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A� ti CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDYYYY) B 2a z9zp 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(les) 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 f�CONTACT Marsh Risk & Insurance SerAo,e 17901 Van Kamlan Avenue, Suite 11 W (949) 3W5800, License#0437153 Irvine, CA 92614 NAME: _ _ PHONE a PI' --- E-MAIL - - ADDRESS: INSURERISI AFFORDING COVERAGE NAICd AlinNewporrBedh CenRequad@marsh com/F 212-948-4323 NSURERA:Cmm&FmtwS sal !nmmnce Co 44520 CN115158923-0"1.20-21 _ INSURED RaceWorks, Inc INSURER B : Travelers Indemnity ComWy of Connecticut 25682 INSURER e : Travelers PropertyCasuallP Compa3� Of Amen 25674 3 MacArthur PI" Suite 1100 Santa Ana. CA 92707- INSURER D: NBURERE: __ INBURER F COVERAGES CERTIFICATE NUMBER: LOS 00221204624 REVISION NIIMRFR• q 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 INSfl LTR FADOLSDBR POLICY EFF TYPE OF WBURANCE POUCYNUMBER - MM DMWI POLICY EXP IMIAIDDYYYY,LIMITS A COMMERCIAL GENERAL LIABI LITY X x=PK131438 07,012020 07.111i2021 1 EACH OCCURRENCE 's - 5WODOD I DLAIMS M. CE -- - AMA `ETo RENTE6—T.._.— _ PREMISES Eaacartmo.)_ IS 50.000 , MED EXP Any one erso, !S 5,000 X BI & PO Ded $S,LCO - I� ;PERSONAL&AOV INJURY IS 5WC ODD GENL AGGREGATE LIMIT APP_LtES PEP j GENERAL AGGREGATE S 5000000 X POLICY C1 JECTPRO PRODUCTS COMPIO_P AGG S 5,000,000 I ConVxtors Pollution ....-- OTHER s.--._ 5.OW.000 B AUTOMOBILE LIABILITY f X 9211I96ACfiA2C(:AG 071)12C20 07012021 I COMBINED SINGLE LIMIT E --dent 1 u'00,000 �T _.... �+s BOOtLY iNJURT trial Decant S X ANY AUTO OWNED r _ .Ji.@[ AUTOBODILY ONLY I INJURY( ac6dec0 S :—� HIREDS c PRGPERTYDAMAGE -� AUTOS ONL, _ trier accident) S CompColl Deductibles 1 S X UMBRELLA LIAR < LP I ' X6J3287562014 ,7;0t2020 .., EACH OCCURRENCE IS I r EXCESS UAS '. MS_WDEI AGGREGATE _.5 4LOb:OC. _. I- WORKERS COMPENSATION ��'J97K72567520148 m li dP 2l H STATUTE 7C AND EMPLOYERS' LIABILITY YIN LX _ ER _. ANYPROPRIETORIPARTNEREXECUTIVE EL EACH ACCIDENT S 1 wocoo I(MandatoryMNH) OF FACER ❑N EL DISEASE - EA EMPLOYEE'S__ II /eA deSOlee under DESCRIPTION OF OPERATIONS car. EL DISEASE -POUC+LIMIT A Eners It Omissions Claims Made EPK'31438 .07.0112020 07 01.2021 Exh ClairW ate A99re9 SAGO CCi Reim Dates SEE 2nd Page DESCRIPMNOFOPERAnONSILOCAnONSIVEHICLES (ACORD lot Additional Remarks Schedule. may be atached N more space is requimdt Re'. Cperahons performed by the named msured for the certificate holder City of Santa Ana, Is officers agent,emObyees and volunteers are Included as additional insured where reou,red by wnMm gonbxt with reape.! Iz General and Auto L:atimry Th, insurance S pnmary and .+e contributory over any existing insurarce end aITUM to liability arising cur Of 0e Opmaoens of the named insured and where mqumd oy wnaen ., m,Vxl min respect to General Labirry 'haver of subrogabcn : applicable whom required by wnden l]nVxt with respect b Gerera and Auto Llai City of Santa Ana Risk Managemenl Drdsan H/ 2090 20 Censer Plaza Ain =I Santato A Ana. CA 32701 III FRANCINE R. VILTAREAL 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 of Marsh Risk & Insurance Services Rosalynda Martmez �i .'Y:11e11 ItnfCy� 91988-2016 ACORD CORPORATION. All riai ACORD 25 (2016103) The ACORD name and logo are registered marks Of ACORD