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ACORO® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDO)YYY'Y)
<br />1
<br />lla./
<br />10115/2018
<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
<br />CONTACT
<br />NAME: Shirley Parker
<br />Knutson Reeves Insurance Services
<br />PHONE FAX
<br />IAIC.E-MAIL (951)600.810a Arc No: (951)600-8013
<br />41185 Golden Gate Circle #205
<br />EACHOCCURRENCE $ 1,000,000
<br />Murrieta, CA 92562
<br />ADDRESS: shirley@krpatriot.wm
<br />License #: OE22572
<br />INSURER(S) AFFORDING COVERAGE NAICN
<br />INSURERA: MT Hawley Ins Co 37974
<br />PRODUCTS-COMP/OPAGG $ 2,000,000
<br />INSURED
<br />INSURERS: Inte on Natl Ins Co 29742
<br />INSURERC: National Union Fire Ins CO Of Pitts 19445
<br />Real Estate Consulting & Services, Inc.
<br />National Liab & Fire Ins Co 20052
<br />18345 Pasadena Street,NsuRERD:
<br />INSURER::
<br />Lake Elsinore, CA 92530
<br />INSURER F:
<br />COMBINED SINGLE LIMIT $W. 1,000,000
<br />COVERAGES CERTIFICATE NUMBER: 00000000-343359 REVISION NUMBER: 40
<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 />INBR
<br />TR
<br />OF INSURANCE
<br />ADDLSUBRTYPE
<br />INSD
<br />WV0
<br />POLICYNUMBER
<br />MMIDPOLIOYEFF
<br />MMI
<br />IDD
<br />LIMBS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE LX] OCCUR
<br />Y
<br />Y
<br />MGLO188438
<br />01/2612018
<br />01126/2019
<br />EACHOCCURRENCE $ 1,000,000
<br />_07W -GE TO RENTED
<br />PREMISES Ea occurrence $ 50,000
<br />MED EXP(Any one person) $ 5,000
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT IAPPPUES PER
<br />X PouCY❑JET- LOC
<br />OTHER:
<br />GENERA -AGGREGATE $ 2,000,000
<br />PRODUCTS-COMP/OPAGG $ 2,000,000
<br />$
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />Y
<br />12003999
<br />01126/2018
<br />01/26/2019
<br />COMBINED SINGLE LIMIT $W. 1,000,000
<br />BODILY INJURY (Per Parse,) $
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE $
<br />Per accident
<br />$
<br />``UMBRELLA
<br />X
<br />LIAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />EBU014087977
<br />01126/2018
<br />01/2612019
<br />EACH OCCURRENCE $ 2,000,000
<br />AGGREGATE $ 2,000,000
<br />DED I
<br />I RETENTIONS
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />OFFICER/MEM EREXCLUDRTDECUTIVE -] NED? YIN
<br />(Mandatory In NH)
<br />1196
<br />1 yes, describe under
<br />DESCRIPTION OF OPERATIONS belay
<br />IA
<br />Y
<br />V9WC881714
<br />12101/2017
<br />1210112018'
<br />X STATUTE ERS
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />EL. DISEASE -EA EMPLOYE $ 1,000,000
<br />EL. DISEASE-POUCYUMIT $ 1,000,000
<br />I
<br />F1
<br />I
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />General Liability Coverage is Primary & Non -Contributory. Blanket Additional Insured Endorsement Attached in regards to
<br />General Liability and Business Auto. Blanket Waiver of Subrogation Endorsement Attached in regards to General Liability and
<br />Workers Compensation. Endorsements in favor of The City of Santa Ana.
<br />All Policies provide 30 days prior notice of Cancellation
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />PO Box 1988
<br />Santa Ana, CA 92702 I AUTHORIZED REPRESENTATIVE
<br />!/ ©1988.2015 ACORD CORPORATION. �11 rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />Printed by SRP on October 15, 2018 at 11:23AM
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