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®® CERTIFICATE OF LIABILITY INSURANCE DAT3I25I2019 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 Patriot Risk & Insurance Services 2415 Campus Drive, Suite #200 Irvine, CA 92612 ACT NAME: (PAHONEn Ext 949 486-7909 AIC No: 949 486-7950 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAICN CFl GL00211191 INSURER A: Everest National Insurance Company 10120 www.parldsk.com OK07568 INSURED Butler Chemicals, Inc. 3070 E. Ceena Court INSURERS: Everest Indemnity Insurance Company 10851 INSURERC: INSURER D: Anaheim CA 92806 INSURER E: INSURER F : GEN'L AGGREGATE LIMIT APPLIES PER: _ POLICY❑✓ PRO-JECT ❑LOC OTHER: COVERAGES CERTIFICATE NUMBER: 47705747 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 LTR TYPE OF INSURANCE ADDL SUBR NUMBER POLPOLICY MMIICY EFF DNYYY MMIOOYYxYY LIMITS A �/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE lz OCCUR CFl GL00211191 3/23/2019 3/23/2020 EACH OCCURRENCE $1000000 PREMISES (E. occurrence) $100,000 MED EXP (Any one person) $15,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ POLICY❑✓ PRO-JECT ❑LOC OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGO $2000000 $ B AUTOMOBILE LIABILITY ANVAUTO OWNED SCHEDULED AUTOSONLV AUTOS HIRED NON OWNED AUTOS ONLY AUTOS ONLY CFlCA00155191 3/23/2019 3/23/2020 COMBINED SINGLE LIMIT $1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident _ A �/ UMSRELLAUAB EXCESS LIAR �/ OCCUR CLAIMS -MADE XC1 EX00208191 3/23/2019 3/23/2020 EACH OCCURRENCE $5,000000 AGGREGATE s5,000,000 DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNER/EXECUTIVE ❑ OFFICERVEMBEREXCLUDED9 (Mandator, In Ni If y 6 describe under DESCRIPTION OF OPERATIONS below NIA STATUTE ER E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD101,Addillonal Remarks$.bedule,maybeattacbedlfmarespacelsrequlred) City of Santa Ana, its officers, agents and employees are named as Additional Insured as respects to General Liability per endorsement attached where required by written contract. 30 days notice of cancellation, 10 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION Cit of Santa Ana Attn: Purchasing Dept. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ACCORDANCEION W THTHE POLICY PROVISIONATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaze Santa Ana CA 92701-4010 AUTHORIZED REPRESENTATIVE / � pw Dave Jacobson ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 49905947 i 19/20 GL/AO/IIMB I Annette Romero 13/25/2019 3:13:54 RM (PDT) I Page 1 of 4 This certificate cancele and supersedes ALL previously issued certificates.