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AC oR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 4/2/2015 THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED, subject to the terns 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 USI OF S CA INS SVCS INC /PHS 180982 P: (866) 467 -8730 F: (888) 443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME; A/CC,No,ExI) (866) 467 -8730 FAX (888) 443 -6112 AoDRIESS INSURER(S) AFFORDING COVERAGE NAICN INSURER Sentinel Ins Co LTD POLICYEXP INSURED NOGALIS, INC 4590 MACARTHUR BLVD STE 500 NEWPORT BEACH CA 92660 INSURER B: INSURER C: INSURER D: INSURER INSURER F' $1, 000, 0 0 0 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 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IIVSR TYPEOFEVSURANCE ADDL SLBR POLICYN(,31BER POLICYEFF DA ITF POLICYEXP LLVIIS — � COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1, 000, 0 0 0 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S 1 r 0 0 0, 000 X X IVIED EXP (Any one person) s10, 000 A General L1ab 72 SHA AC2497 04/01/2015 04/01/2016 PERSONAL BADVINJURY $1,000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2, 000, 0 0 0 POLICY F-1 PRO LOC JECT Fx PRODUCTS - COMP /OP AGG s2, 000, 0 0 0 $ OTHER: AUTOMOBILE LIABILfrY COMBINED SINGLE LIMIT (Ea accident) $1, 0 0 0, 0 0 0 BODILY INJURY (Per person) $ ANYAUTO A ALL OWNED SCHEDULED AUTOS AUTOS 72 SBA AC2497 04/01/2015 04/01/2016 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS S UMBRELLA LIAR EACH OCCURRENCE g AG GREGATE $ EXCESS LIAB �OCCUR DE DE RETENTION S $ WORLENSCOMPENSATION ANDEMPLOTERSLLMLrIT ANY PROP RIETOR/PARTNER/EXECUTIVEY /N PER OTH- STATUTE ER E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Nardatoryin NH) ❑ NIA E.L. DISEASE- EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTIONOFOPERATIONS /LOCATIONS / VEHICIl RD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. City of Santa Ana is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. �1�� /� y �i.tJ i'✓�� CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Attn : Bruce Fruchter DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4 PO BOX 1988 20 CIVIC CENTER PLZ # M -30 74-2 7�/-Lt SANTA ANA, CA 92701 — � ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD