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<br />CERTIFICATE OF LIABILITY' INSURANCE, r_� 7 12/16
<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 IN'SURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED', the pollcy(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 STEVE SCHNEIDER
<br />NAME.
<br />SILVER CREEK, INSURANCE AGENCY PHONE 714-838-0693 rlrX 714-838-9438
<br />IMC, Ne, Ext): (AIC, No)} _
<br />17742 IRVINE BLVD SUITE 203 ADDRIESS' STEV @1SILVERCR EKAGENCY.COM
<br />-_.. INSURERISI AFFORDING COVERAGE_ NAIL #Y....
<br />TUSTIN CA 42780 INSURERA: SENTINEL INSURANCE CO. .
<br />INSURED INSU'RE-:R8, SENT INE L INSURANCE CO
<br />WHITE NELSON DIEHL E'aVA.NS LLP INSURER C:
<br />2875 MICHELLE, SUITE 300 -INSURER D
<br />IRVINE, CA. 9,2606 IN>•IIRERE ....... ........ ......... ....... ........ __. ...._.
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTTFY TIIA'I° THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INMCATED, 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 />INS R ........ ._... . S ._.,.. �.. ADDL(841WVCi�r-..___........... � I'a0I_I(.Y YY 14'MiD Y EXE".S ..__ .....
<br />LTIi _�. ...TYPE CJE INSURANCE � POLI("''Y NIIMeErt-(tt4IdIDDIYYYYI MM1DOlYYYY1 LIMIT
<br />GEGENERAL ErABII.ITY J EACH OCCURRENCE =5 1000000:
<br />57SBA,BH5586 6/1/16 6/1/x1,7 DAMAGE IGRI NI[EIJ
<br />CO s 300000
<br />CLAIMS MADE +� OCCUR i PREMISES ILa ncu.urr�nrrsp
<br />�;ISI >e r�ir SAY o iA a .I MED EXII (Any ore person) �� 10000
<br />I -
<br />A X PERSCNAI AADV INJURY s 1000000
<br />GENERAL AGGREGATE .i..S .:2000000
<br />,EhPLA c,REI;ATr:aRmIITALrEIRLaI=eER PRCIDUCI'S -GC.)MIP10PA7�rI I5 2000000
<br />PI ILIGY
<br />._ .....___..L ............._,. 1C7C.._._..........m._..,..._.......r--...m...°._i...,. ..,..,...,.._....,,� ....._ ...,,.,.....,..w,_.............,._ � ,....__------. � ._.____
<br />AU'romOBILE LIABILITY 'jCC3Mt34NEl'.) SINGLE 1 RNm1a7
<br />�
<br />57SBABH5586 6/1,/'16 6/1/17 I (Ea accident) 10000.00_
<br />ANY A07 I I EIOMI Y INA IRY ff'ier person ` $
<br />A ALLOWNED EI I RE DULI-D X RtaDiL Y INJURY pP'etr na odenll ; S
<br />NON-d,T+NPdf=D PROPERTY DAMAGE ..�
<br />H RED AUTOS � � ALHOS
<br />UMBRELLA LAB ����p �� 157SB,A,BH5586 6/7./16 6/1/17 r ACH OCCURRENCE S 4000000
<br />A EXCESSLIAD CIS ms -MAIZE, X AGGREGAIF „5 4000000
<br />i DED _ HE"u NT'ION5
<br />WORKERS COMPENSATIONWf"�tp fIl@-
<br />I-
<br />ANDIMPIOYERSLIABILITY 57WEC'DX4233 6/1/16 G/1,/17 reIF2Y LIhIIT;a ER
<br />AN`dI IIVE EL EACH ACCOEN II ° S 1000000
<br />B FFILE R/ IENIBE R EXCLUDED,, ,NIA _
<br />I
<br />JIVIandatory InNR -._ EI UtSFASE EAEMPLOYEri_ 1000000_
<br />I e des,nbe: under - -
<br />ury c;prlPrR(7hla;1 LE'E.Ia,�7luNtaEtelow EE. DISEASE °POUCYLIMIT E' l0 —00-9-
<br />A
<br />0A BUSINESS INTERRUPTION 57SBABH5586 6/1/16 1 6/1./17 ACTUAL LOSS SUSTA NETD
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schodute,,. it mores pace ins required
<br />RE
<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 SS000080405
<br />attached to this policy. Business liability wavier of subrogation applies to the certificate holder
<br />per form SS"000080405. Coverage is primary and non-contributory per the business liability coverage
<br />form SS00080405. 30 day advanced notice of cancellation, 10 day notice for non-payment cancellation.
<br />CERTIFICATE HOLDER . .CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE VI,IITH THE POLICY PROVISIONS,.
<br />City of Santa Ana
<br />20 Civic Center Plaza AUTHORIZE EIREPRFr ATIVF
<br />Santa Ana CA 42701 f
<br />1988-20'10 ACORD CORPORATION. All rights reserved
<br />AC CORD 251201101051 The ACORD' nanne and logo are registers marks of ACORD
<br />
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