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A� ® CERTIFICATE OF LIABILITY INSURANCE DATE 0 /2015 7/30/2015 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 Insurance Solutions CONT NAMEA T Susan Dias PNONE (949)348 -7400 FAAXN (949)348 -2373 G'E ;SUSanD @ins- solutions.com License #0746539 INSURER(S) AFFORDING COVERAGE NAIC0 33302 Valle Rd, Suite 200 INSURERA:Sentinel Ina Co. LTD 11000 San Juan Capistrano CA 92675 INSURED INSURERS .Trumbull Ins Co 27120 INSURERCMOunt Vernon Fire Ins Company 26522 PELLETIER 6 ASSOCIATES INC INSURER D: PO BOX 388 NSURER E INSURER F: $ 1,000,000 LASE FOREST CA 92609 V VYCRXV CJ = T!F !CATE N_MB-R :15 -16 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 AO UBR POLICY NUMBER POLICY EFF iMMID1DNYyYI POLICY EXP flMIiUDDpnYYYI LIMITS R I COMMERCIAL GENERAL LIABILITY T Alessandra /PETERS EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE 2L, OCCUR DAMA ETO RENTED PREMI rt nce $ 1,000,000 MED EXP(My one person) $ 10,000 72SBAIT7595 8/1/2015 8/1/2016 PERSONAL S ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 A 2,0 00,000 R PRO - POLICY JECT 1:1 DOC $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident g 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED R AUTOS R NON -OWNED HIRED AUTOS AUTOS 72SBAIT7595 8/1/2015 8/1/2016 BODILY INJURY (Per accident) $ PerOPLHT.Y DAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIM CAMS -MADE DEO I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORrPARTNERIEXECUTIVE YIN y I STATUTE I EORH E.L. EACH ACCIDENT $ 1,000,000 B Mandatory In NH)EXCLUDED? ❑NIA 72NECLP3277 8/1/2015 8/1/2016 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 EL . DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DE SCRIPTION OF OPERATIONS below C Errors 6 Omissions SP200969OF 8/1/2015 8/1/2016 Limit:$ 2,01 Deductible: $ LOW DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remi SobeOUle, may be a ached if more III is required) City of Santa Ana, 20 Civic Center Plaza, California 92701; its officers, employees, gaKta, volunteers and representatives are named as additional insured per the Business Liability Coverage -From SS0008 attached to the policy. Coverage is Primary per attached endorsement. �'I4 r.7 i CSRTlnrerF HOLDER CANCFI r ATION BMorales5 @ santa- ana.org - - °- SHOULD ANY OF THE ABOVE DESCRIBED POLICIESaE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Risk Management, M28 ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 T Alessandra /PETERS ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD �/ INS02517maml 6