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'`'� u CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDOPYYYY) <br />05/0612019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />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(les) must have ADDITIONAL INSURED <br />provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement <br />A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />CONTACT <br />ME: <br />STEVE SCHNEIDER <br />Silver Creek Insurance Agency, Inc. <br />PHONE <br />Eld, (714) 838-0093 a1AXc No . (714) 838-9438 <br />17742 Irvine Blvd <br />Ms. sleve@sfivercreekagency.com <br />Suite 203 <br />INSURER(Sj AFFORDING COVERAGE <br />NAICp <br />Tustin CA 92780 <br />INSURER A: SENTINEL INS CO LTD <br />110DO <br />INSURED <br />INSURER S: <br />White Nelson Diehl Evans LLP <br />INSURERC: <br />2875 Michelle Ste 300 <br />INSURER 0: <br />INSURER E: <br />Irvine 016-0q -01 CA 92606 <br />INSURERF: <br />' 'u. lau.ma acR: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT <br />TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LT <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />Jdan <br />POLICY NUMBER <br />POUOYEFF <br />10C <br />POLICYYVf <br />MMIOD <br />LIMITS <br />X <br />COMMERCIAL GENERAL UABRITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />0 AISETD TS (Es,EO <br />$ 1,000,000 <br />CWMS-MADE ❑X OCCUR <br />ca <br />MED UP(" me parson <br />S 10,000 <br />PERSONAL S ADV INJURY <br />S 1.000,000 <br />A <br />X <br />57SBADH5588 <br />06101/2019 <br />O6/0WO20 <br />AGGREGATE LIMIT APPLIES PER: <br />POUCY ❑ PENT <br />GENERALAGGREGiTE <br />$ 2,000,000 <br />GEN'L <br />X <br />PRODUCTS-COMPIOPAGG <br />S 2,000.000 <br />LOC <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea ectltlen <br />$ 11000,000 <br />pN O <br />BODILY INJURY (Per person) <br />g <br />APOWNED <br />NED SCHEDULED <br />AMOS ONLY AUTOR <br />57SBABH5586 <br />06/01/2019 <br />06/01/2020 <br />BODILY INJURY (Par attitlenl) <br />$ <br />HIRED v NON-OVINED <br />AUTOS ONLY /� AUTOS ONLY <br />WMAGE <br />S <br />ffiPReraaooddenn <br />S <br />X <br />UMBRELLA LMB <br />X <br />CUR <br />EACH OCCURRENCE <br />g 4,000,000 <br />A <br />EXCESS UA6 <br />CLAIMS -MADE <br />57SBABH5586 <br />06/01/2019 <br />06/01/2020 <br />AGGREGATE <br />S 4,000,000 <br />OEO X RETENTIONS 10000 <br />PR/COMP OPS AGO <br />$ 4,000,000 <br />KE <br />WORRS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS'LIABILITY YIN <br />STATUTE <br />E.LEACHACCIDENT <br />S 1,000.000 <br />A <br />ANY <br />OFFlCEWNEMB R EXCLUDEDRIPARTNERJi�CUTNE Y <br />NIA <br />57WECDX4233 <br />O6/0112019 <br />Ofi/01/2020 <br />(Mandatory In NH) <br />If yyes. tlescribs under <br />EL 05FARE-EA EMPLOYE <br />$ 1,000,000 <br />ELDISEASE-POUCYLIMIT <br />$ 1,000.000 <br />DESCRIPTIONOF OPERATIONS bebn <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addidanal Remarks Schedule, may be attached if more space Is required) <br />Those usual to the Insured's operations. The City, its officers, employees, agents and volunteers are named as additional per additional insured form <br />SS00080405 attached to this policy. Certificate holder is automatically added as additional insured when required by written contract. Business liability wavier of <br />subrogation applies. Coverage is primary and non-contributory, <br />By Risk MANAGEMENT <br />pI <br />- r <br />IF ,11,IA�A- <br />Santa Ana <br />CA 92702-1964 <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 />AUTHORREO REPRESENTATIVE <br />@ 1988-2015 <br />1IIe mrvmu name ano logo are registered marks of ACORD <br />reserved. <br />