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DocuSign Envelope ID: FFEC154C-2F47-4B70-B605-3832F524E588 rranLlDe n. vmdredl v,narem Date:2021.04.21 172214-07'OP ACORO® CERTIFICATE OF LIABILITY INSURANCE `..�+'' DATE(MM/DD YVYY) 04/16/2021 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 CONTACT Christopher Escueta NAME:Escueta Insurance Services 1712 W Magnolia Blvd 9 PHONE (818)840-8010 nAic Not 1 (818) 840-7066 EMAIL ADDRESS: chris@escueta-ins.com INSURERS AFFORDING COVERAGE NAIC If INSURERA; United States Liability Insurance Company 25895 Burbank CA 91506 INSURED INSURER B: INSURERC : Craig Tyrl - The Wayward Artist INSURERD: 125 N Broadway #E INSURER E: 1 INSURER F: Santa Ana CA 92701 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. INSR LTR I TYPE OF INSURANCE ADDLSUBR J= Byll POLICY NUMBER POLICYEFF MMIDDIYYVY1 POLICYEXP (MMIDDIYYYY1 LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE �X OCCUR PREMISES Ea.cc PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 A Y NPP1599302 12/31/2020 12/31/2021 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � PRO- ❑ LOC ECT PRODUCTS - COMPIOP ADS $ Included Abuse Aggregate $ 300,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOSONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE XL1609945 12/31/2020 12/31/2021 DED I I RETENTION$ Products/Comp Ops $ Included WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN I PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ ANYPROPRIETOWPARTNERIEXECUTIVE ❑ OFFICERIMEMBEREXCLUDED9 NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached it more space Is required) Miguel Torres Cruz and the City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor 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 —DocuSigned by; 4/16/2021 �CBB2CRSBD09Q1196B-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD M"NU negement ulmm tJ REVIEWED&APPR,ovEn By., �rp Risk Management Analyst