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URBAFUT-01 JDERCOLE ,a ° CERTIFICATE OF LIABILITY INSURANCE 11`1 OATE(MMI00/'1 YV) vsnol s _ 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 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 Brown & Brown of New York Inc. 800 Westchester Avenue, N311 CONTACT NAME: PHONE 914 337-1833 FAx FlIC No Ext:( I A/c No: (914) 337.1596 Rye Brook, NY 10573 EMAIL ADDRESS: y info bbinsn com INSURER(S) AFFORDING COVERAGE NAICN INSURERA:Executive Risk Indemnity Inc (Chubb) 35181 INSURED / / INSURER B: Urban FUfnfeS, Inc. ✓ 3111 North Tustin INSURER C: SUITE 230 INSURER D: INSURER E: Orange, CA 92866 INSURER F' COVERAGES CERTIFICATE NUMBER: 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 SUBJECTTOALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSD WVD POLICYNUMBER POLICY EF MMIDDIYVT( POLICY EXP MMIDDNYYY LIMITS COMMERCIAL GENERAL LI ABILITY NCE $ CLAIMS -MAGE OCCUR currence $ M(Edoccu�snde) e person) $ INJURY $ AGGREGATE LIMIT APPLIES PER: POLICV ❑PRP ❑LOC ECT EGATE $ GEN'L PRODUCTS-COMPIOP AGC $ $ OTHER'. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accMent BODILY INJURY (Per person) $ ANY AUTO ALLOWNE AUTOS AUTOS SCHEDULED BODILY INJURY ( Par accident)$ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Peraccident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? n _T NIA PER OTH- STATUTE ER E, L. EACH ACCIDENT $ i.. DISEASE L-A GNPLOYEc $ i(PJlantlelar/ W Nn) If yes, describe under J_. DISEASE -POLICY LIP.IIT $ _ DESCRIPTION OF OPERATIONS below A Errors & Omissions R 6801.9352 12/2312016 1212312016 Aggregate Limit 2,000,000 A Errors & Omissions 6801-9352 / 12/23/2016 12/2312016 Retention Each Claim 50,000 ✓ ✓ DESCRIPTION OF OPERATIONSI LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if morespare is required) City of Santa Ana is listed as an Additional Insured under the Errors & Omissions Liability policy. Waiver of Subrogation is included, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Attn: Teresa Ramirez THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 r ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD '�� /�� �t/ 3