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PREMI-9 ,4�oR0 CERTIFICATE OF LIABILITY INSURANCE DATE 412 0 2 Y) osi1a2o2a 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(les) 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 endorsements. PRODUCER 562-697-6200 co ACT Derek Jimenez Caldwell Insurance Agency Inc. PHONE 66 /-69 - FAX • _ 9 -16 License#0664607 A/c No,Ext 481 E.Whittier Blvd.,Ste.D E- In 2fle La Habra,CA 90631 I - Derek Jimenez ISURER S AFFORDING COVERAGE NAIC 0 -AnaINSURERA:Impf 'lU an 5 INSURED Premier Post Services West INSURER B: PO Box 1867 — Anaheim,CA 92816 INSURERC: INS ER D: a •Ar E • 7)n%J2--AT*n%J9fn%J.J• INS E - COVERAGES AF CE I BE _ 1 EZ •AE- *4 N THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAN c P'.EN ISSUED TOTE ORE D A FO POWYWRIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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. ILTR NSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP OMITS A X COMMERCIAL GENERAL LIABILITY 1, CLAIMS 000,000 -MADE [K OCCUR y Y EACH OCCURRENCE WIC-GL-08936-01 08/08l2024 OB/09/2026 DAMAGE TO RENTED $ 100,000 MED EXP(Any oneperson) $ 6,000 PERSONAL&ADV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 X POLICY❑E a LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY Per $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY p BODILY INJURY Per a $ AUTOS ONLY AO OS ONLY PPRer. d N) AGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE E EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/NSTATUTE E. ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT FFICER/M�MQ� EXCLUDED? Mandatory In ) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is included as Additional Insured to the General Liability policy only, per written contract. Attached applicable endorsement form#: IIC GL 50 0410 17. CERTIFICATE HOLDER CANCELLATION 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 Ride Managmad Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE so orzev`e REVIEWED&APPROVED 8Y: Santa Ana, CA 92702 Risk Management Specialist ACORD 26(2016/03) ©1988-2016 ACORD CC The ACORD name and logo are registered marks of ACORD