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CERTIFICATE OF LIABILITY INSURANCE 11. /2015) 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 poiloy(ies) must Be endorsed, if SUBROGATION IS WAIVED, subject to the term$ and Conditions OP the policy, certain policies may require an endorsement, A statement onthis cartificate does not confer rights to the certificate holder In lieu of such andersemanda). PRODUCER PRIME INSURANCE SERVICES, INC. 9891 IRVINE CENTER DRIVE #160 IRVINE, CA 92618-4319 LIC #0049024 UUNIACI NAME: TARA PHCNE 949-450-'2310NGt949-450-2311 tioDREssTARA@PRIMEPOLICY.COM ------ __ tN811RER181 AFFORDING COVERAGE rygiGp ___ __ INSURER A, SENTINEL INSUfOANCE COMPANY 1.1000 INSURED ENGINEERING SOLUTIONS ERV—ICES 2182 Dupont Drive suite 201 IRVINE,, CA 92612 (949)637-1405 (949)637-1405 INSURER S,.RARTEORD Nou"New""Tra INSURANCE COMPANY 24046 INSURERC RLI INSURANCE COMPANY 28860 Pull - —. INSURER E: 1 INSURER F _ 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IIR.TR TYPE OF INSURANCE DPL a POLICY NUMBERM L E Y MMI DIY W' LIMITS X COMINCRC1AL GENERAL EACH OCCURRENCE $ 2 OOO 000 I r �LI�ABjILITY CLAIMOCCUR S -MADE L" -DXMAOT-."f0'RERTED— PRE 1 5 tEa ocraerar_ vry $ 1, 000 000 MED EXP (ARy oho paraGrtl 8 10 000 PERSONAL &ADV INJURY $ 2,000,000 A Y 72SBAIT9447 tle/19{Z416 48/19/2016 AGGREGATE LIMIT APPLIES PER GENERAL. AGGREGATE $ 4 , 000 , 000 BERL X POLICY ECET LOC PRODUCTS • COMP@P AGG It 4,000,000 $ OTHER AUTOMOBILE LIABILITYEa BINE $ M1E BODILY INJURY (Per person) $ ANYAUTO ^' ALL OWNED SCHEDULED BODILY INJURY Por accident) 1 ) $ AUTO$ AUTOS HIRED AUTOS N01HOWNED AUTOS RbREAT4�0AF.TAG1:""- Per accident $ UMSREL,A LIAR OCCUREACH OCCURRENCE $ EXCESS LAD CLAIMS-MAOE AGGREGATE it DED RETENTIONS $ WORKERS COMPENSATION ]C STATUTE ER AND EMPLOYERS' LIABILITY yIN EL, EACH ACCIDENT Vi } ^/�/'y. $ 1 L()(J V V V LO- ._/ B ANY PROPRlEn]WPARTNF_I21E.fEClllelE �v NIA HAGophWREMEER EXCLUDED? L`..`__� IM11yymMetpN In NM 72WECGG6484 8/20/2015 0/20/2016---LO— E.C. DISEASE - EA EMPLOYE i-1-1 000_000 it E.I. DISEASE POLICY LIMIT S 1 000 000 DESGRIP7ON OFOPERATIONSbalm A BUSINESS PERSONAL PROPERTY 72SBAIT9447 08/19/2015 p8/19/2016 R. P.P $11,000 1 AGGREGATE $2,000,000 C PROFESSIONAL LIABILITY RTP0006252 tl0f?9/2016 pa/29/2Q16 EACH ERR ACT 1 000 OOO DESCRIPTION OP OPERATIONS I LOCATIONS f VEHICLES (ACORU 101, Add conal Remarks Schedule, may be adoohed it mare space Is required) THOSE USUAL TO TME INSURED'S OPERATION. THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED WITH LIABILITY LIMITED TO CLAIMS ARISING OUT OF TWSURED-S OPERATION ONLY.THE INSURANCE COVERAGE PROVIDED BY THE INSUASIC IS PRIMARY AND NON-COPINTRUTORY WITH ANY INSURANCP, OR SELF INSURANCE CARRIED BY AN ADDITIONAL INSURED. THERE WILL BE A 30 DAYS CANCELLATION NOTICE PROVIDED. REVIEWED 8Y: , EUNICE HEREMA (PG / OF ADDITIONAL INSURED: CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRFSBNTATIVE i ©1988-2014 ACORD CORPORATION. All rights Ceserved. ACORD25(2014101) 'rhe ACORD name and logo aro registered marks of ACORD