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EPICLAN-01 AUSTINA
<br />ACORN CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY)
<br />9/25/225/2018
<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 License # OE67768 CONTACT Dana Schwartz
<br />NAME:
<br />IOA Insurance Services PHONE FAX
<br />4370 La Jolla Village Drive (A/C, No, Ext): (619) 574-6223 50203 (A/C No):(619) 574-6288
<br />Suite 600 Aoo IIEss• Dana.Schwartz@ioausa.com
<br />San Diego, CA 92122
<br />INSURED
<br />Epic Land Solutions, Inc.
<br />2601 Airport Drive Suite 115
<br />Torrance, CA 90505
<br />INSURER F :
<br />rnVFRA(.FS (_FRTIFI(`ATF NIIMRFR• RFVICInN m 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 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 TYPE OF INSURANCE AWL SUBR POLICY NUMBER ! POLICY EFF POLICY EXP LIMITS
<br />LT
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />,EACH OCCURRENCE : $ 2,000,000
<br />CLAIMS -MADE X OCCUR
<br />❑
<br />X
<br />4031022253 10/01/2018
<br />10/01/2019 DAMAGE TO RENTED 1,000,000
<br />PREM�SES1Ea�.ur_r_en0) $
<br />X
<br />Cont Liab/Sev OT Int
<br />10,000
<br />MED EXP (Any one nersonL
<br />_ _
<br />I
<br />2,000,000
<br />PERSONAL 6 ADV INJURY_! 3_ _ _ _
<br />AGGREGATE LIMIT APPLIES PER:
<br />GEN'L
<br />GENERAL AGGREGATE $ 4,000,000
<br />POLICY jpT l LOC
<br />PRODUCTS COMP/OP AGG $ 4,000,000
<br />OTHER:
<br />HNOA $ 1,000,000
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT 1,000,000
<br />' $
<br />ANY AUTO
<br />14031022253 10/01/2018
<br />---(EAlccidept) -___-
<br />10/01 /2019 BODILY INJURY (Per person) ! $
<br />OWNED SCHEDULED
<br />i
<br />AUTOS ONLY AUTOS
<br />-
<br />i
<br />BODILY INJURY (Per-
<br />X
<br />NN E
<br />AUTOS X__ AUOTOS ONLIY
<br />�
<br />(Pe0acEciRde tDAMAGE $
<br />X
<br />ONLY
<br />Autos . Owned
<br />- -- -
<br />B
<br />X
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE $ 10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />6014253989 i 10/01/2018
<br />10/01/2019 AGGREGATE $ 10,000,000
<br />DED I X I RETENTION $ 0
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />X PER OTH-
<br />T ASUTE i --ER—
<br />YIN
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE _.
<br />WC 5 94617867 10/01/2018
<br />10/01/2019 1,000,000
<br />L. EACH ACCIDENT -
<br />OFFICER/MEMBER EXCLUDED? 1
<br />(Mandatory In NH) -
<br />NIA
<br />_E _._-__. ,_ __
<br />E.L. DISEASE -EA EMPLOYEE $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />C
<br />Prof Liab/Clms Made
<br />PGIARK06632-02 10/01/2018
<br />10/01/2019 Per Claim 3,000,000
<br />C
<br />Ded.: $25K Per Claim
<br />PGIARK06632-02 10/01/2018
<br />10/01/2019 Aggregate 4,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Re: All Operations
<br />City of Santa Ana, its offciers, employees, agents, volunteers and representativs are Additional Insureds with respect to General Liability per the attached
<br />endorsement as required by written contract. Insurance is Primary and Non -Contributory.
<br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions.
<br />REVIEWED BY: EUNICE HEREDIA (PG OF �)
<br />City of Santa Ana
<br />20 Civic Center Plaza (M-36)
<br />P.O. Box 1988
<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 />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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