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ACC>Rff CERTIFICATE OF LIABILITY INSURANCE DATE 5'i4i16 ' <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 pollcy(les) must be endoXsed. 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 />SILVER CREEK INSURANCE AGENCY <br />17742 IRVINE BLVD SUITE 203 <br />TUSTIN CA 92780 <br />INSURED <br />WHITE NELSON DIEHL EVANS LLP <br />2875 MICHELLE, SUITE 300 <br />IRVINE, CA. 92606 <br />-838- <br />SENTINEL INS. CO. LTD <br />COVERAGES CERTIFICATE NUMBER' REVISION NLIMRFR- <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 />.,._.--..�....____._,._,.v.__-___�.__ _ <br />NSR ADA4 SUER -------------'-__,._'..-'_,._'--,-POLICY EFF- POLICY EXP <br />LTRttpE OF INSURANCE POLICY NUMaE0. I LIMITS <br />GENERAL LIABILITY <br />COMMERCIALGENERALLIABILI7Y <br />N DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />57SBABH5586 <br />�pl�y_Yy <br />6/1/15 6/Z/16 <br />EACHOCCURRENCE <br />-gAfxAJSe5dRacecurnmo-- <br />V4 <br />$ 1000000 <br />800000 <br />J�/ <br />CLAIMS -MADE OCCUR <br />20 Civic Center Plaza <br />AUTL100. <br />MLSE_„�S.f€,Aoccurrance _ <br />M EX_L AFee an) <br />$ <br />_,_.�.,-_____�_ <br />$ 10000 <br />A <br />X <br />PERSONAL &ADV INJURY <br />S _ 1000000 <br />GENERAL AGGREGATE <br />$ 2000000 <br />GEN'LAGGREGATE LIMIT APPLIESPER <br />PRODUCTS - COMP/OP AGO <br />$ 2000000 <br />POLICY PRO - 71 LDO <br />JECT <br />6 <br />AUTOMOBILE <br />�._. <br />LIABILITY <br />57SBABH5586 <br />! <br />X6/1/15 6/1/16 <br />lEe aecidentL_,� <br />1000�.,Q0, <br />i <br />ANV AUTO <br />� ! <br />BODILY INJURY (Per person) <br />S <br />A <br />�._. <br />ALLOWNED SCHEDULED <br />AUTOS iw_ AUTOS <br />X <br />BODILY INJURY (Per adoiI <br />$ <br />HIRED AUTOS AUTOS ED <br />-CPsra cl DAMAGE— <br />$ <br />umeaaLU LIAR OCCUR <br />1578BABH5586 <br />6/1/15 6/1/16 <br />EACH OCCURRENCE <br />$ 4000000 <br />A <br />�y <br />It/ <br />CXCESS UAB CLAIMS -MAGE <br />X <br />AGGREGATE <br />$ 4000000 <br />C <br />DEp T RETENTION 10 000 <br />$ <br />WORKERS COMPENSATION <br />�ANOEMPLOYERVLIABILITY <br />57WECDX4283 <br />6/1/15 6/1/i6 <br />WC STATU- OTH- <br />4RV LIMIT <br />YIN <br />I <br />B <br />ANY PROPRIETORIPARTNERIEXECUTIVE [:]N/A <br />E.L. EACH ACCIDENT <br />$ -T _3.000000 <br />- <br />OFFICFRIMEMBER EXCLUDED? <br />(MandatoryinNH) <br />EL, DISEASE - EA EMPLOYE <br />$ 1000000 <br />Ryes, dae0dbn under <br />DESCRIPTION OF OPERATIONS below <br />� <br />!j' <br />E.L. DIS[ASE- PgLICY LIMIT <br />$ <br />-_10,0 <br />A <br />(Business Interruption <br />I <br />57SBABH5586 <br />6/1/15 6/1/16 <br />==^^^r^• ^_••^_ _�^• ^^•r•=^•< <br />OFSCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Rams s $chedule, II mom space le regvlred) <br />Those usual to the insured -s operations. The City of Santa Ana, its officers, employees, agents, <br />volunteers and representatives are named as additional insured per additional insured form SS0008 <br />attached to this policy. Business liability wavier of subrogation applies to the certificate holder <br />per form SS0008, Coverage is primary and non-contributory per the business liability coverage form <br />550008. 30 day advanced notice of cancellation, 10 day notice for non-payment cancellation. , <br />CERTIFICATE HOLDER CANCEL I. ATION <br />Cs71988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are r istered marks of ACORD <br />SHOULD ANY <br />F THE ABOVE DESCRIBED POLICIES BE CANCELLED SEPORE <br />THE EXPI <br />N DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORD C <br />WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />20 Civic Center Plaza <br />AUTL100. <br />ESENTATIVE <br />Santa Ana <br />CA 92701 --- <br />Cs71988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are r istered marks of ACORD <br />