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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DA E(MM DDM W) <br />11it 912019 <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 endomement(s). <br />PRODUCER <br />CONTACT NAME: Theresa Roque <br />Huggins Dreckman Insurance <br />PNONE (562)594-6541 (582) 594-0376 <br />Alt No Ert: Alt No: <br />A[)DRE55: theresa@hdinsure.com <br />License No. 0212199 <br />5152 Katella Ave, Suite 206 <br />INSURERS) AFFORDING COVERAGE <br />NAICN <br />Los Alamitos CA 90720 <br />INSURERA: IrOnShore Specialty Ins. Co. <br />25445 <br />INSURED <br />INSURERS: <br />West Coast Arbodsts, Inc <br />INSURER C : <br />2200 E. Via Burton St. <br />INSURER D <br />Anaheim CA 92806 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 2019/2020 REVISION NUMBER: <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 />LTR <br />TYPE OF INSURANCE <br />INSO <br />VWD <br />POLICYNUMSER <br />MMIpDM'YY <br />MMIDDIYYYYI <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CIAIMS-MADE F1 OCCUR <br />PREMISES Ma occuoence <br />$ <br />MED UP An are parson <br />$ <br />PERSONAL a ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ <br />POLICY ❑ JECOT F1 LOC <br />PRODUCTS-COMPIOPAGG <br />s <br />$ <br />OTHER. <br />AUTOMOBILE <br />LIABILITY <br />MBINEDSINGLE LIMIT <br />Eaa dem <br />$ <br />BODILY INJURY(Pm person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (P era�denU <br />$ <br />TYDAMA E <br />Per a=mhod <br />$ <br />HIRED NON-0WNED <br />AUTOS ONLY AUTOSONLY <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE <br />S <br />S <br />EXCESS LABCI-AIMS-MADEAGGREGATE <br />DED <br />RETENTION S <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS LUIBIUTY YIN <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETORMARTNEWEXECUTIVE ❑ <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />E.L EACH ACCIDENT <br />s <br />(Mandrtmy in NH) <br />EL DISEASE - EA EMPLOYEE <br />S <br />It yes, Eescr im uncer <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE -POLICY LIMIT <br />$ <br />Each Occurrence <br />5,000.000 <br />A <br />Professional Liability dy <br />Retroactive Date: July 1, 2010 <br />f <br />003666901 <br />07/01/2019 <br />07/01/2020 <br />A re ate <br />99 9 <br />5,000,000 <br />1 <br />Retention <br />50,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACCRD 101, AtltlSlonal Remarks Schedule, may be attached if more apace Is mquimdl <br />APPROVED <br />MENT DIVISION <br />M <br />2019 <br />CERTIFICATE HOLDER CAIIAAAT ♦ •• . CELLATION <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 Risk Management Division <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th FI. <br />AUTHORIZREPRESENTATIVE <br />Santa Ana CA 92702 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />