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AcoR®® CERTIFICATE OF LIABILITY INSURANCE DATI (20101DDM W) 1, /27/25 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 EPIC/James C. Jenkins Insurance Service Inc. License No. OB29370 P.O. Box 13847 NAME:TAT Paula yaw PHONE FAX - - rA/c. Nal: E-MAIL ADDRESS :Ula.vanaCa�eoirbrokers cgD�_ Sacramento CA 95853 INSURER(S) AFFORDING COVERAGE NAIC M INSURER A:Travelers Propedy Casualty INSURED COTAD-1 -36161 INSURER g:TravPlem QaaualtyQ Cote Cole LLP 2261 Lava Ridge Court Roseville CA 95661 INSURER C:Comipau�L_34630 INSURER D INSURER E NSURER F: COVERAGES CERTIFICATE NUMBER: 101570905H 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. ILTR TYPE OF INSURANCE ANSR WVD POLICY NUMBER EFF MMIDDNWY MMIDDY Y� LIMITS A GENERAL LIABILITY 68093500273 1/15/2015 /15/2016 EACH OCCURRENCE $1,000,000 x COMMERCIAL GENERAL LIABILITY CLAIMS -MAGE OCCUR PREMISES Ea occurrence) $300,000 MED EXP (Any one person) $5000 PERSONAL &ADV INJURY $1000,000 GENERALAGGREGATE $2000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 17 POLICY PRO LOC I $ B AUTOMOBILE LIABILITY BA3D756153 1/15/2015 /15/2016 (USEa accident 1000000 BODILY INJU RY(Per person) $ ANY AUTO ALLOWAUTOS NED X SCHEDULED AUTOS BODILY INJURY (Per accident) $ x HIREDAUTOS X NON -OWNED AUTOS PROPERTYDAMAGE $ Per accident A X UMBRELLA LIAR X OCCUR CUP2D977529 1/15/2015 /15/2016 EACH OCCURRENCE $3,000,000 EXCESS UAB CLAIMS -MADE AGGREGATE $3,000,000 DED I I RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN COWC601791 1/15/2015 1/15/2016 X WC STATU. OTH- E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? ❑ NIA E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: Evidence of Coverage:. APAP EP/ � ORM rSTO ndra A SChwarzmann `=senior Assistant City Attorne City of Santa Ana 20 Civic Center Plaza, M-29 PO Box 1988 Santa Ana CA 92702 ACORD 25 (2010/05) 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 (1988-2010 AcnRn The ACORD name and logo are registered marks of ACORD rinhfP r ... n .r