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ACC>RJY CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDY YY) 9/9/2014 THIS CERTIFICATE 15 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 NAME: CT Ken Noden CPCU Wigmore Insurance Agency, Inc. 2970 Harbor Blvd. #215 License #0811959 PHONE _ _ 43 N.f:714- 549 -2943 ,(AIC. &MAIL ADDRESS: INSURERB) AFFORDING COVERAGE NAICp Costa Mesa CA 92626 INSURER A:Phladelphia Indemnity Ins, Co 18058 $50,000 INSURED 16547 INSURER B: ON PERSONAL &ADV INJURY INSURER C: Alliance Resource Consulting, LLC. 400 Oceangate Suite 510 Long Beach CA 90802 INSURER D: GENERAL AGGREGATE — ' —' - -"' INSURER E GEN'L AGGREGATE POLICY NSURER F: PRODUCTS - COMP /OP AGG $1,000000 COVERAGES CERTIFICATE NUMBER: 347257728 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. ILSRR TYPE OF INSURANCE INSR WVD POLICY NUMBER MML�MINYY MM /D�IYYYY LIMITS • GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR Y Y PHSD88*4 .A Yb'iY O'�%E D A E'6i61 // 10/15/2013 FORM ® 0/15/2014 EACH OCCURRENCE $1,000,000 DAMAGE TO E PREMISES Ea occurrence $50,000 MED An one person) $5,000 ON PERSONAL &ADV INJURY $1,000,000 — i'ouph Stra' Aiiytt°p',, ♦ fi� 'L b Y1 a t�Y.tt��p 3 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER PRO LO. PRODUCTS - COMP /OP AGG $1,000000 $ • AUTOMOBILE LIABILITY ANY AUTO ALL OWN ED SCHEDULED AUTOS AUTOS HIRED AUTOS X NO -OWNED AUS N N PHSD881224 10/15/2013 0/1512014 COMBINED 21,000,000 X BO OILY I NJURY(Par person) $ SO Of LY INJURY (Per accident) $ PPROPP cR nt AMAGE $ $ A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE N N PHUB435830 10/15/2013 0115/2014 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER /EXECUTIVE❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC STATU- OTH- E.L. EACH ACCIDENT $ E . DISEASE - EA EMPLOYE $ E, L. DISEASE - POLICY LIMIT $ A PROFESSIONAL LIABILITY (CLAIMS MADE FORM) N N PHSD881224 10/15/2013 0/15/2014 $1,000,000 EACH CLAIM $1,000,000 AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED WITH WAIVER OF SUBROGATION PER BUSINESSOWNERS POLICY - ELITE ENDORSEMENT FORM PI -BP -001 (9/05). CANCELLATION NOTICE IS 10 DAYS IN THE EVENT OF NON PAYMENT OF PREMIUM. City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©19882010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD