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4` ou °® CERTIFICATE OF LIABILITY INSURANCE 6 /,2 `20., '" 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 Insurance Solutions License #0746539 33302 Valle Rd, Suite 200 San Juan Capistrano CA 92675 CONTACT Sara Donohoe NAME: —FAX PHDNE . (949)348 -7400 0:(949)340 -2373 EMAIL SaraD@Tns- solutions.com AODR S' INSURERS AFFORDING COVERAGE NAICM INSURERAAmco Insurance Co 19100 INSURED DR GARY A LINNEMANN MD 1534 E WARNER AVE STE A - SANTA ANA CA 92705 -5475 INSURERS: 6/6/2013 INSURERC: EACH OCCURRENCE INSURER D: PAEMGES —RE ace INSURER E: MEO EXP(Any one person) 1 INSURER F: PERSONAL &ADV INJURY COVERAGES CERTIFICATE NUMBER:13 /14 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, IN$R TR TYPE OF INSURANCE INSR SUDR POLICY NUMBER MMIOD�Y MMIDDIYYVY. LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR T Alessandra /PETERS CP7881875918 6/6/2013 6/6/2014 EACH OCCURRENCE $ 1.000,000 PAEMGES —RE ace $ 300.000 MEO EXP(Any one person) S 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 CARL AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMPIOP AGO $ 2,000,000 $ P' POMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X' AUTOS CP7881875918 6/6/2013 6/6/2014 Ee aocdeOtSINGLE LIMIT $ 11000,000 BODILV INJURY (Per person) $ BODILY INJURY (Per accitlent) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS_ MADE y� (\'�F" p'QrR F ^ VV I ® EACH OCCURRENCE $ AGGREGATE $ 'DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR /PARTNERIE%ECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA * ($ S ®$C{ ♦ t j$`� st'ra..Ney \w �� L'M ¢} / WC STATU- OETH- TORY E.L. EACH ACCIDENT $ E.L. DISEASE - FA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Santa Ana, its officers., employees, agents and volunteers are named as additional insured per the Commercial General Liability Coverage Form CG 00 Ol 12 07 attached to the policy. CERTIFICATE HOLDER CANCELLATION MKelleyOsanta- ana.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 T Alessandra /PETERS ACORD 25 (2010105) INS025 ronlnnel m © 1988 -2010 ACORD CORPORATION. All rights reserved. The ArtIDPF) name cnd Innn arc ronict.,.,I mcrk,c of Ar.OPM