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ACC1K®e CERTIFICATE OF LIABILITY INSURANCE 41% - DATE (MMIDDnyyYI 9/26/2017 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: II the certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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 Ileu of such ndorsemenl s . PRODUCER The Graham Company The Graham Building 1 Penn Square West AME: James H, Bonner PHONEFAN L,,uh. 215.567.6300 N& 215-525.0234 OM Ap IL,,. BONNER UNIT@grahamco.com Philadelphia PA 19102- INSURERIS) AFFORDING COVERAGE NAIC0 INSURERA:Llbedy Insurance Corporation 42404 TB7-Z51@90099.077 INSURED OPEXDOO.01 INSURERB:LM Insurance Corporation 10765 OPEX Corporation 305 Commerce Drive INSURER C: Moorestown NJ 08057 INSURBRO; INSURER E: El PERSONAL&AOVINJURY $1,000,000 INSURER F: GENERALAGOREGATE $2000,000 COVERAGES CERTIFICATE NUMBER! 453489024 REVISION MIIMRFR- 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. L SR TYPE OF INSURANCE POLICY NUMBER I Y I & Y LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUfl TB7-Z51@90099.077 101112017 101112018 EACH OCCURRENCE 41,000000 PREMISES tifence 8700,000 MED EXP IMY one peisan) $6,000 PERSONAL&AOVINJURY $1,000,000 GEN'LAOGREGATE LIMIT APPLIES PER: POLICY El 400i ElLOC OTHER: GENERALAGOREGATE $2000,000 PRODUCTS•COMPIOPAGG $2,000,000 S A AUTOMOSIUIUABILIIY X ANY AUTO AAULOWNED AOT6gULED HIRED AUTOS NON.OWN ED AUTOS X Phys 0m9 A87-ZSI-290099.037 101112017 10/112018 UQ Ea aUINeld $1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Pet Accident) S -3 er ACOtlanl PD Deductible $1,000. A X UMSPi UAB EXCESS UAB N OCCUR CLAIMS MADE TH7-Z51.290099.087 10/112017 101 EACH OCCURRENCE S20,000,000 AGGREGATE 540.00D.000 DE I RETENTIONS a WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN OFFICERIMEMBER EXCLU6E0, ECUTIVE —N1A IMondtlwy in NHl It yes descube unde, DE SCRIPTIONOFOPERATIONSbelow WC6-261.290099017 10/1/2017 loll/2010 X I' T TLIP ED E.L EACH ACCIDENT $1,000,000 E.L. DISEASE• EA EMPLOYEE $1,000,000 E,L DISEASE.POLICY LIMIT $1000,000 /n^9 / DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addillonsl Remarks Schedule, maybe eeahedlrmere Span Mrequlredi q/S7 PPV( by I� — City of Santa Ane 20 Civic Center Plaza • Room 1 Santa Ana CA 92701 - USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN ACCORDANCE WITH 7H EPOUCY PROVISIONS, AUTHORIZED REPRESENTATIVE 7)M�( r"'2. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD