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ACORV CERTIFICATE OF LIABILITY INSURANCE %1 BATE YYYY) 1 1111312020 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 endomement(s). PRODUCER Cornish Insurance CONTACT BLAKE E. CORNISH NAME: CPA "C"EO.Est . 310-215-3638 nACX No,, 310-496-0627 8816 South Sepulveda Blvd, Ste 108 Los Angeles CA 90045 E-MAIL ADDRESS: Blake cornishinsurance.com INSURERS AFFORDING COVERAGE NAICIf INSURER A: NORTHFIELD INSURANCE COMPANY 27987 INSURED Constant&Associates INC. INSURER B: FARMERS INSURANCE EXCHANGE 21652 3655 Torrance Blvd STE 430 INSURERC: MID CENTURY INSURANE COMPANY 21687 Torrance CA 90503 INSURER D: STATE FUND 35076 INSURER E; RLI 13056 INSURER F: Farmers Insurance Exchange 21652 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. 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. INSIR LTR TYPE OF INSURANCE ADEL INRD SUER MID POLICYNUMBEft POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYI'YY LIMITS COMMERCIAL GENERAL LIABILITYLi EACH OCCURRENCE $ CLAIMS -MADE ❑OCCUR DAMAGE S(RENTED PREMISES H occurrence $ EPIMED EXP (Any one person $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY J E� LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident)$ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO F OWNED ONLY ✓ Auro$ULED AUTOSHIRED 606753174 07/1112020 07/1112021 BODILY INJURY (Per accident) $ NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accitlenl $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTIONS $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNEWID(ECUTIVE YIN OFFICEWMEMBEREXCWDED9 (Myyandatmy in NH) NIA �/ 9150620-2020 0111112020 0111112021 �/ sigruTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 Ies. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 ERROR AND OMISSIONS RTP0014717 01/10/2020 01/1012021 Aggregate Limit: $ 3,000,000 E EI FJ Per Claim: $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its officers, employees, agents and representatives are additional insureds with respect to Auto Liability per attached endorsement as required by contract. Insurance Primary and Non -Contributory. Wavier Of Subrogation applied to Workers' Compensation. CERTIFICATE HOLDER CANCELLATION City Of Santa Ana, Risk Management Division 20 Civic Center Piz, 4th Floor Santa Ana, CA 92701 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 BLAKE E. CORNISH ©1988-2015 ACORD C ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD irn" ,', p.S�n'�' ItIek MAnagewtLDMslan REVIEWED&APPROV®BY: :; ,l, qr^ fn c. c u 2 V IL�,rki •`�' Risk Management Analyst