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lly Tori PiersonDDattea2022,06.114112523efO° 0700 ACORN® CERTIFICATE OF LIABILITY INSURANCE �.�1 DATE(MMIDDNYYY) 5/19/2022 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 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: Laura L. Baron, CIC PRONE (310)326-6335 ext 2151 FAX Imdl aza-s4ac Ac No: Nickerson Insurance Services, Inc. LIC #0491589 E+.tAIL ADDRESS: Laura@nickersonins.com 2106 West Lomita Blvd. INSURERS AFFORDING COVERAGE NAIL It INSURER A: Continental Casualty Company 20443 Lomita CA 90717 INSURED INSURERB:Tr'ans Ortation Insurance Company,Comparty, 20494 INSURER C: SeC12ritY National Insurance Company 19879 Focus Media Group, Inc., Di INSURER D: Coastline Advertising Corporation INSURER E: 2271 W Malvern Ave. k407 Fullerton CA 92833-2106 INSURER F: COVERAGES CERTIFICATE NUMBER:22-23 GLAUWCUMB 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 ADDL SUBR POLICY NUMBER POLICY EFF MMMMYYYYI POLICY EXP flMMrDDNYYY)LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE S 1,000,000 A CLAIMS -MADE � OCCUR DAMAG T REN ED PREMISES Ea ocanence $ 300,000 X MED EXP(Any one Person) $ 10,000 Primary/Non-Contributory X y 04034610293 5/19/2022 5/19/2023 PERSONAL SADV INJURY $ 1,000,000 GENIAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 X POLICY PRO LOG PRODUCTS-COMP/OPAGG S 2,000,000 $ OTHER I AUTOMOBILE LIABILITY COMRINEDSINGLELIMIT Ea accident $ 1,000,000 BODILY INJURY (Per Person) $ A ANY AUTO ALLOS SCHEDULED AUAUTOS X Y BUP5088115784 5/19/2022 5/19/2023 I BODILY INJURY (Per aociden0 $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ unmsund annand oan diidain9le $ 1,000,000 X UMBRELLALIAB X OCCUR EACH OCCURRENCE S 4,000,000 AGGREGATE $ 4,000,000 B EXCESS LIAB CIAIM&MADE DIED RETENTION $ IS X Y CUP4034610245 5/19/2022 5/19/2023 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN X I PER OTH- TAT R El -EACH ACCIDENT $ 1,000,000 C ANY PROPRIETORMARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NHi If yes, describe under NIA y SwC1383497 4/21/2022 4/21/2023 E.L DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S 1 000,000 A Business Personal Property B4034610293 05/19/2022 05/19/2023 RePlacens"ICoal $5,000 Busine55 Iree. Ael.id Loss Suunned(ALS) ALS DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tU1, Additional Remarks Schedule, may be atlxbed'R anon spade is regelndl The City of Santa Ana, , its officers, officials, employees, and volunteers are included as additional as respect to insured ongoing operations per attached CNA Additional Insured endorsements SB146932E & SB300022B including primary, non-contributory and waiver of Subrogation; 30 Days Notice of Cancellation subject to 10 days notice of cancellation for nonpayment of premium when required by written executed contract City of Santa Ana its officers,employees, employees, and volunteers 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 CANCELLATION Rid Mangan ant [Xiii SHOULD ANY OF THE ABOVE DESCRIBED POLI , 1 �VI&VED6 ArRzw®Br' THE EXPIRATION DATE THEREOF, NOTICE WILT litl Ire %du �rc'[Jau ACCORDANCE WITH THE POLICY PROVISIONS. aax Maru9mmroRulade AUTHORIZED REPRESENTATIVE r Kelly/LAURA ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)