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'`�� gip® CERTIFICATE OF LIABILITY INSURANCE DATEI/9/2019 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 NAME: Pmi1 Romero ROMERO INSURANCE AGENCY PHONE g05-582-4655FA AlC No Eat: INC, Not: qD RESS: romeroins@aol.com 1197 E, LOS ANGELES AVE. UNIT CI99 INSURER(S) AFFORDING COVERAGE NAICN INSURERA: COLONY INSURANCE COMPANY SIMI VALLEY CA 93065 INSURED tn01-7a 00- 7 T_ 3 INSURER B : CALIFORNIA AUTOMOBILE INS, CO MAJOR LEAGUE INFIELDS INC 0)-007-0 + INSURER C: ICWGROUP INSURER D: 508 E. CHAPMAN AVE 1 INSURER E : FULLERTON CA 92832-2015 INSURER F: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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, LTR TYPE OFINSURANCE INSD YWO POLICY NUMBER (MMIDOIYYYY) (MMIODIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE ®OCCUR PREMISES (Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 A Y Y 101G110023266-04 07/VI8 07/01/19 GEN'L AGGREGATE LI MIT APPLI ES PER: GEN ERAL AGGREGATE $ 3,000,000 POLICY ❑JECT �LOD PRODUCTS - CON PICP AGO $ INCLUDED $ OTHER', AUTOMOBILE LIABILITY (Ea accident) $ 1000000 BODILY INJURY (Per person) $ X ANY AUTO B OWNED SAUTCHOS EDULED AUTOS ONLY Y BA040000025174 12/22/2018 12/22/2019 BODILY INJURY (Peraccident) $ %� HIRED rp AUTOS ONLY X AUUTOS ONLY (Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ C ORKERS COMPENSATION NO EMPLOYERS' LIABILITY YIN FFIOERMEM6R EXCLUDEIDKECunvE❑ (Mandatary In NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below NIA Y WSA504570200 Ol/01/19 01/OU20 - X STATUTEANY ER E.L. EACH ACCIDENT $ 1,000,000 E. L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS TO THE OPERATIONS OF THE NAMED IN 6AI- WITH RESPECT TO CLAIMS ARISING OUT OF THE OPERATIONS PERFORMED BY OR ON BEHALF OF THE. NAMED INSURED, SUCH INSURAN LS AFFORDED IS POLICY IS PRIMARY AND NOT ADDITIONAL TO OR CONTRIBUTING WITH ANY OTHER INSURANCE CARRIED BY ORS E BENEFIT OF ADDITLONAL INSURED. 10 DAY NOTICE FOR NON PAYMENT OF PREMIUM. CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESOMED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. iPW1a,i: F2CYwLf'9' &II 0.1stc rmm�rnd ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD