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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYVYI 1013112018 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 BoltoCONTACT n & Company 3475 E. Foothill Blvd., Suite 100 NAME, PHONE HAIC, No E.U: . _(626) 799-7000 _ _ (AIc Nu): (622� 583-21 T7 Pasadena, CA 91107 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICq _ INSURERA: New York Marine And General Insurance Co_ 16608 www.boltonco.com 0008309 INSURED CWF, Inc. INSURER e: Fireman's Fund Insurance Company _ 21873 DBA: Al Party Rentals INSURER C: INSURERD: 251 E. Front Street Covina CA 91723 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 4fi177E11 REVISION NUMBER - PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE P;THE INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS._r_______ INSR, TYPE OF INSURANCE A0So SUBRPOUCYEFF POLICY NUMBER MMIDDIYYYY POLICYEXPLTR MARDDIYYW LIMITS A `/ COMMERCIAL GENERAL LIABILITY OCCUR PK201800007271 2/1/2o1B 112/112019 I EACHOCCURRENCE_ $100CLAIMS-MADE _ D MAGE TORENTE PREMISESEaoccurrence)$5QMEDXP(Any oneperson) $10, PERSONAL&. ADV INJ URY $1 000,000 GENE RAL AGGREGATE $2,000,000 GEN'L _ AGGREGATE LI MIT APPLIES PER: POLICY ?ROT �/ JECT ✓ HOC PRODUCTS- OMPIOP AGG P C $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY JAU201800011938 2/1/2018 2/1/2019 I COMBINED SINGLE LIMIT $ I (Ea accident) _ _ 1,000 000 ✓ ANYAUTO - BODILY INJURY (Per person) $ OWNED SCHEDULED, AUTOS ONLY AUTOS BODILY INJURY (PeraccitlenQ $ ✓ HIRED — NON -OWNED AUTOS ONLY ✓ AUTOS ONLY PROPERTY DAMAGE $ (Per agpirlenil A ✓y1, UMBRELLA LIAR ✓ OCCUR UM201800003772 2/l/2018 2/1/2019 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADEI AGGREGATE $5,000000 DED ✓ RETENTION$10,000 $ B WORKERS COMPAND NATIOIN YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? IT (MandatorylnNH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA SCW0058721801 11/1/2018 I 11/1/2019 V (STATUTE _ ER E. L. EACH ACCIDENT - E,L. DISEASE - EA EMPLOYEE -- E. L. DISEASE -POLICY LIMIT $1 QQQ,000 $ ,000000 $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The certificate holder is included as an additional insured, but only as respects to claims arising out of the negligence of the N W Insured. x �l�C Additional Insured: The City of Santa Ana, it's officers, employees, agents, and representatives r-,C�\�3�\C n �(`(\\� ` CERTIFICATE HOLDER CANCELLATION Parks, Recreation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE & Communityy Services Agency M23 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. BOX1988 9 y ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE w Santa Ana CA 92702 Angela Hochberger © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 45177511 1 CWFINCA-01 1 18-19 ADD rcri Cei Cifieate I Nancy Cadwallader 1 10/31/2018 2:47:22 PM (PDT) I Page 1 of 2