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10 SSY <br />"✓ o� CERTIFICATE OF LIABILITY INSURANCE R045 DATE (MM DD YYYY) <br />15 <br />THIS CERTIFICATES 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(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 this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />HUB INTERNATIONAL INS SVCS INC/PHS <br />255611 P: (866) 467-8730 F: (888) 443-6112 <br />PO BOX 33015 <br />SAN ANTONIO TX 78265 <br />CONTACT <br />NAME: <br />PHONE El: (866) 467-8730 inAc.Nal (888) 943-6112 <br />ADDRESS; <br />INSURER(S) AFFORDING COVERAGE NA10t <br />INSURER A: Sentinel Ins Co LTD 11000 <br />INSURED <br />EVANBROOKS ASSOCIATES INC <br />1030 S ARROYO PKWY STE 106 <br />PASADENA CA 91105 <br />INSURER B: _ <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 <br />TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />MSR <br />TYPE OF INSURANCE <br />ADDL <br />SURR <br />POLICYNDHBER <br />POLICY EFF <br />POUCYLXP <br />LMf= <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE S'2L 000, 000 <br />CLAIMS-MADEOCCUR <br />ElP <br />D-1 <br />REMISAMAGE TO RENTED $1,000,000 <br />ES (Ea cccunence) <br />X <br />X <br />MEDEXP(Anycnaperson) $10,000 <br />A <br />General Liab <br />72 SBA ZB5496 <br />12/20/2017 <br />12/20/2018 <br />PERSONAL S ADV INJURY 52, 000, 000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY-1 <br />JECOT LOC <br />GENERAL AGGREGATE s4,000, 000 <br />PRODUCTS-COMP/OP AGG s4,000, 000 <br />OTHER: <br />$ <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Eea.idenl) s2,000,000 <br />BODILY INJURY (Par person) S <br />ANY AUTO <br />PBOMOILE <br />TOAOWNED SCHEDULEDAUTOS ONLY AUS72 <br />SBA ZB5496 <br />12/20/2017 <br />12/20/2018 <br />BODILY INJURY(Per accident) $ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />(Paz accident) $ <br />S <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE B <br />EXCESS LIAB <br />CLAIMS -MADE <br />pE0 REiENtbN$ <br />$ <br />WORJUFMCOMP£N&flrl N <br />ANBEMPLOY£RS'LLIRILRY <br />PER OTH- <br />STATUTE I ER <br />ANY PROPRIETORIPARTNEWEXECUTIVE YIN <br />OFFICER(MEMBER EXCLUDED'/ <br />(Mandatory In NH) ❑ <br />WA <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE -EA EMPLOYEE $ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional RemaAs Schedule, may be attached 11 more space Is raeulred) <br />Those usual to the Insured's Operations. Please see Additional Remarks <br />Schedule Acord Form 101 attached. -F� R-1011 <br />li� <br />I(+ MS I ilz <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana and Its officers, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />employees, volunteers and <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />representatives <br />20 CIVIC CENTER PLZ <br />AUT�H+ORRED REPRESENTA77VE <br />GJ 44e n c CG7a i <br />SANTA ANA, CA 92701 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />f� <br />