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ACE>I�'DI CERTIFICATE OF LIABILITY INSURANCE --•` DATE (MMiDD[YYYY) 1 oj12f2020 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 have ADDITIONAL INSURED provisions or 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 Seaciiff insurance 8r Financial Services Connie Taylor Farmers Insurance NA"' Connie Taylor PHONE 858-480-2810 ! a No): 888-817-9059 3416 Via Lido Ste F ADMDRESS: ctaylor@seacliffins,com Newport Beach CA 92663 -_ INSURER SI )AFFORDINGC01lERAGE "AIC# _ _._ _ _ __ Wi .�._._.. INSURERA:CAState Compensation Insurance Fund ; INSURED PMW PRODUCTIONS INC. s INSURERS: - 527 PROMONTORY DR W INSURER C _ NEWPORT BEACH CA 92660 INSURERD: 1 INSURER E : i INSURER F ; ._vvcK.M%VCa CEERIIrwHIC 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. -V - POLICY EFF LTRI TYPEOFINSURANCE WSW WVD POLICYNUMBER IMMIDOtMYI (MMJDDIYYYY)1 LIMITS COMMERCIAL GENERAL LIABILITY I j EACH OCCURRENCE $ I CLAIMS MADE OCCUR I "DFXIGiAGE70 RENT) D j PREMISES (-Ea occurrence,,, $ MED 12P (M_Sone perSnj� $ _ _ ..._. I PERSONAL&ADVINJURY $ GEN'LAGGREGATE LIMIT APPLIES PER t GENERAL AG. _._.. 4 GENERAL AGGREGATE $ PRO - POLICY ❑ — JECT LOC S-C C R PODUTOMPIOPASG- - m $ OTHER I f AUTOMOBtLELIABILITY iCOMBINED SINGLE LIMIT$ $ -- �- ANYAUTO i BODILY INJURY (Per person) OWNED SCHEDULED AUTOS ONLY AUTOS ( j BODILY INJURY (Per accident) -- $ HIRED NON-OVINED AUTOS ONLY AUTOS ONLY j PRdiaEFFT�ES {Per 1 I , 5 UMBRELLA L1AB OCCUR I EACH OCCURRENCE -, .. $ EXCESSLIAB CLAIMS -MADE _...__r ... j AGGREGATE DED RETENTIONS IWORKERS COMPENSATION PER OTH_ ✓ STATUTE AND EMPLOYERS'LIABILITYYIN A ANYPROPRIETORIPARTNERIEXECUTIVE F;U-1 OFFICERMEMBEREXCLUDED7 l A I 9129772 `418/2620 ER_ 418/2021N I EL EACH ACCIDENT __ _ $ 1,000,000 '(Mandatory in NH) ' ELDISEASE 1,000,000 If es: describe under -EA EMPLOYE- - - -EL $ $ 1,Q00 ,000 I DESCRIPTION OF OPERATIONS below i DISEASE -POLICY LIPvIlTN DESCRIPTION OF OPERATIONS i LOCATIONS t VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana Insurance is primary and non-contributory Waiver of Subrogation applies to Workers' Compensation CERTIFICATE HOLDER City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Connie Taylor R AMwaganentDiviaian REVIEWED & APPROVED BY: O 1988-2015 ACORD COR The ACORD name and logo are registered marks of ACORD Risk Management Analyst