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/-- 2,613 - oaf ACORO® CERTIFICATE OF LIABILITY INSURANCE `„/ DATE(MM/DDIYYYY) 1 04/02/2018 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 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 CONTACT NAME: Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor PHONE (8fl8j 202-3007 FAX(AdcNo), E-MAIL ADDRESS: contact@hiscox.com New York, NY 10022 INSURER(S) AFFORDING COVERAGE NAIC4 INSURER A: Hiscox Insurance Company Inc 10200 INSURED INSURER B INSURER C T.R. Holliman and Associates, Inc. 3543 Citrus Street Highland, CA 92346 INSURER D, TO —RENTED A AGES(E... INSURER E: INSURER F: 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 OF INSURANCE ADDLSUBRTYPE INSD WD POLICY NUMBER POLICY EFF MM/0DIYYYY) POLICY EXP (MM1DD1YNYYl LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ TO —RENTED A AGES(E... CLAIMS -MADE 1 OCCUR PREMISES rr occurrence $ MED EXP (Any one person) $ PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S POLICY JEST FILOC PRODUCTS-COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED 'SCHEDULED AUTOSAUTOS BODILY INJURY(Peraccident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per eccidenl UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTIONS $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS' LIABILITY Y/N STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETOWPARTNEMEXECUTIVE OFFICERRAEMBEREXCLUDED) ❑ NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, d scribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Professional Liability Y UDC -1544807 -EO -18 02/18/2018 02/18/2019 Each Claim: $ 2,000,000 Aggregate: $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Santa Ana, its Officers, Employees, Agents, Volunteers and Representatives are Additional Insureds. L�— 5-19--L-11T , f'a9 e City of Santa Ana 20 Civil Center Plaza (M-30), P.O. Box 1988 Santa Ana CA 92702 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 1,1y,�t /iC+rt� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD