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Ac"R DI' CERTIFICATE OF LIABILITY INSURANCE 4/30/2018 <br />4/25/OA4/25/DD/YVYY) <br />2017 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER Locklon Insurance Brokers, LLC <br />725 S. Figueroa Street, 35th FI. <br />CA License #OF15767 <br />Los Armies CA 90017 <br />N CONTACT <br />aDN o Ext: FAX Na <br />E-MAIL <br />ADDRESS, <br />3$8942$2 <br />(213) 689-0065 <br />INSURER(S) AFFORDING COVERAGE <br />EACH OCCURRENCE S 1,000,000 <br />INSURER A: Vigilant Insurance Company 20397 <br />INSURED Best Best & Krieger LLP <br />INSURER B: Federal Insurance Com an 20281 <br />INSURER C: <br />1312669 3390 University Ave, 5th Floor <br />Riverside CA 92501 <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OP AGO s I11Cluded. <br />INSURER D <br />INSURE <br />AUTOMOBILE LIABILITY <br />ANVAUTO <br />AAIUTOS ONLY AIUITOSULED <br />AUTOS <br />X AUT OS ONLY X NON -OWNED <br />1Q <br />N <br />rMenee BESE 01 CERTIFICATE MILIk • 117(.7171 REVISION NUMBER: XXXXXXX <br />vTHIS 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 />IN1.SR <br />TYPE OF INSURANCE <br />IN80 <br />SUER <br />POLICY NUMBER <br />MMIDDY EFF <br />PM ODY EXP <br />LIMITS <br />A <br />X COMMERCIALGENERAL LIABILITY <br />CLAIMS-MADE-1OCCUR <br />X Deductible$0 <br />Y <br />N <br />3$8942$2 <br />4/30/2017 <br />4/30/2018 <br />EACH OCCURRENCE S 1,000,000 <br />DAMAGET RENTED 1000000 <br />PREMISE Ea occutimes <br />MED EXP (Anv one erson 10,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY❑ PRO- ❑LOG <br />JECT <br />OTHER: <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OP AGO s I11Cluded. <br />$ <br />B <br />AUTOMOBILE LIABILITY <br />ANVAUTO <br />AAIUTOS ONLY AIUITOSULED <br />AUTOS <br />X AUT OS ONLY X NON -OWNED <br />1Q <br />N <br />73$55244 <br />4/30/2017 <br />4/30/2018E� <br />eocltlenDtSINGLE LIMIT $ 1,00-0, 000 <br />BODILY INJURY (Per person) $ XXXXXXX <br />BODILY INJU RY (Peracodent $ XXXXXXX <br />PROPERTY DAMAGE $ X r XX. <br />Per accident <br />$XXXXXXX <br />UMBRELLALIAB <br />EXCESS LIAR <br />I <br />OCCUR <br />CLAIMS -MADE <br />1 <br />NOTAPPLICABLE <br />EACH OCCURRENCE $ XXXXXXX <br />AGGREGATE $ XXXXXXX <br />DEO I I RETENTION IS <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICER/MEMBER EXGLUOED9 Y <br />handst., In NH) <br />DESEPIPE ION OF OPERATIONS below <br />NIA <br />N <br />7]750505 <br />4/30/2017 <br />4/30/2018 <br />X STATUTE OER <br />EL. EACH ACCIDENT $ 1,000,000 <br />/� <br />EL DISEASE -EA EMPLOYEE 1000000 <br />OOO OOO <br />EL DISEABE-POLICYLIMIT 106 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Santa Ana, its officers, employees and agents are Additional Insured to the extent provided by the policy language or endorsoment issued or ^ <br />approved by the insurance carrier, Coverage provided is primary and non-contributory. Waiver of Subrogation applies per attached endorsement(s). ,r <br />• dry (9 _ � ��y� Y <br />CERTIFICATE HULUtH r Al l .IZIL -nl Ivry C.luacmucnm <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />11767171 AUTHORIZED REPRESENTATIVE <br />City of Santa Ana <br />Attention: City Manager <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />ACORD 25 (2016103) @19188-20119-AC9RD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />?'Ao <br />