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ACC)R� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YVY) 4/10/2019 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 BENDER INSURANCE AGENCY 17481 Sandlewood Dr Riverside, CA 92503 CONTACT NAME PHONE FAX (888) 725-4613 (714) 459-7125 E-MAIL A .dames ascot ro erage.com License#'OD69973 INSURERS AFFORDING COVERAGE NAICp INSURERA: PCIC RIG INSURED Milli Low IS Cheryl Dimson INSURERB-Falls Lake Eire Table2Garden ^� I -(J 12747 Barrett Lane VN' (� o I4I1YJl vl�� INSURER C: Metropolitan Direct wsuRER o: Santa Ana, Ca. 92705 INSURER F COVERAGES CERTIFICATE NUMBERS REVISION NUMRFR 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 CONDITIONSOF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BYPAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR NNO POLICY POLICY EFF MMIDDIYVYV POLICY EXP MMIDDIYYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 50,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Anyoneperson) $ 5 000 CLAIMS-MADE"OCCUR PERSONAL&ADV INJURY $ 1,000,000 A x x PCA5017-PC307563ADP 4/10/194/10/20 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMRADE AGO $ 1,000,000 X P V PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aegldent 1000000 r r BODI LY I HURLEY (Per person) $ x ANVAUTO C ALLOWNED SCHEDULED Auros MMON--OWNED HIREDAUTOS AUTOS. x x CA027189P2018 7 3 18 / / 7 3 19 / / BODILY INJURY (Per accident) $ PeOraccRdent TY DAMAGE $ De a UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION WORKERS COMPENSATION TNI SCryTATU- OTH- B AND EMPLOYERS' LIABILITY ANT PROPRIETOR/PARTNERIEXECUTIVE YIN CNFICERIMEMBER EXCLUDED' ❑ (Mandatory in NH) NIA x FLA011067�00 PGO 3/8/19 3/8/20 E.L. EACH ACCIDENT S 1,000,000 EL DISEASE - EA EMPLOYEE $ 1100 ,000 Ifyes, describe under DESCRIPTION E.L. DISEASE - PLI YLIMIT 1 QQQ _QQQ / DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (Aflach ACORD 101, ACdiranal RemaMS Schedule. if more space is required) The City of Santa Ana, it's officers, employees, agents, and representative are named as additional \ e 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 alQJ\_\ Primary & Non -Contributory, including Waiver of Subrogation. With respect the additional insure this V Q! \\- insurance shall not be cancelled or materially reduced in coverage or limits except after thirty (30) written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 927 J The City of Santa Ana Ir 20 Civic Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I , ©1988- ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of A ORD