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YL�111:iHQiStL .1BROKAW <.....--� CERTIFICATE OF LIABILITY INSURANCE DaTE(MM/DDmrY) 12/05/2018 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 have ADDITIONAL INSURED provisions or 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 CONTACTNAME: NC NNo, Ext 520 795-8511 FAX 1 ( ) Wq No):(520) 795-8542 The Mahoney Group - Tucson 5330 N. La Cholla Blvd Tucson, AZ 85741 N-2019-021 E-MAIL ADDRESS: INSURER 5 AFFORDING COVERAGE NAIC # INSURERA: Continental Casualty Company 20443 INSURED INSURER B: TechnologTlndsurance Com an 42376 INSURERC-Philadel hia Indemni Ins. Co 18058 Zofatiek,'Consuhing, LLC Attn: Paul Zoubek CLAIMS -MADE � OCCUR 3047 University Ave, Suite 211 INSURER D : INSURER E: San Diego, CA 92104 INSURER F: PREMISES Ea oceu ecce $ 300,000 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 T TYPE OF INSURANCE ADDL SD SUBR Me POLICY NUMBER POLICY EFF MMIDDIYYV POLICY EXP MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR X X 4017910125 12/01/2018 12/01/2019 PREMISES Ea oceu ecce $ 300,000 MED EXP (Anyone Parsem $ 10'000 PERSONAL&ADV INJURY $ 1'000'000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 GEN'L PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY ❑ PECT 1:1 LOC $ OTHER'. A AUTOMOBILE LIABILITY CEOMBa I tlED SINGLE LIMIT GA $ 1,000,000 (daANY BODILY INJURY Per erson AUTO 4017910125 12/01/2018 12/01/2019 BODILY INJURY Per -accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY errucis un MAGE $ X AUTOS ONLY X AUTOS ONLLV UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY INERIE ECUTIVE TWC3754562 12101/2018 12/01%2019 X PER ORH 1,000,000 EL EACH ACCT DENT $ OFFICEgOMFMB6REXC (Mandatory In NH) NIA 1000'000 EL.DISEASE -EA EMPLOYE__ _$1 1,000,000 E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below C Professional Liab PHSD1390161 12/01/2018 12/0112019 10,000 Ded 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its officers, employees, agents, volunteers & representatives are additional insured including Primary/Non-Contributory & Waiver of Subrogation per attached form #SB146932F(B-16). City of Santa Ana Attn: Water Resources Division 220 S. Daisy Ave. Santa Ana, CA 92703 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 (/ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD