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Jevi-k .01 b' Datmt� A Ste w.e AC®® -P. 10+) t.4_- 01a -2so �... CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1 1/06/201 7 THIS CERTIFICATE IS ISSUEDAS 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed.It SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.Astatement on this certificate does not confer rights to the certificate holder In Ileo of such endorsement(s). PROOUCER CONTACT ______ NAME: ROSALIE FISHER _ ROSALIE FISHER _ 20051 SW BIRCH STREET,SUITE 202 (A/CC,NO.EWT):(949)250-3361 (Fn HONErc,NO):(949)250-0224 —_._------- NEWPORT BEACH CA 92660 E-MAIL ADDRESS: rosalietrosaliefsherinsuranoe,con, __^—__ INSURER(S)AFFORDING COVERAGE NAICU INSURED INSURER A: Evanston Insurance Company _ __ THE ACE AGENCY INSURER B: United State Liability Insurance Company 1 INSURER C: Mount Vernon Fire Insurance Company(EPLI) I 221 N SYCAMORE ST p y SANTA ANA CA 92701 INSURER D: INSURER E: L_ —_ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. rIGrR TYPE OF INSURANCE NSR ADDTL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000,000 DAMAGE TO RENTED 1 CLAIMS-MADE OCCUR PREMISES(EaOccurrence) $ I 100,000 MED EXP(Any one person) $ 5,000 A 2AA115727 04/08/2017 04/08/2018 PERSONAL&ADV INJURY $ I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PROJECT LOC VRODUCTS-COMP/OP AGG S 1,000.000 I . OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) 1$ A OON NED AUTOS SCHOEDULED BODILY INJURY(Per accident)S 2AA15727 04/08/2017 04/08/2018 HIRED AUTOS NON-OWNED PROPERTY DAMAGE S ONLY AUTOS ONLY (Per accident) $ UMBREL LA LIAR OCCUR EACH OCCURRENCE $ EXCESSLIAB I CLAIMS-MADE AGGREGATE $ DED li RETENTIONS i WORKERS COMPENSATIONr OTHER $ AND EMPLOYERS'LIABILITY ' STATUTE ANY PROPRIETOR/PARTNER/ Y/N N/A EL EACH ACCIDENT $ EXECUTIVE OFFICER/MEMBER EXCLUDED?(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Each Claim Limit $1,000,000 B 1PROFESSIONALBILITY SP 1562961A 04/08/2017 04/08/2018 Annual Aggregate Limit! $3,000,000I '^DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 1(11,Additional Remarks Schedule,may be attached If more space is required) !Additional Insured:City of Santa Ana.20 Civic Center Plaza, Santa Ana,CA 92702 ._ OLICY CPL(-COVERAGE: oenPra-cestLibi0y Each Claim Limit IB COVERAGE:Employment Practices Liability Each gr Limit $1,000,000 Employment Practices Liability in Rttention to Limit $10,00,000 Employment Practices Liability Retention $10,000 CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CA LIED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDA WITH THE POLICY PROVISIONS. 20 CIVIC Center Plaza AUTHORIZED REPRESENTATIVE ROSALIE FISHER L Santa Ana CA 92702 — ACORD 25(2016/03) 0 1988.2015 ACORD CORPORATION.All Rights Reserved