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MACIGIN-02 CHANSEN A U" CERTIFICATE OF LIABILITY INSURANCE 1 DaTE 4/11/2011/2018rvl 8 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(]es) must 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 2355nGold Meadow Services, Ste129U Gold River, CA 95670 y CONTACT NAME: Tracy Dolan PH10, ONE o E,t:(918) 210.0317 FAx No,AIC No: (918) 210.0343 EMAIL aooREss: tracy.dolan@alliant.com INSURER(S) AFFORDING COVERAGE NAIC N INSURERA:Fireman's Fund Insurance Company 21873 INSURED INSURER B: Berkshire Hathaway Homestate Insurance Company 20044 INSURER C: Macias Gin] & O'Connell LLP 3000 S Street, Suite 300 Sacramento, CA 95816 INSURER D : INSURER E 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 CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSaDD MD POLICY NUMBER POLIICIYEFF MMIDDEACH POLICMMIDDIY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR X A S1 AZC 80910377 04/30/2018 04/30/2019 OCCURRENCE $ 2,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ Included AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT LOG GENERAL AGGREGATE $ 4,000,000 GEN'L X PRODUCTS - COMPIOP AGG $ Included $ OTHER', AANY LIABILITY AUTO ASI AZC 80910377 04/30/2018 04/30/2019 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY I NJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X NONOSMID AUTOS POMOBILE BODILY INJURY Per accident ( J $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? [71NIA (Mandatory in NH) Use, describe under DESCRIPTION OF OPERATIONS below MAWC918470 04/30/2018 04/30/2019 PER OTT X STATUTE 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) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional Insured with respect to General Liability as their interest may appear perthe attached form. Coverage is primary and non-contributory. Thirty days notice of cancellation applies. 7.-. .- Z J z- zo/ *Insured does not own any vehicles so only non -owned and hired coverage would apply. y, -� cL'J CERTIFICATE HOLDER CANCELLATION c8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE Q-7� © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD