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A� �® CERTIFICATE OF LIABILITY INSURANCE DnTe(mmloDm ) 12/23/2020 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((es) 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 R Taylor Insurance Solutions, LLC 15068 Rosecrans Ave., #114 La Mirada CA 90638 CONTA T NAME: Rea Taylor PHONE FA% (562) 758-34a2 AIC No: E-MAIL t@ktaylorinBurance.com ADDRESS: INSURE S AFFORDING COVERAGE NAIC# INSURERA: Travelers Property Casualty Cc 25674 INSURED (949) 400-1BDO INSURER B: INSURER C Big Ben, Inc. INSURER O: 4790 Irvine Blvd INSURER E: Irvine CA 92620 NSURER F: COVERAGES CERTIFICATE NUMBER: Cart ID 415 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 TYPE OF INSURANCE ADOL SUBR POLICY NUMBER MMI�OY� MMID�rYYYY LYEXP IMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE El OCCUR D A E TED PREMISES Ea occurrence $ MED UP (Any me person) $ PERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ PRODUCTS -COMP/OPAGG $ POLICY ❑ JECOT LOC $ OTHER I AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT Ea accident $ 1, 000, 000 BODILY INJURY (Per person) $ A % ANY AUTO Y Y 810-1R20261A-20-26-G 07/01/2020 07/01/2021 BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS % HIRED % NON -OWNED AUTOS ONLY AUTOS ONLY PPROPPERde OAMAGE $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCE$SLIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PRIET RMARTECLITIVE Y IIB-1922558A-20-26-0 07/01/2020 07/01/2021 ER STATUTE ER EE.L.EACH ACCIDENT $ 11000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 OFFICE U ED ❑ (Mandatory In NH) NIA E.L. DISEASE -POLICY LIMIT $ 1,000,000 If yes, desaibe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Santa Ana, officers, agents, employees, and volunteers are named as additional insured when required by written contract per form CA T3 53 02 15. A waiver of subrogation applies as required by written contract per form CA T3 53 02 15 s WC 99 03 76 ( A). 30 day NOC applies per form WC 99 06 R3 (00) and IL T4 05 05 19. Primary and Non -Contributory wording applies per form CA 00 01 10 13. Policies shall not be cancelled or reduced in coverage or changed in any other material aspect, by contractor, without thirty (30) days prior written notice to the City. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE floor Risk Management Division Santa Ana SalCA 92701 % RENEWED 6 APPRCN®BV: ©1988.2015 ACORD C 110 f4A*4N44 Z, (/;,(j ad ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD LIQ�111&0w' Risk Management Analyst Page 1 of 1 00