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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `/ 05/15/2019 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 endomement(s). PRODUCER CONTACT DiAnna Martin NAME: All -Cal Insurance Agency AIc No Eat: (916)784-9070 FAX, NoJAIC1: (916J 784-0158 505 Vernon Street E-MAIL dianna@all-cafinsurance.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAICN Roseville CA 95678 INSURER A: Nonprofits' Insurance Alliance of California NIAC INSURED INSURER B: INSURER C: The Los Angeles Dream Shapers N D �'p�,� P.G. BOX 3831 lV_�,O I�_f 3��' INSURER D: NSURER E : Orange CA 92865 1 INSURER F: COVERAGES CERTIFICATE NUMBER: CL1951508301 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. INSR LTR TYPE OF INSURANCE INSD MD POLICYNUMBER POLICY EFF MMIDDn'YYY POLICY UP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR EACH OCCURRENCE $ 1,000,000 OAMAUL KILN LU PREMISES Ea occurrence) $ 500,000 X MED UP (Any one person) $ 20,000 Liquor Liability $1,000,000/1,000,000 PERSONALSADV INJURY $ 1,000,000 A Y 2019-OB60gNPO 06/13/2019 06/13/2020 GEN'LAGGREGATE X LIMITAPPLIES PER: POLICY DPRG ❑ JECT LOC GENERALAGGREGATE s 2.00O,000 PRODUCTS - COMPIOP AGO $ 2,000,000 Increased Aggregate s OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acadent s 1,000,000 BODILY INJURY (Per person) $ ANVAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 2019-08609NPO 06/13/2019 06/13/2020 BODILY INJURY (Per accident) $ X HIRED H NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Peraoddenl $ Comp/Coll deductible s 500 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE IS EXCESS LIAB CLAIMS -MADE OEO I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) It yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below e DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) p�-� Cityof Santa Ana, its officers, agents, employees, representatives and volunteers are named additional insured under their cont l'�P2rITS yq/r�e�'agIs aC, primary and non-contributory, and Form CG 20 26 applies. City of Santa Ana 20 Civic Center Plaza Santa Ana CA 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 1D 1989-2016 All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACUti^