insurance Services 4370 La Jolla Village Drive Suite 600 San Diego, CA 92122 INSURED RJM Design Group, Inc.. 31591 Camino Capistrano San Juan Capistrano, CA 92675 All Smith ialc: rio. Ext): (619) 788-5795 50206 I (A C. No1.(619) 574-6288 1 Ali.Sm COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADEX 1%] OCCUR 1,000,000 PSB0007263 09/30/2018 09/30/2019 DAMAGE TO RENTED _.PAEMI$FS��/xcur_rencel ! $ X Cont Liab/Sev of Int 10,000 MED EXP (Any one arson _—_-_-_ PERSONAL & ADV INJURY ': $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRO- LOC POLICY X 4,000,0_0 PRODUCTS –COMP/OP AGG $ _ Deductible 0 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea acccid t $ ANY AUTO X PSA0002412 0913012018 09/30/2019: BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY {Per accident).. $______---___ X pN pyy p AIR OS ONLY X AUTOS ONY OPERTY AMAGE :;_(Per aeaident X No Co. Owned Autos j --- ____;_$_------- A X UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ 1,000,000 -- -- EXCESS LIAB CLAIMS -MADE — —.... ..... - PSE0003628 09/30/2018 09/30/2019 AGGREGATE $ 1,000,000 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X _ — .STATUTE._ EERH OFFICEWMEMBER EXCLUDED? ECUTIVE Y[ X PSW0004066 09/3012018 09/30/2019 1000,000 E.L. ACCIDENT $ (Mandatory in NH) NIA -_ _- E.L. DISEASE - EA EMPLOYEE 1,000,000 If yes, describe under _$ - - --- 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT : $ B Prof Liab/Clms Made PAAEP0031101 10/01/2018 10/01/2019 Per Claim 2,000,000 B Ded.: $25K Per Claim PAAEP0031101 10/01/2018 10/01/2019 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: A-2014-223-03 A-2009-023 The City of Santa Ana, its officers, employees and representatives are Additional Insureds with respect to General/Hired & Non -Owned Auto Liability per the attached endorsements as required by written contract. Insurance is Primary and Non -Contributory. Waiver of Subrogation applies to Workers' Compensation. 30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. REVIEWED BY: EUNICE HEREDIA (PGt OFfl ) City of Santa Ana Attn: Susie Furjanic PO Box 1988 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD