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CERTIFICATE OF LIABILITY INSURANCE GAT7 E (MIDO/YYYY) 041112020 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 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 AUTOMATIC DATA PROCESSING INS AGCY CONTACT NAME: PHONE (800)524-7024 (AIC, No, Eat): FAX (800)524-4013 INC, No): 76250873 1 ADP BLVD MIS 625 E-MAIL ADDRESS: ROSELAND NJ 0706E INSURER(S) AFFORDING COVERAGE NAICN INSURER A: Hartford Fire and Its P&C Affiliates 00914 INSURED INSURER B : 360 BC GROUP INC DBA 360 BUSINESS INSURER C: CONSULTING INSURER D: 25562 GLORIOSA DR INSURER E: MISSION VIEJO CA 92691-4644 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.NOTNITHSTANDING 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, INSP LTR TYPE OF INSURANCE ADOL INS SUER POLICY NUMBER POLICY EFF POLICY EXP M p LIMBS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE ❑OCCUR DAMAGE TO RENTED PREMISES Ea mcImencel MED UP (Any one person) PERSONAL B ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE POLICY ❑ PRO- ❑ LOC JECT PRODUCTS-COMP)OP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT tln BODILY INJURY (Per person) ANY AUTO ALL OWNED BODILY INJURY (Par accident) AUTOS AUTOUIEO HIRED NON -OWNED PROPERTY DAMAGE AUTOS AUTOS IPeraccdeng UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR H CLAIMS - MADE AGGREGATE OED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X PER STATUTE OTH- A ANY YIN PROPRIETOWPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA 76 WEG ADOP3F 05110/2020 05/1012021 E.L. EACH ACCIDENT $1,000,000 EL DISEASE -FA EMPLOYEE $1,000,000 (Mandatory In Ni If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000.000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES tACORD 101, Additional Remarks Schedule, may be attached If more apacets 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. ■na:uluNraNa:ullrna: wnAway.�zoT. - - - -- -- - City of Santa Ana _............... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Risk Management Division BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 20 CIVIC CENTER & APPROVED IN ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA CA 92701-4058 REVIEWED By RISIL MANAGEMENT DIVISION' AUTHORIZED REPRESENTATIVE [� /+ cJ I Ball x LGl07Qitz-cG2l ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) a go are registered marks of ACORD