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EVANBRO-01 <br />SHANSONI <br />CERTIFICATE OF LIABILITY INSURANCE <br />PATE (MYY) <br />oan71n2011zola <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 License # 0757776 <br />Coxracr Bonnie Hanson <br />Santa Barbara, CA - PRSU - HUB International Insurance Services Inc. <br />40EAlamarAVE <br />Santa Barbara, CA 93105 <br />PNOX <br />AC,xNEo,Esty (605)879-9556 FAuc,xo:605)617-1767 <br />IMes, Bonnie.Hanson@hubinternational.com <br />INSURERS AFFORDING COVERAGE NAIC If <br />72SBAZB5496 <br />INSURERA:SentineiInsurance Company, Ltd. 11000 <br />12/2012018 <br />INSURED <br />INSURER B: Travelers Casualty & Surety Company of America 31194 <br />INSURERC: <br />Evan Brooks Associates, Inc. <br />INSURER 0: <br />1030 S. Arroyo Pkwy #106 <br />Pasadena, CA 91105 <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER- 1 RFVI9.VTN NI IMRFR• <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 CONTRACTOR 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 />TYPE OF INSURANCE <br />ADDLSUBR INSO <br />MD <br />POLICYNUMBER <br />POUCYEFF <br />POUCYEXPJZL <br />faimmorryVVI <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />72SBAZB5496 <br />12/20/2017 <br />12/2012018 <br />EACH OCCURRENCE $ 2,000,000 <br />DAMAGE TO RENTED 1,000,000 <br />PREMISES Me occurrence) <br />X General Liability <br />MED EXP (Am onePerson) $ 10,000 <br />PERSONAL &ADV INJURY 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY F] wi F]LOC <br />GENERAL AGGREGATE $ 4,000,000 <br />PRODUCTS -COMP/OPAGG 1 4,000,000 <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT 2,000,000 <br />IxANY <br />AUTO <br />AUTOS ONLY SCHEDULED <br />SSyUyLNEEDp <br />72SBAZB6496 <br />12120/2017 <br />1212012016 <br />BODILY INJURY Per erson <br />BODILY INJURY Per accident $ <br />PeAecciCeryrll AMAGE $ <br />AUTOS ONLY X AUTOS ONLY <br />UMBRELLA LIAB <br />ki <br />OCCUR <br />EACH OCCURRENCE II <br />AGGREGATE $ <br />EXCESS UAB <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' UABIUTY YIN <br />ANY PROPRIETORIPARTNER/EXECU AVE <br />WeER/M'GMBEPi EXCLUDED? <br />1 andalory m N ) <br />Ifyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />T T R <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYE $ <br />E.L. DISEASE - POLICY LIMIT <br />B <br />Errors & Omissions <br />105734155 <br />01/20/2018 <br />01/20/2019 <br />Occurrence 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Job City of Santa Ana <br />2018.2019 COI City of Santa Ana <br />The City of Santa Ana, its officers, employees, Agents, Volunteers, and Representatives are additional Insured per the Business Liability Coverage Form <br />SS0008 attached to this policy. Coverage is primary & non-contributory per the Business Liability Coverage Form SS0008, 30 day Notice of Cancellation will <br />be provided with Form SSI 223, attached to this policy. R-1101 _ % FJ` I b I /Le PCP <br />I�Vmed kgo Me6n, 4 <br />City of Santa Ana <br />20 Civic Center Piz <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 />ACURD 25 (2015103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />