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1503036 Ashrei Insurance Certificate of Insurance (page 1 of 1) 01/29/2015 10:25:47 AM <br />CERTIFICATE OF LIABILITY INSURANCE <br />°"1/2912015 ' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />aHc°NN Ext :8O0-688-19.8_4_ qIC Nol: (877) 826-9067 <br />Insureon (BIN Insurance Holdings LLC.) <br />pooRI,SS: <br />3 insureon 1301 Central Expy. South, Suite 115 <br />Allen, TX 75013 <br />PRODUCER <br />CUSTOMER IDM <br />INSURER(S) AFFORDING COVERAGE <br />NAIC N <br />INSURED <br />INSURERA: Sentinel Insurance Company,, Llmlted <br />11000 <br />INSURER B: <br />AShrel Insurance <br />INSURER C: <br />1100 W Town & Country Road <br />INSURERD: <br />$ 1,000,000 <br />Orange, CA 92868 <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />AYTDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYV <br />POLICY EXP <br />MMIODM'YY <br />LIMITS <br />GENERALLIABILITY <br />EACH OCCURRENCE <br />S 1,000,000 <br />✓ COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTF� <br />PREMISES Ea occurmnce <br />$ 1,000,000 <br />CLAIMS -MADE 1Z OCCUR <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL&ADV INJURY <br />$ 1,000,000 <br />A <br />Yes <br />46SBAUL5327 <br />1213112014 <br />1213112015 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />$ <br />PRO ( LOC <br />✓ POLICY JECT <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per parson) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(Per accldenl) <br />$ <br />NON -OWNED AUTOS <br />$ <br />$ <br />UMBRELLA LIAR OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS ILIAD CLAIMS -MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />TWO STAT%- OTH- <br />Y LI ER <br />E.L, EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />—- <br />(MdndatorylnNHl <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />f yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />I E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) V <br />Certificate Holder is named as Additional Insured as their interests may appear in regards to general liability ly T1' <br />CERTIFICATE HOLDER CANCELLATION <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />Exhibit C <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />Exhibit C <br />