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/'1YAC Ra CERTIFICATE OF LIABILITY INSURANCE 027/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO FLIGHTS 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 BETWEENTHE 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 NAME: AP INTEGO INSURANCE GROUP LLC PMONE., Ext); ese aer-ears FAAX. No): (888 1733-5112 333 W COMMERCIAL ST STE 250 E-MAIL EAST ROCHESTER, NY 14445_ADDRESS: kravelsrsssiect a rplls2rviCss aavelers.Cam (866) 890-9965 INSURER(S) AFFORDING COVERAGE NAIL # THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE; TERMS, INSURED INSURER B: IWATER, INC.-------- -- INSURER C 12 GOODYEAR INSURER D: SUITE 130 IRVINE„ CA 92618 INSURER E: VvNG7 POLICY NUMBER INSURER F :. MMIDO COVERAGES rFPTIFIf-ATF NIIIMRFP. ngRg1?4ni471R4n _ 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 ADDL SUBR POLICY EFF POLICY EXP LTR. TYPE OF INSURANCE INSD VvNG7 POLICY NUMBER MMIDO LIMITS 17,MERCIAL GENERAL LIABILITY LAIMS-MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea accurrance $ MED EXP (Any oneperson) $ PERSONAL R ADV INJURY $ GEN'L. AGGREGATE LIMIT APPLIES PER: POLICY OPRO JECT LOC GENERAL AGGREGATE $ PRODUCTS -COMPIOPAGG $ OTHER: AUTOMOBILE (LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION $.. WORKERSCOMPENSAT'ION AND EMPLOYERS” LIABIlLITY YIN NIA UB -1E524932-16 02/15/2016 02/15/2017 K STATUTE oRH ANY PROPRIETOWPARTNERIEXECUTIVE F---]E,.L. EACH ACCIDENT $1,000,000 OFFICERJMFMBFR EXCLUDED? (Mandatory in NH) E. L. DISEASE. - EA EMPLOYEE $ 1,000,00:0 If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 'l. cm I II-I%,m I G nUL UGI[ UANUC,LLH I IUN CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 CIVIC CENTER PLAZA THE, EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ROSS ANNEX (M) ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE (,�� Gr 19188-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are (registered marks of ACORD P61 ', i z i J