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WESTCOM-16 JIBARTLESQN1
<br />,a►��izo CERTIFICATE OF LIABILITY INSURANCE
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<br />4116/DDA'VYY)
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<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER License if 0757776
<br />HUB International Insurance Services Inc.
<br />3390 University Avenue
<br />Suite 300
<br />CAME:ONTACT
<br />PHONE ) FAX
<br />A/C, No, Ea(: (951 788-8500 No):(951) 7SI3-BSO2
<br />nDo* SS
<br />Riverside, CA 92501
<br />INSURERIS) AFFORDING COVERAGE
<br />NAIC e
<br />INSURER A: Sentinel Insurance Company, Ltd.
<br />11000
<br />INSURED
<br />INSURER a: Trumbull Insurance Company
<br />27120
<br />INSURER C: Axis Insurance Company
<br />37273
<br />Westbound Communications, Inc.
<br />625 The City Drive, Suite 480
<br />Orange, CA 92868
<br />INSURER 0:
<br />INSURER E :
<br />INSURER F :
<br />L:UVE:RAGES r.PPTIFICATF NIIMRFG n,-.n.......
<br />NNUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ILTR NSR TYPE OF INSURANCE ADDL BUBR INM Win POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br />CLAMS -MADE X OCCUR X X 72SBAIB4627 516/2020 51612021 DAMAGE TO RENTEDREMISE mLe $ 11000,000
<br />MED EXP An one erepn $ 10,000
<br />PERSONAL&ADV INJURY $ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000
<br />X POLICY❑ jEeT LOG PRODUCTS - COMPIOPAGG $ 4,000,000
<br />OTHER:
<br />A AUTOMOBILE LIABILITY CO BII deo SINGLE LIMIT $ 2,000,000
<br />(EaANY AUTO 72SBAIB4627 516/2020 5/6/2021 BODILY INJURY Per Perron)
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUUTTOSS BODILY INJURY Peracadint $
<br />X AUTOS ONLY X AUTOS ONE PPerOac'aiDAMAGE
<br />A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000
<br />EXCESS LIAR CLAIMS -MADE 72SBAIB4627 516/2020 51612021 AGGREGATL $ 2,000,000
<br />DED X RETENTION$ 10,000
<br />B WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN X STA UTE OTH-
<br />ANY PROPRIETORIPARTNERIEXECUTIVE 72WECLR3783 912g@019 912812020 11000,000
<br />gqFFICERIMEMBER EXCLUDED? NIA EL EACH ACCIDENT
<br />(Mantlatory in NH) E.L DISEASE -EA EMPLOYE $ 1,000,000
<br />Dyee, describe untler
<br />DESCRIPTION OF OPERATIONS bdcrw E.L DISEASE -POLICY LIMIT 11000,000
<br />C Professional Liab P001000174815 1 —61251 0019 912512020 Per Claim 3,000,000
<br />C Retention: $10,000 P00100017481501 9125/2019 9/2512020 Aggregate 3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />The City of Santa Ana, it's officers, employees, agents, volunteers and representatives are Additional Insured In regards to General Liability perform
<br />IH12001185 which includes 30 Day Notice of Cancellation. Primary & Non -Contributory wording and Waiver of Subrogation coverages apply to the General
<br />Liability policy when required by written contract per the attached endorsement SS0008 04105 (pgs. 16-17 of 24) & SS1215 03100.
<br />RgE VIEWiskED & APPRpOVEoD
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Ana, CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />4qu
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<br />(9 188a-21.115 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Ana, CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />4qu
<br />_'"
<br />(9 188a-21.115 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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