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AI p® CERTIFICATE OF LIABILITY INSURANCE DAT2/16/2018YYY 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(les) must have ADDITIONAL INSURED provisions or 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: Drew Pace FirstMark Insurance Group, Inc plc No Ext),855-300-8522 (AIC, rvo): 253-237-1567 AODREss: Drewca firstmarkinsurance.com 210 S Main St, Suite 203 INSURERS) AFFORDING COVERAGE NAIC# RRENCE $ 2000000 Edmonds WA 98020 INSURERA: SENTINEL INS CO LTD 11000 INSURED INSURER B: SENTINEL INS CO LTD 11000 Bay Sprouts LLC INSURER C: 11800 Foothill Blvd INSURER D : INSURERS: AUTOMOBILE x X Sylmar CA 91342 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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, LTR TYPE OF INSURANCE INSD VWD POLICY NUMBER(MMIDDNYYY) 20 Civic Center Plaza (MMIDD)VYVV) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y Y 59SBARV9040 11/13/2017 11/13/2018 RRENCE $ 2000000 aoE c�urnce) 5 1000000 y one person) 5 10000 ADV INJURY 5 2000000 nGENERALAGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [7JECT LOC OTHER', GREGATE $ 4000000 COMP/OP AGG $ 4000000 $ 2000000 B AUTOMOBILE x X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS NON-O HIRED AUTOS ONLY AUTOS ONLY AUTOS ONLY 59SBARV9040 11/13/2017 11/13/2018 (Ea accident) $ 2000000 BODILY INJURY (Per person) $ BODILY INJURY(Peraooldenq $ (Per eccldeno $ g x UMBRELLA LIAB EXCESS LIAB x OCCUR CLAIMS -MADE 59SBARV9040 11/13/2017 11/13/2018 EACH OCCURRENCE $ 3000000 AGGREGATE $ 3000000 DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICERIMEMBIEERI EXCLUDED?ECUTIVE❑ (Mandatory in NH) If yes, describe under DE SCRIPTION OF OPERATIONS below NIA 59WECAC0056 1/5/2018 7/3/2018 TE ER STATUANY E. L. EACH ACCIDENT $ E. L. DISEASEEAEMPLOYEE $ E. L. DISEASE -POLICY LIMIT $ LL DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schedule, may be attach Amore space is required) The City of Santa Ana, it's officers, employees, agents, and representati ed0named as a ' tonal inStired in regards to general liability, per attached form SS0080405. A 30 -day notice of cancel app/ s CERTIFICATE HOLDER JfAN&2LATr&S 1.01 SHO?LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, California 92701 Drove„ Prue, ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD