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ACC> DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 10/22/2015 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 policy(iles) 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, Escobar CISR. ............. _._ _ James G Parker Insurance Associates PHONE (559)222-7722 FAX (559)222-1724 AIC. No :, License #0559959 EMAIL ADDRESS: sescobar@ 74P m arker,co P O Box 3947 INSURER(S) AFFORDING COVERAGE NAIL N ._._.... ............._`---'- Fresno CA 93650 INSURERA:Soottsdale Indemnity Comp amn r 15580 INSURED ......--_. ..._,-._._.._-._-._. ...._ .. INSURER B : Katie Kalivas dba Climb It INSURER C ; ......... ........... __-___._ 303 W Citracado Pkwy Unit 5 INSURER D: Escondido CA 92025 1 INSURERF: C0VFRA(-,FS rFRTIFIrATF NI IMRFP-l5-l6 GL/Partic Liab RFVIAIr)M III IMRFR^ 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, TERMOR 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 LTR TYPE OF I'.NSURANCE A1DDL R SUf1R POLICY NUMBER. POLICY SERF.. MMIDDIYYYY . Jlid—C I( EXP:. MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE. $ 1,000,000 X COMMERCIAL. GENERAL LIABILITY PREMIDAMAGE TO RENTED PREMISES Ea occurrence $100,000 A CLAIMS -MADE — OCCUR CPS2211564 7/13/2015 7/13/2016 MED EXP (Any one person) $ 5,000 PERSONAL &. ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER., PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED DULEO AUTOS ..,... AUTO NON -OWNED BODILY INJURY (Per accident) $ PROPERTY DAMAGE m_ ....-.-_.. $ --,. HIRED AUTOS ...... AUTOS - �+y y ac Per cident UMBRELLA LIAR OCCUR r� `6u EACH OCCURRENCE EXCESS LIAB ... ✓ C AGGREGATE _....,...- .-I $CLAIMS- BED $ WORKERS COMPENSATION AND EMPLOYERS" LIABILITY YIN y 4 `✓ WC STATU ....-TGF-Y-UI I ER E.L. EACH ACCIDENT ANY PROPR,IETOR�PARTNER✓EXECUTIVE 00 OFFECERfMEM BER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory In. NH) If yes describe under ..... ... DESCRIPTION OF OPERATIONS belaw E.L. DISEASE - POLICY LtlMIT A Participant Liability PS2211564 7/13/2015 7/13/2016 Percccurence __.. $25 000 Aggregate $ 5 0, 0 0 0 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Adddtlanal 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, CANCELLATION 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 AUTHORIZED REPRESENTATIVE. Attn: Purchasing Department 20 Civic Center Plaza Santa Ana, CA 92701 James Parker I,IIfSCG ,t✓„�.�' ACORD 25 (2010/05) @ 1988-2010 ACORD CORPORATION. All rights reserved. IN."25 ommnnr,) n5 Tha AI"`f1Rf"f nama a,nrl Innn srn rnni'elnrnrl m�eit= r f Af`1`10rl