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/_ _ "--I IYIUUA3SU-U7 I A r1` CERTIFICATE OF LIABILITY INSURANCE `� OATE(M1202 YYY) 7/7/2D21 _ 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(los) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain policies may require are endorsement. A statement On this certificate does not confer rights to the certificate holder in lieu of auch endorsements . PRODUCER - ,OM CT Aaron Marin Amorelti ROsemann, & Associates 3110 E. Gluasti Road Suite 500 PHONE FaX — (JC,No,Ea: (90g B6D-3903 IAIX No): 'd`�rj{ $a; aaronm arainsurance.com Ontario, CA 91761 - _ " _ INSURER S AFFORDING COVERAGE q INSURER A: State COm oration Insurance Fund of California ----AMP 35076 INSURED INSURER B INSURER C: "Mdg Associates, Inc. 10722 Arrow Route Ste 822 Rancho Cucamonga, CA 91730 - INSURER 0, NsuRER E INSURER P; COVERAGES ERTIP CATE NUMBER: REVISION NUMB R• 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL D SUBR D POLICY NUMBER POLIO EFF POLICY EXP LIMITS COMMERCIAL: GENERAL LIABILITY CLAIMS -MADE 0 OCCUR EACH OCCURRENCE �— 0 EIMISES DENTED &N¢aPsa S GE EDEXP An one efs n- —_ 'LAGGRErG�ATE LIMITAPPLIES PER: El POLICY j l� - ❑ I.00 OTHER: _ ENERAL AGGREGATE $ P ODG UCTS-COMPjOp AG $ AUTOMOBILE LIABILITYF_a ANY AUTO OWNED SCHEDULED AUTppOpp3:ONLY ANUTT%SSVy p AVTOS ONLY _. Al01TOS ON Y OMBINED SINGLE LIMIT ace'dan11 _ $ BODILY INJURY(Per arson $ BOOILYINJURY Parateident $ Pel,)aw111Y AMAOE $ UMBRELLA LIAR EXCESS LIAR _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ A WORKERS COMPENSATIOryry AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORR�IPARTNEWrXECUTIVE lMan ato/ryln aNT) CLUDEU'1 If yes, DESCRIPTION OF OPERATIONS below DESCRIPTION NIA X 1980750_21 7/1/2021 7/1/2022 X PER - OTH. ETA E E.L. EACHAC DENT _ 1�ggg Dgg E.L. DISEASE - EA EMPLO 1,DDD,000 E.L. DISEASE -POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlllonul Remarks Schedule, maybe attached if more space is requited) Proof of coverage. Waiver of subrogation applies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PROVISIONS, 20 CIVIC CENTER PLAZA, 4th Floor $ANA ANA, CA 92702 AUTHORIZED REPRESENTATWE RieltM-M— "M'L Division Y 's REVIEWED &APPROV®F1V: ACORD 25 (2016/03) �. ©1988.2015 AAA CORD C f , The ACORD name and logo are registered marks of AGORD Risk Management Analyst