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4.O CERTIFICATE OF LIABILITY INSURANCE '' �--�' 0/2 IDD015 10/22 J2015 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 POLIS CIE 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 Ileu of such endorsement(s). PRODUCER NANTACT Shelley Escobar CISR James G Parker Insurance Associates PHONE (559)222-7722 FAX (559)222-1726 AIC%' o: License #0554959 pOORISS, saacobar@jgparker. tom P O Box 3947 INSURERS AFFORDING COVERAGE --•W� -NAICN INSURER A:Sootts dale Indemnity Company 15580 Fresno CA 93650 INSURED INSURER 8 : INSURER C: Katie Kalivas dba Climb It INSURER 303 W Citracado Pkwy Unit 5 _ INSURER E ' INSURER F: Escondido CA 92025 COVERAGES CERTIFICATE NUMBER:15-16 GL/Partic Liab 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. INSRfl TYPE OF INSURANCE AODLSUSA altia POLICY NUMBER POLICY EFP MMIDD YYY) POLICY EXP (MMIDDNYYYI W LIMITS GENERAL LIABILITY EACH OCCURRENCE $ Ai{ MERGAL GENERAL LIABILITY CLAIMS -MADE lil OCCUR CPS2211564 7/13/2015 7/13/2016 _1,000,000 DAMAGEE R N 're$ PREMISES occn MED EXP (Any one person) 3 5,000 PERSONAL &ACV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ 2,000,000 RO. X POLICY PFOT LOC' $ OMOBILE LIABILITY ANY AUTO y� �n c\ $,f COMBINED SINGLE LIMIT Ea ac Iden ,- BODILY INJURY (Per person) $ q ALL AUTOS NEO SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS V ��aa`'�p� �yV BODILY INJURY(Peracddenl) $ PROPERTY DAMAGE $ (Pers iden $ , UMBRELLA LIAR OCCUR �{ 1j EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE If✓ ." }} S`' DED I I RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROFRIETORIEXCLUD(UEXECUTIVE FIOERIMEMBER EXCLUDED? ❑ NIA V v n WC 3TATU OTH- E.L. EACH ACCIDEM S E.L. DISEASE EA EMPLOYE $ (Mandatory in NH) M If yes, describe under E.L. DISEASE -POLICY LIMIT $ On RIPTION OF OPERATIONS below A Participant Liability ,PS2211564 7/13/2015 7/13/2016 Per Occurance $25,000 Aggregate $50,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ANach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Santa Ana, Its Officers, Agents, and Employees are named as additional insured as respects general liability and per form CG2026 attached. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Its Officers, Agents and Employees Attn: Purchasing Department AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CA 92701 James Parker III/SCG ACORD 25 (2010/05) INS025r,mnns+m Th. Aman n ..nH Innn oro r.Ncmmd markt of Arri riahts reserved 2