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CERTIFICATE OF LIABILITY INSURANCE L.� DATE(MMIDD/YYYY) nn/"1/omn 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(tes) must be endorsed. If SUBROGATIONIS 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 CONTACT USI INSURANCE SERVICES LLC/PHS PHONE (877)532-3466 INc, No, Esn: FAX (888)443-6112 (Nc, No): 41715154 The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE RACE INSURED INSURER A: Sentinel Insurance Company Ltd. 11000 360 BC Group Inc DBA 360 BUSINESS CONSULTING INSURER B: 25562 GLORIOSA DR INSURER C: MISSION VIEJO CA 92691-4644 INSURER D INSURER E : INSURER F : UUVERAGES 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 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR General Liability EACH OCCURRENCE $1,000,000 X DAMAGE TOREWT PREMISES $1,000,000 $10,000 MEDEXP(Anyonepersant A X X 41 SBA AD7771 09101/2019 09/01/2020 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- [j]LOC. JECT GENERALAGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea accident)1,000,000 $ ANYAUTO BODILY INJURY (Per person) A ALL OWNi SCHEDULED AUTOS AUTOS X X 41 SBA AD7771 09/01/2019 09/01/2020 BODILY INJURY Per accident I 1 X HIRED NON-0WNED AUTOS rX AUTOS PROPERTY DAMAGE (Peraccident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR MADE - MADE AGGREGATE DE I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER BTAT OTH- ANY YIN PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L EACH ACCIDENT E.L DISEASE -EA EMPLOYEE (Mandatory In NH) E.L DISEASE - POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attache) if more space Is required) Those usual to the Insured's Operations. The City Of Santa and its officers, employees, agents, and representatives are named as additional insureds per the Business Liability Coverage Form SS0008 attached to this policy. R" Z1r4 112 INFIX I a:UJ III II a C NIT d farelliG\IIh1J City of Santa Ana & APPROVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Risk Management Division 20 CIVIC CENTER PLZ FL 4 REVIEWED By RISK MANAGEMENT DIVISION BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE SANTA ANA CA 92701-4058 M 12 2 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD