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ACC?R" CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />11 /9/2018 <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Heather Crane <br />Edgewood Partners Insurance Center <br />PHONE FAX <br />License No. OB29370 <br />(A/c. No. Eine 916-974-4617 A/c No): <br />P.O. Box 13847 <br />ADDRESS: heather.cranel@epicbrokers.com <br />INSURERS AFFORDING COVERAGE NAIC# <br />Sacramento CA 95853 <br />_ <br />INSURER A: Lloyds of London 85202 <br />INSURED COTAD-1 <br />INSURER B: Federal Insurance Company 20281 <br />Cole Huber LLP <br />2261 Lava Ridge Court <br />INSURER C : <br />Roseville CA 95661 <br />INSURER O : <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 1412967038 REVISION NUMBER: <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />M D/YYYY <br />POLICY EXP <br />MID <br />LIMITS <br />B <br />X COMMERCIAL GENERAL LIABILITY <br />36044290 <br />1/15/2019 <br />1/15/2020 <br />EACH OCCURRENCE $1,000,000 <br />CLAIMS -MADE � OCCUR <br />DAMA ETORENTED <br />PREMISES Ea occurrence) $1,000,000 <br />MED EXP (Any one person) $10,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />X POLICY ] JET F—]LOCPRODUCTS <br />- COMP/OP AGG $ <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />73596574 1/15/2019 <br />1/15/2020 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ee accident <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNEDX SAUTOSCHEDULED <br />AUTOS ONLY <br />BODILY INJURY (Per accident) $ <br />PROPERTYDAMAGE $ <br />Per accident <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />B <br />X <br />UMBRELLA LIAB <br />HCLAIMS-MADE <br />OCCUR <br />78184076 1/15/2019 <br />1/15/2020 <br />EACH OCCURRENCE $4,000,000 <br />AGGREGATE $4,000,000 <br />EXCESS LIAB <br />DED X RETENTION $ n <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNER/EXECUTIVE <br />71756163 <br />1/15/2019 <br />1/15/2020 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $1,000,000 <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatory In NH) <br />N yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />A Professional Liability <br />BN300890M 6/1/2018 <br />6/1/2019 <br />Each Claim $5,000,000 <br />Claims -Made <br />Aggregate $5, 0,000 <br />Deductible $5 ,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: All Contracts/Written Agreements between the Certificate Holder and the Insured. When required by wr(?klSnfo� with pri ary <br />coverage and waiver of subrogation apply to General Liability and Automobile Liability, all per the attachak Err#7al n <br />n a Nil. Sc arzmann <br />or Assistant City Attor Iey <br />A rV <br />CERTIFICATE HOLDER <br />Sandra Marie Flores Schwarzmann, Esq. <br />Senior Assistant City Attorney <br />City of Santa Ana <br />P.O. Box 1988 <br />20 Civic Center Plaza, 7th Floor <br />Santa Ana CA 92702 <br />CANCELLATION <br />u <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 />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />