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GATE (MMDDN"D
<br />AH CERTIFICATE OF LIABILITY INSURANCE 08/30/2018
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,
<br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />BELOW.
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policy{les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />this Certificate does not confer rights to the
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />certificate holder in lieu of such endorsement(s).
<br />N°nme Stephania Mullor
<br />PRODUCER PHONE 582-943-8978
<br />Clayton Insurance Od.562-947-4795a)__...�..._
<br />m_...._....... ....._..n....__ _ �..FF.INBURFRB
<br />Statelfaingi 16167 E Whittier Blvd aoo�Ss:staphanle@claytona9enG=CO:-RAGE
<br />AFFOVERAGE LLMC#Whittier, CA 90603 i1...FF._..._.. ...... .._._... .. _...._..._...._......_....... 2S1s1INSURER
<br />A'State Fann General iCompanyINSURED
<br />Orange County Center for Contemporary Art
<br />INSURERS: _---
<br />CLAIMSMADE ® OCCUR
<br />MER EXP (An ane rear . $ ..............^� 5,000
<br />117 NSycamore St
<br />INSURER C :.... ..._...... ... ............ _ — �_Santa
<br />GENERAL AGGREGATE $ 21000,000
<br />INSURERD:...
<br />..._... _.. .... -..........INSURER
<br />PRODUCTS-COMPiOPAGG 2,000,088
<br />Ana, CA 92701
<br />............�....
<br />E i._......._....—...��....._...._._......_....�._........._�
<br />_._
<br />COMBINED SINGLE L $
<br />NSURER P:
<br />REVISION NUMBER:
<br />E Iden
<br />BODILY INJURY (Par Parson) $
<br />ANY AUTO
<br />ALLEDSCHEDULED
<br />COVERAGES CERTIFICATE NUMt1EN: .._.._. _
<br />BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEb BELOW HAVE
<br />OF ANY CONTRACT OR OTHER DOCUMENT
<br />WITH RESPECT TO WHICH THIS
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
<br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
<br />OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />EXCLUSIONS AND CONDITIONS
<br />SBR POLR:YEFF POLICY XP
<br />LIMITS
<br />AO ER
<br />i TRTypeOF INSURANCE POLICY U Bwoo We
<br />1,000,000
<br />X COMMERCIAL GENERAL LIABILITY Y Y 920749050 11/11/2017 1111112814
<br />EACH OCCURRENCE $
<br />A
<br />PREMISES Ea ante $ .�..._
<br />CLAIMSMADE ® OCCUR
<br />MER EXP (An ane rear . $ ..............^� 5,000
<br />PERSONAL&ADV INJURY $-„_,,,,,,,_ _
<br />GENERAL AGGREGATE $ 21000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />�
<br />PRODUCTS-COMPiOPAGG 2,000,088
<br />X POLICY ❑ JECT LOC
<br />OTH R:
<br />COMBINED SINGLE L $
<br />AUTOMOBILE LIABILITY
<br />E Iden
<br />BODILY INJURY (Par Parson) $
<br />ANY AUTO
<br />ALLEDSCHEDULED
<br />BODILY INJURY tPsracudenq $
<br />BUT AUTOS
<br />PROPERTY DAMAGE g
<br />NONOWNEO
<br />P ra gdentj_,,,,,,,,,_......._-. ...�
<br />HIR EG AUTOS AUTOS
<br />S
<br />EACHOCCURRENCE
<br />$
<br />UMBRELLA LIAR
<br />OCCUR
<br />AGGREGATE
<br />$
<br />EXCESS DAB
<br />CLAIMS -MADE
<br />_
<br />OED RETENTIONS
<br />PER
<br />ERH�
<br />WORKERS COMPENSATION
<br />EL. EACH ACCIDENT
<br />$
<br />AND EMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETORlPARTNERlEXECUTNE
<br />NIA
<br />_�
<br />OFWCERIMEMBER EXCWDED'! 0
<br />E.L. DISEASE -EA EMPLOYE
<br />$
<br />E.L. DISEASE -POLICY LIMIT S
<br />iMandotary in NHl
<br />Iim, deaAbe under
<br />w
<br />OCRIPTIONOFOPERADONS
<br />OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, AddUimlal Remarks Schedula, may be attached if mare aPaca is rsqutrad)
<br />DFSCRIPTION
<br />The City of Santa Ana, ITS officers, employees, agents, and representatives are named as additional insured
<br />Insurance Is primary and non-contributory
<br />City Will be mailed 30 days written notice of policy cancellation
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />2O CIVIC Center Plata THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701 r�
<br />AUTH RREO RESENTATIVE
<br />191984-2094 AGORD RPORA7ION. All rights reserved.
<br />✓'"'.._
<br />ACORD 25 {2494109} Th ARD name and logo aro registered marks of ACORD 1001446 132849.9 02-04-2014
<br />e�J i e� e� C�r�'
<br />P,
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