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AcIll CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDO YYYVI 11/12/2018 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(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 CONTACT NAME: alto No E. (888) 202-3007 Fn c No : Hiscox Inc. d/b/a/ Hiscox Insurance Agency In CA 520 Madison Avenue E"MAIL ADDRESS: contact@hiscox.com 32nd Floor New York, NY 10022 INSURII AFFORDING COVERAGE NAICA INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER B : INSURER C: .Creative Parties for Yids' ` 337 E Grove Ave. N-2018-220 Orange, CA 92865 INSURER 0: INSURER E : INSURER Fi COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDLSUBR POLICYNUMSER POLICYEFF MMIDDIYYYY POLICY EXP MMIDOM/YY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 FIVI CLAIMS -MADE OCCUR DAMAGETO S(RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 Primary & Noncontributory PERSONAL&ADV INJURY $ 1,000,000 A X Y UDC-2367620-CGL-18 09/20/2018 09120/2019 AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L "" X POLICY EJECT PRO- ❑LOC PRODUCTS - COMPIOP AGG $SIT Gen. Agg $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acclbent $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per eccltlent $ HIRED AUTOS NON -OWNED AUTOS UMBRELLAUAS OCCUR EACH OCCURRENCE $ AGGREGATE _ $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ ,Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) THE CITY OF SANTA ANA, ITS OFFICERS,EMPLOYEES,AGENTS, AND REPRESENTATIVE ARE NAMED AS ADDITIONAL INSURED INS REGARDS TO GENERAL LIABILITY PER ATTACHED UDC-2367620-CGL-18 ADDITIONAL INSURED FORM. � p,�` V� of CITY OF SANTA ANA 20 CIVIC CENTER DRIVE 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 --=� 1 ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD