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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMMO/YYYYI 05/30/2018 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 endomement(s). PRODUCER NCONTACT AME: EMPLOYEE KBI Kinter-Buchanan Insurance Agency aCNN E:t. (310)79MID0 ac ee: (310)798E751 License Number: OE40872 I KBinsAgency@gmaii.com ADDRESS: sAg Cy®gmail.com 1014 South PBCIfiC Coast HWV INSURERIS) AFFORDING COVERAGE NAIC N Redondo Beach CA 90277 INsuRERA: Technology Insurance Company 42376 INSURED INSURER a: Kingdom Causes (a Corporation) INSURER C 4508 Atlantic Ave #292 INSURER D : # 292 INSURER E : Long Beach CA 90807 INSURER F: COVERAGES CERTIFICATE NUMBER: cu851011902 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, LTR I TYPE OF INSURANCE INSD WVD POLICYNUMSER P MMID MMID LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S PREMISES Ea acwuenm $ CLAIMSMADEOCCUR MED EXP (Any me person) S PERSONAL S AM INJURY s GEN'L AGGREGATE LIMIT APPLI ES PER GENERALAGGREGATE S PRO POLICY JECT LOC PRODUCTS - COMP,OP AGO E 5 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acddent S BODILY INJURY(Per person) S ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Psr auSdentl E HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per amdent $ E UMBRELLA LIAR OCCUR EACH OCCURRENCE § AGGREGATE E EXCESS LIAR CLAIMS -MADE DELI RETENTIONS $ WORKERS COMPENSATION PER TH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.LEACHACCIOENT S 1,OOQ000 A ANY PROPRIETORIFARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDEDI Fy NIA TWC3853952 03/01/2020 031011202, (Mandatory in NH) If Yesdescdhe under E.L. DISEASE - EA EMPLOYEE S 1.000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS leelrnv DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addittonal Remarks schedule, may bs attached if more space If required) Evidence of Coverage REVIEWED & APPROVED By RISk MANACIEMENT DIVISION City of Santa Ana 20 Civic Center Plaza 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 ©1988.2015 ACORD CORPORATInhi AN rin6f .,.., A ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD