EMBASSY CONSULTING SERVICES, LLC

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A Rpm CERTIFICATE OF LIABILITY INSURANCE ° (..-.o 19 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 endorsement(s). PRODUCER NAME: Lirette Garcia SHED Insurance Services, Inc. "Ea Ext: (562)439-9731 FAX WC. Na; 156a1439-4453 E-MAI lg SS: azcia@hmbd. Does,ADDRE 3633 East Broadway, Suite 200 AFFORDING COVERAGE NAIC p --INSURER(S) INSURERA: Scottsdale Insurance Company 41297 Long Beach CA 90803-6035 INSURED INSURERB:SiSCOX Insurance Company 10200 INSURER C: Embassy Consulting Services, LLC 4221 Avenida Madrid INSURER°: INSURER E INSURER F: Cypress CA 90630 COVERAGES CERTIFICATE NUMBER:IM-le GL L PL REVISION NUMBER: 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. INSR LTR rypE OF INSURANCE ADDL SD SUER WVD POUCYNUMBER POLICYEFF MMMR POUCYEXP MMMDIYYYY LIMITS X COMMERCIAL GENERALLUU$IUDY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE OCCUR PREMISES Ea occu�eno9 S 50,000 MED EXP (Arty one pemonl $ 5,000 CPS3083862 10/7/2019 10/7/2019 PERSONAL BADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 2,000,000 X POLICY ECTT LOC. PRODUCTS-COMPIOP AGO $ 1,000,000 $ OTHER' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par accident) $ NON -OWNED HIREDAUTCS AUTOS PROPERTY DAMAGE Per aaatlent $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS DAB CLAIMS -MADE OED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS 'LIASIUW YIN STATUTE Eft E.L. EACH ACCIDENT $ ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE -EAEMPLOVEE $ (Mandatory in NHl If yea, deacnoe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ B Profesaional Liability MPL169985718 9/20/2010 9/20/2019 $1.000.1)(1) Each Claim Claima-Made Form Ratro Date: 3/25/16 $1,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addiflonal Remarks Schedule, may be Atached if more space is manned) General liability includes blanket additional insureds when required by written contract, agreement or permit per attached endorsement - GLS-150s (7-06). City of Santa Ana, its officers, Employees, agents, End representatives. CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Illl THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POUCY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE Semaan/GOWENS - n 19RA_9n1A annpn r.ORPORATUIN All rinhlc r c.—.H ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 pot wi) /JOCi�t� Co/v/=OP�hs T4 ffl�/��Fh4�/ L%��#2ffF