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AIRY?® CERTIFICATE OF LIABILITY INSURANCE TE DAT/s/2o15Y) 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 Pom3 & Associates Insurance Brokers, Inc. CA License #0814733 5700 Canoga Ave. #400 Woodland Bills CA 91367 CONTACT Wend Delgado NAME: y 9 PHONE (500)578-8802 FAX No: (818)449-9321 nooliess.. elgado@pomsassoc.com INSURERS AFFORDING COVERAGE NAICN INSURERA:The American Insurance Company/FF 21857 INSURED MCCUNE & BARBER, LLP. 515 S Figueroa St, Ste 1150 r� 11 Los Angeles CA 90071 A'zp1 �l'-a. l'1 INSURERBAmtrust North America INSURERCAXIS Insurance INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:CL155534353 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. INSR TRJUL TYPE OF INSURANCE AODL SUBR POLICY NUMBER MM OOY EV1N MMIDDY EXP LIMITS Santa Ana, CA 92701 X COMMERCIAL GENERAL LIABILITY Wendy Delgado/WENDYD C-/"' EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE DAMAGE TO RENTED 100,000 PREMISES es Occurrence $ MED EXP (Any one person) $ 10,000 AZC80884450 4/18/2015 4/18/2016 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO- ❑ LOC ECT PRODUCTS-COMP/OP AGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a $ 2,000,000 Eaccident BODILY INJURY (Par person) $ A ANVAUTO ALL OWNED SCHEDULED AUTOS AUTOS AZC80884450 4/16/2015 4/18/2016 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident X HIRED AUTOS X NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAS CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X PER OTH- STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 B OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) NIA TWC3472159 5/15/2015 5/15/2016 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 C Professional Liability 0309-6325 6/4/2015 6/4/2016 Limit $1,000,000 DESCRIPTION OF OPERATIONS. FLOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Evidence ofinsurange only. APPROVED AS TO FORM Laura A. Rossini ��Lc7 Senior Assistant City Attorney CERTIFICATE HCLDEPPice, CANCELLATION >'-LL1 .re --�,,-,jj1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Ci`t'y of.OSanta Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Attorney's Office ACCORDANCE WITH THE POLICY PROVISIONS. - 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Mail Stop M-29 Santa Ana, CA 92701 Wendy Delgado/WENDYD C-/"' ACORD 25 (2014/01) INS025 onl4on ©1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD