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ACC)RO CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDD Y) <br />�� 01/08/2016 <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(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 CONTACT Erika Schmidt <br />NAME: <br />Tagrisk Insurance Services (AHONNa Exll: t714) 699 -9345 FAX Nol: (716)613 -0911 <br />7755 Center Avenue E-MAIL ADDRESS: eschmidt @tagrisk.com <br />Suite 605 <br />Huntington Beach CA 92647 <br />INSURERAAllied Insurance <br />_ <br />INSURED �. .. �, `�.„�'X rl <br />I - - - <br />NOT Inc. and Knowlwood Enterprises Inc. <br />DBA: Knowlwood <br />17564 Newhope Street Suite H <br />Fountain Valley CA 92708 <br />-- -- -- - <br />INSURERS_______ <br />C_:_ <br />_INSURER <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMSER:15 -16 GL - Fullerton REVISION NUMBER- <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 <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR 'AOOL. SIIBR. - - -- ',. POLICYEFF POLICY EXP <br />LTR TYPE OF INSURANCE POLICYNUMBER MMIDONYVY MWDOIYYYY <br />-- <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY'S <br />EACH OCCURRENCE $ <br />2,000,000 <br />A �' CLAIMS -MADE X ' OCCUR ''. <br />_. <br />DANA R�'FE TED <br />PREMISES Ea occurrence) I$ <br />300,000 <br />X MP BPF 7892162960 4/1/2015 4/1/2016 <br />MEO EXP(Anyone person)_ ;$ <br />- - 5,000 <br />'PERSONAL <br />&ADV INJURY $ <br />2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE S <br />4,000,000 <br />X POLICY PRO- <br />JECT LOG <br />PRODUCTS -COMPIOPAGG $ <br />4,000,000 <br />OTHER', <br />LIQUOR LIABILITY $ <br />2,000,000 <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(EaaccidenU $ <br />1,000,000 <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />A ALL UONMEO X SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY(Peraccibent'$ <br />) <br />.._.-.. _ <br />X X NON -OWNED X ACP BPF 7892162960 4/1/2015 4/1/201fi <br />PROPERTY DAMAGE $ <br />_ <br />HIRED AUTOS _ '. AUTOS <br />(Par accident) <br />$ <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE $ <br />J <br />EXCESS LIAB CLAIMS -MADE <br />GGREGATE $ <br />DED RETENTION $ <br />p�$ <br />WORKERS COMPENSATION V <br />�� <br />STATUTE OERH <br />YIN N e�\ <br />_ _ — <br />,/Y <br />ANY PROPR EEORIP RBINERIEXECUTIVE h q <br />OFFICER /MEMBER EXCLUDED? NIA \ <br />_E.L. EACH ACCIDENT $ <br />- <br />tl <br />(Mandatory in NH) - <br />E DISEASE EA EMPLOYEE$ <br />Vw� <br />f yes, describe under \�. <br />. <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT' $ <br />S��G� I <br />4 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Location: 1601 East Chestnut Avenue Santa Ana, CA 92701 <br />The Certificate Holder is included as Additional Insured. <br />The City of Santa Ana and Their Respective <br />Officers, Employees, Agents, Volunteers, <br />and Representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />AUTHORIZED REPRESENTATIVE It f I t/ <br />ika Schmidt /ERIKA <br />4 <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS025 (201401) <br />All rights reserved. <br />