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Digitally signed by Francine R. Francine R. Villareal Villareal Date: 2021.01.28 12:17:42-08'00' ACOIRo® CERTIFICATE OF LIABILITY INSURANCE `�" DATE IMMIDDMYY) 1 12124/2020 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 NAMEA T Mary Polar ISU- Dunlap Agency paoNE 114)838-3158 714 A c o,,gxtl: (Nol:.(...14) 922-8157 700 West 1st St., Suite 8 ma dunla Ins.com" ADDRESS: ry� P INSURERS) AFFORDING COVERAGE TT� NAICb Tustin CA 92780 INsuRERA: New York Marine S General Ins. INSURED INSURER a : OneOC INSURERC: 1901 E. 41h Street, #100 INSURER D: INSURER E: Santa Ana CA 92706 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2041604506 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUEDTOTHE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE AUDLIUUMKI INSO me pOLICYNUMBER MMIOICYIEFF D/YYYY MMIDDIYYCY YY LIMITS COMMERCIAL GENERAL LIABILITY !'-�I EACH OCCURRENCE $ PREMISES Ma occon n $ CLAIMS -MADE 11 OCCUR MED EXP (Any one person) It PERSONAL$ ADV INJURY $.mmm GENL AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT LOG GENERALAGGREGATE $ PRODUCTS-COMP/OPAGG It $ OTHER: AUTOMOBILE LIABILITY OMBINEDDo aueWsH)SNGLELIMIT $ BODILY INJURY (Per person) $�� ANYAUrO OWNEp SCHE AUTOS ONLY AUTOSDULED BODILY INJURY accident) -- $T HIRED NON -OWNED AUTOS ONLY AUTOS MAY PROP RTY OAMAOE�— PereaMenl __- $ UMBRELIALIAB OCCUR EACH OCCURRENCE $ AGGREGATE g EXCESS LIAR CLAIMS -MADE DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETORIPARTNEftMEXECUTIVE !N OFFICIRMEMBER EXCLUDED? (Mandatory In NH) NIA WC202000005212 03/0112020 03/01I2021 vl PER OTH. STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 104, Additional Remarks Schedule, maybe attached If more space Is required) Such Insurance as Is afforded by this policy shall be primary, and any Insurance carried by City shall be excess and noncontributory. Thrly (30) days notice of cancellation required. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 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 t. 9— U 1988-2015 ACORD G11 ,4 REVIEWED & APPROVE' BY: ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 8 F3 41IR Risk Management Anayst