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11 A ��} �L-- IJ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 6/19/2018 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(ies) must 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 endorsements. PRODUCER James S. Sender Insurance Agency CONTACT NAME. PHONE 11 .888-725-4613 FA/GNo714.770.0048 1 Es 515 W. Commonwealth Ave. Ste. 209 E-MAILSS.James JScottBro erage.Com Fullerton, Ca. 92832 OD69973 INSURERS AFFORDING COVERAGE NAIC# INSURERA PCIC RIG INSURED Milli LOW & Cheryl Dimson INSURER B: wational viability & sir® Insurance company INSURERC Table21Garden su RER D: 12747 Barrett Lane E E' Santa Ana, Ca. 92705 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. ILTR TYPE OF INSURANCE s o C MBE MM/DDIVVVY MMIDD/NYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 occurrence) $ 50,000 X COMMERCIAL GENERAL LIABILITY RED EXP Anyoneinersom $ 5,000 CLAIMS -MADE L1 OCCUR PERSONAL & ADV INJURY $ 1,000,000 A Y Y PCA5017-PC265602 4/10/184/10/19 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OPAGG $ 1,000,000 $ 7 POLICY F PRO- L C AUTOMOBILE LIABILITY EOa BI ED SINGLE LIMIT accANYAUTO BODILY INJURY (Par person) $ H ALLOWNED SCHEDULED AUTOS A AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIREDAUTOS AUTOS $ UMBRELLA CAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEC RETENTION WORKERS COMPENSATION I TWO STATYIN U,,U- OTH- B AND EMPLOYERS' LIABILITY ANYPOFFIROPRIETRREAFTLL�EEXECUTIVE (Mandatory In NHl N/A Y A9WC947004 3/8/18 3/8/19 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EC EMPLOYEE $/000/000 Ifyes,descdbeender DES OF OPERATIONS belt E.L.DISEASE-POLICYLIMIT 1 000 000 r r DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101,Additional Remarks Schedule, if more space is required) The City of Santa Ana, it's officers, employees, agents, and representative are named as additional insured. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative are named as additional insureds. The City of Santa Ana is also Primary a Non -Contributory, 'A including Waiver of Subrogation. With respect the additional insurea insureds, this insurance shall not be cncelf, or materially reduced in coverage or limits except after thirty (30) days written notice has been give q the City of Santa Me, 20 Civic Center Plaza, Santa Ana, California 92701. OFRTIFICATF_ HDIDER OANOFI.I ATION ...C\. The City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICI J W r EL FORE 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOT tNf�� 11VERED IN Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PROVIS� e^ AUTHORIZED REPRESENTATIVE, © 198 010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks( ACORD