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,4co�z °® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlf3DIYYYY) 7/27/2016 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 CONTACT Robin Holloway NAME: PHONE N E (949) 348 -7400 I FAX Nn: (949)348-2373 Insurance Solutions pA °RrSS.PobinE[ains- solutions.com License #0746539 INSURE S AFFORDING COVERAGE NAIC # 33302 Valle Rd, Suite 200 INSURERA:Sentinel Ins CO. LTD 11000 San Juan Capistrano CA 92675 INSURED INSURER B:Eartford Property & Casualty 34690 INSURERCI+lount Vernon Fire Ins C2REapy 26522 Pelletier & Associates Inc INSURER D PO BOX 388 INSURER E 1 , 000 000 $ + INSURER F: $ 10,000 Lake Forest CA 92609 COVERAGES CERTIFICATE NUMBER:16 -17 All 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 LTR TYPE OF INSURANCE INSD UBR POLICY NUMBER MWDD EFF MhVDDY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR DAMAGE TO RE E PREMISES Ea occurrence 1 , 000 000 $ + MED EXP (Any one person) $ 10,000 72SBAIT7595 8/1/2016 8/1/2017 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 � POLICY F—] PRO JECT ❑ LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMff Ea accident $ 1 , 000 , 000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 72SBAST7595 8/1/2016 8/1/2017 BODILY INJURY (Per accident) $ % NON -OWNED HIRED AUTOS % AUTOS - PROPERTY AMAGE Peraccident D $ $ UMBRELLA LIAS HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIA13 DED I I RETENTION $ 8 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ CEFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA 7MCLP3277 8/1/2016 6/1/2017 X I PER OTF(- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.LDISEASE - EAEMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 C Errors and Omissions SP 20096906 8/1/2016 6/1/2017 Limit $2,1)0,001) Each claim&Agg Claims Matte Retro 6/25/06 DeductibW$1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 109, Additional Remarks Schedule, may be attached If more space is required) City of Santa Ana, 20 Civic Center Plaza, California 92702; its officers, employees, agents, volunteers and representatives are included as additional insured per the Business Liability Coverage From SS0008 attached to the policy. Coverage is Primary per attached endorsement. BMorales5@santa- ana.org City of Santa Ana Attn: Frisk Management, M28 20 Civic Center Plaza Santa Ana, CA 92702 1J0J_1 a Lei :q+1 ff_111 Lei 0 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 r Alessandra /PETERS"" ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 r2m4nn i�