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CERTIFICATE OF LIASILiTY INSURANCE �DA.4rfl(MMIDDIYYYY) <br /> I0612025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUE A CONTRACT BETWEEN THE ISSUING INSURER($), <br /> AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT.If the certificate holder is an ADDITIONAL INSURED,the polioy(las)must have ADDITIONAL INSURED provfalons ar be endorsed <br /> if SUBROGATION IS WAIVFD,subject to the terms and Conditions of the policy,certain pol[cles may require an endorsement.A statement an ' <br /> This certificate door not confer rights to the certificate holder In Ihru of such an andorsoment(s). <br /> CONTACT <br /> PRODUCER NAME: <br /> STRATUM INSURANCE AGENCY PRONE PAX <br /> 10e20 SOUTHERN HIGHLANDS PMY STE 110-270 (Na No.Ext):(000)6e1-3939 (Ale.No.Ext.): i177)872-7004 <br /> LAS VEGAS,NV 89141-4372 E-MAIL <br /> ADDRESS!seNlce.cerder@QtroYelem oDm <br /> INSURED INSURER(tS)APFORIMN 13 COVERAGIE NATO# <br /> INSURER A:TRAWLERS PROPEtYtY CASUALTY COMPANY OF AMERICA <br /> NOGALIS 114C INSURER 5: <br /> 4540 CAMPUS DR <br /> NEWPORT BEACH,CA 92660 INSURER C <br /> INSURER D <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER; <br /> THIS i9 TO CERTIFY THAT THE POLICIE$OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED,NO'fWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMUNT WITH RESPEUT TO WHICH THIS <br /> CERTIFICATE MAY BE 18S05-0 OR MAY PERTAIN,THE INSURANCE AFFORDED 13Y TEE POLICIES DESCRI13LD HEREIN IS SUBJCC'r TO ALL THE-PERMS, <br /> EXCLUSIONS AND COND111ONS OF SUCH Poi,101W LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ADDL BUOR PdLiCi(NaBIBER POLICYEFF FOLMTESP <br /> LTR LIMITS <br /> R TTPEOFINSURANCE D yyyp NN MDON MA90 <br /> COMMERCIAL GEWERALLIABILnY FACHOS?Cllr93E CE <br /> Dallwo 7'O rEd1 <br /> CLAIMS4AAIIE ❑ (MOR PRY�1iSE9. OccYxrence <br /> MEniv ft one emsol <br /> PERSONAL a ADV IWLIRY <br /> GEN'L AGGREGATE LIMIT APPLIES PER: ermw- ALAggEEg TE <br /> POLICY PROJECT �LOC PROD M-OomwaPAqd <br /> nTl#ER <br />`- ------ --------AUTOMOBILE WAEILITY-..----------——---- --- - ma-s ED BWGLRL#MIr <br /> ant--—---ANY AUTO <br /> 80p1.YiKIURY Per erann 6 <br /> OWNED 9CIIWULEP BODILYINAJAY,Parvamnt <br /> AUTt150NLY AUTOS pROPERTYOMIAGE <br /> HIRED NO"WNEU Peraxtdent <br /> AUTOSOFH.Y AUTOSONLY <br /> IIMBRELLAL1A8 occur( EACH OCCURRENCE $ <br /> RKCB98 LUtB CLAIMS-MADE AflflRE 'CL .. <br /> DEO []RETENTION <br /> S <br /> WORMERSCOMPENBATICN <br /> AN PER OTH <br /> C(EMPLOYERS'LIABILITY Y NIA X UB 7P5728it-20.42 0310312025 03l03aD-,,6 STATUTE r�R <br /> AW F RopRIETOPJPARTNERIEX60UTIVE <br /> OFRCERIAIEM9E♦;EXCLUDED? E,L.EACJ4AOCEENT' 1 CI(3000 <br /> PUnd"In NH} <br /> If yea,dasarlbe under E.L.DM FA EMPLOYEE 91JW,000 _ <br /> DESCRIPTION OF OPERATION99MLDW <br /> E.L.DL9rjW-POI.IOYL#MIT 1 OB 0 <br /> S <br /> DE8CRIP7ION OF OPERATIONS$LOCATIONS 1 VEHICLES(ACORD 1161,Additlenal Remarks Schedule,maybe attached If mere apace Is rsquimd) <br /> Waiver of subrogallon applies per the policy form WC 040306(0�1) <br /> I APPROVED <br /> I 6p Tu Trap,N�u)ren at 7[IB am,Apr 09,7�12� <br /> CERTIFICATE HOLDER CANCEILL.ATION <br /> SHOULD ANY OF THE ABOVE DESCFIBm POLICIES (CIE CANCELLED <br /> CITY OF sANTA ANA BEFORE THE=.EXPIRATION DATBTHERBaP,NOTICE WILL RE DELIVERED IN <br /> tCI51C MANAt3EMENT P1148ioN ACCORDANCE WITH THE POLICY PROVISIONS <br /> 20 CIVIC CENTER PLVA <br /> SANTA ANA,CA 91702 AUTHORIZED REPRESENTATNE <br /> (D 1993-2015 ACORD CORPORATION.All rights resePved. <br /> ACORD 25(2016)3) The Aoord riame and Ingo are regletored marks of ACORD <br /> i <br /> I <br /> I <br />