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i.k. ' CERTIFICATE OF LIABILITY INSURANCE 1.....�"` GATE27/2 18 07/27/2018 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(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 lieu of such endorsement(s). PRODUCER Harbor West Insurance Agency, Inc. 25330 Marguerite Parkway, Suite B Mission Viejo, Ca. 92092 CONTACT NAME: Rick Kele PHONE FAX Ex 949 768-1188 AIC N.)'(949) 768-0543 E -MAIN ADDRESS: rick harborwestinsurance.com PRST UM ER 0 706 INSURERS AFFORDING COVERAGE NAIC0 GENERAL LIABILITY ✓COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR INSURED INBURERA:MaXUm Indemnity Active Learning Believe and Inspire (ALBI) 505 E. Central Ave. INSURER B: INSURERC: Santa Ana, CA 92707 INSURER D : MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 INSURER E: Employers Preferred Ins. Co. INSURER F: GUVCKAGCS GhK I IFICATE NUMBER: REVISION NUMBER: THIS 15 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. ILTH TYPE OF INSURANCE ADOLS BR POLICYNUMSER POLICY EFF MWDDIYY `Y POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY ✓COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X SDG -3020081-02 /21/18 /21/19 EACH OCCURRENCE $ 1,000,000^ PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: ✓ POLICY PRO LOC JECT F] PRODUCTS-COMP/OP AGG $ 2,000,000 $ AUTOMOBILE ✓ LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY(Peraccldent) $ SCHEDULED AUTOS X BDG - 3020081-02 /21/2018 7/21/2019 PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OFFICER/MEMBER EXCLUDED? NIA EIG2514073 /17 16 / $ 17 19/' / / WCSTATU-OTH- ELEACHACCIDENT $ 1,000,006 (Mandatory In NH - If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 ELL. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER, ITS OFFICERS, AGENTS AND EMPOLYEES ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO THE NAMED INSURED. CITY OF SANTA ANA ATTN:PURCHASING DEPARTMENT 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Richard Keys 1988.2009 ACORD CORPORATION. All rights reserved.. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD