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'--el DATE (MMMDIYYYYI 4/2612021 COR O° `L CERTIFICATE OF LIABILITY INSURANCE Acctll: 2785030 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(jes) 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 NAME: Lockton Affinity, LLC Lockton Affinity, LLC P. O. Box 879610 Kansas City, MO 64187-9610 PHONE (AIC.NO Ext): 877320-9393 FAX INC, No): 913-652-7599 E-MAIL ADDRESS: OFMIlbloddonaffinity.com INSURERS AFFORDING COVERAGE NNC0 INSURER A: Old Republic Insurance Company 24147 INSURED WSURERH: INSURER C: Downey Vendors Inc. INSURER D : 6814 Suva Street INSURER E Bell Gardens, CA 90201 INSURER F: CERTIFICATE NUMBER REVISION NUMBER yVTHIS 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 ADDL INSO SUBR WVD POLICY NUMBER (MMIODYEFF DIYYYY) (MMIODDNYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE RENT Claims Occur PREMISES Hie occurrence MED EXP (Any one eman) PERSONAL B ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY PROJEC LOC PRODUCTS - COMP/OP AGO OTHER A AUTOMOBILE LIABILITY L499050-21 4101YL021 4/0112022 MEIN U R Ea accident $1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS SCHEDULED BODILY INJURY (Par accident) $ AUTOS OPEident)RW A $ HIRED AUTOS ONLY NON -OWNED $ AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIMB CLAIM& DED RETENTION$ $ OT_ WORKERS COMPENSATION STATUTE ERH AND EMPLOYERS' LIABILITY YM AWPROPRIETORPAm NERFJ(ECUTNE E.L. EACH ACCIDENT $ OFBCERMEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EAEMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlanal Remarks Schedule, may be aftached if mare space is required) GPBR: 2FLs Policy provides protection for any and all operations/jobs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required y written contract Waiver of Subrogation included by written contract. Insurance is primary and non-contributory. City of Santa Ana is an additional insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza, 4th floor AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 � *12 ��,Y,s:oy2ro WdLMATIrgN1OdDMNwI p RENEWhW VfiAPH2OV®BY.' ©1988.2016 ACORD C r ', �, V:lic-1LA� ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk Management Analyst