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ACC7►RLDr CERTIFICATE IFICATE OF LIABILITY Y INSU \ANCE <br />�...--'S\ <br />ATE <br />D IDD/Y <br />6/28/2016 <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($), 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 />Leavitt Southern California Insurance Services <br />#OF13098 <br />1820 E. First Street, Ste 500 <br />Santa Ana CA 92705 <br />CONTACT Mar Turner <br />NAME: Y <br />PHONE (714) 569-2700 FAC No: (714)569-3099 <br />ADDRESS: Juliana-bae@leavitt. com <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURERA:Sentinel Ins Co. Ltd 11000 <br />INSURED <br />Desmond, Marcello & Amster, LLC <br />6060 Center Drive, Suite #825 <br />Los Angeles CA 90045 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMRFR2016 GL-Auto-Umb RFVISInrJ NI IMRPR- <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 />I TYPE OF INSURANCE <br />ADDL <br />INSR <br />5 BR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE U OCCUR <br />N21 <br />X <br />2SBANM9496SC <br />8/15/2016 <br />8/15/2017 <br />DAMAGE <br />PREMISES (Es occurrence} $ 1,000,000 <br />MEDEXP(Anyoneperson) $ 10,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG $ 2,000,000 <br />RO LOC <br />X POLICY PIFC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />E COMBINEDI SINGLE LIMIT 1,000,000 <br />BODILY INJURY (Per person) $ <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />72SRANM9496SC <br />8/15/2016 <br />8/15/2017 <br />BODILY INJURY (Per accident) $ <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE $ 1,000,000 <br />AGGREGATE $ 1,000,000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I RETENTIONS 10,00C <br />$ u <br />I <br />172SBANM9496SC <br />8/15/2016 <br />8/15/2017 <br />WORKERS COMPENSATION <br />WC STAT U- OTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑N <br />OFFICER/MEMBER EXCLUDED?- <br />/ A <br />E.L. EACH ACCIDENT <br />_$ ----- <br />E.L. DISEASE - EA EMPLOYE $ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space 1s required) <br />RE: Contract # A-2011-069, A-2015-157 and A-2015-160. City of Santa Ana, its officers, employees, agents, <br />volunteers & representatives are additional insured and primary & non-contributory as respects general <br />liability per the city's form attached. <br />/ <br />_ _ __.._ _.___._.. <br />REV E'bVEU BY.' <br />Lir E,tftCE 6 ERE D. A (P( /OF'41 <br />— ___e <br />CERTIFICATE HOLDER CANCFI_LATION <br />ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br />INS095 r,)ninnsl ni Th. ACf111711 name -1 11— am —i.4—A —1— rrf Arripn <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Aria <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />M-36 <br />Santa Ana, CA 92701 <br />Gary Wells/JUiBAErr'� <br />ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br />INS095 r,)ninnsl ni Th. ACf111711 name -1 11— am —i.4—A —1— rrf Arripn <br />