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.nco�rd CERTIFICATE OF LIABILITY INSUA04je Digitally sign &`TE(MMIDDIYY" U 03/10/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONF RS NO RIGHT4UP614THIMIERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTF lC3PEAV@QF Awila& AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT B TWM�e;: �1i4j11Qj®( _NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLD 1 5.1 3-37117'!1 ' IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ley must bs endorsed. If SUBROGATIONIS 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 HILL & USHER INS & SURETY/PHS 59302202 CONTACT NAME' PHONE (866) 467-8730 INC, No, Earl: uc No):(888) 443-6112 The Hartford Business Service Center E-MAIL 3600 Wiseman Blvd San Antonio, TX 78251 ADDRESS: INSURER(5)AFFOROING COVERAGE NAICp INSURED INSURERA: Sentinel Insurance Company Ltd. 11000 INSURERB: PHOTOGRAPHY BY JOSHUA BOBROVE 2419 VISTA DEL CAMPO SANTA BARBARA CA 93101-4662 INSURER C : INSURER D : INSURER E : INSURER F : CERTIFICATE NUMBER: KEVISIUIq NUMBER: y THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR VIVO MM/DO M IDDTY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $1,000,000 CLAIMS -MADE OCCUR lxl PREMISES Eaamunence M ED EXP(Any am Person) $10,000 X General Liability A X 59 SBW RV1649 12/19/2021 12/19/2022 PLRSONAL&ADV INJURY $1,000,500 GEN'LAGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 POLICY ❑ PRO LOC RX ECT OTHER: COMBINEDSINGLE LIMIT $1,000,000 AUTOMOBILE LIABILITY Ea accitlenf BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per accident) A ALL OWNED SCHEDULED 59 SBW RV1649 12/19/2021 12/19/2022 AUTOS AUTOS HIRED NON -OWNED PPReOPPeRtlTYDAMAGE X X AUTOS AUTOS OCCUR EACH OCCURRENCE UMBRELLA LIAB AGGREGATE EXCESS LIAB CLAIMS- MADE ED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER E.L. EACH ACCIDENT ANY YIN PROPRIETORIPARTNERIEXECUTIVE NIA E.L. DISEASE -EA EMPLOYEE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - POLICY LIMIT (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below DESCMP77ON OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. RE: N-2021-025. City of Santa Anna, its officers, employees, agents & representatives are additional insured per the Business Liability Coverage Form SS0008 attached to this policy. Notice of Cancellation will be provided in accordance with Form SS1223, attached to this policy. City of Santa Ana SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Risk Management Division BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 20 Civic Center Plaza, 4th Floor IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD COF REVIEWED 6 APPROVED BY: ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD `!4 11 co' A+1P Auv44 '® Risk Management Speazh51: