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,ACOREI CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YWV) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO 1 /26/2015 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 A T James C. Jenkins Insurance Service Inc. NAME:Moua PHONEFAX License No. 0545478 AIC No MAIL DRESS: com PO Box 13847 Sacramento CA 95853 _ INSURERS AFFORDING COVERAGE NAICIt INSURER A INSURED COTAD-1 INSURER S, Cola Cole LLP INSURER C 2261 Lava Ridge Court COMMERCIAL GENERAL LI ABILITY Roseville CA 95661 INSURER D: INSURER E: INSURER F: D A ETO TED UE;n i iFiCAt E rvunlatrc: 11 U1U95039 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 INSR WVD POLICY NUMBER MMIDDY� MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LI ABILITY D A ETO TED 7 PREMISES Ea occurrence $ MED EXP Any one person) $ CLAIMS -MADE OCCUR PERSONAL B ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINE Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNEDSCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Pe accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY UMILS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? ❑ NIA (Mandatory in If yes, describe aund nder E.L. DISEASE -EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT If DESCRIPTION OF OPERATIONS below A Professlonal Liability SP0043001 /1/2014/1/2015 Each Claim $5,000,000 Claims Made Annual Aggregate $5,000,000 Retention $50,000 DESCRIPTION OF OPERATIONS) LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Evidence of Coverage. APR ID ,, C T FORM Sandra M. Schwarzmann aq Senior Assistant City Attorney U City of Santa Ana 20 Civic Center Plaza, M-29 PO Box 1988 Santa Ana CA 92702 AUUKU ZO (LUTU/UD) 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 ACORD CORPORATION. All riohfs fhe ACORD name and logo are registered marks of ACORD