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A& & CERTIFICATE OF LIABILITY INSURANCE Ds/iz/DD 6» 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the polloy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In 11ou of such endoreemont s . PRODUCER All -Cal Insurance Agency 505 Vernon Street Roseville CA 95578 a2NTA Y DiAnna Martin PHONE EI (916)784-9078 PAX Nr:(916)784-0196 ADDRESS' dianna@aIll-calinsurance, Can _ SURER Q A F ROIN COVC,RAOR 4 INSUIIERA99PRPofitS' Insurance Alliance of 1AC INSURED The Loa Angeles Dream Shapers P.O. Box 3831 Orange CA 92665 1 INSURERBIState Compensation Insurance Fund 35076 INSURER C: INSURER O: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:CL1651205392 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE ADCLSUBR Nsn mni POLICY NE PYLIC EPP DMYYr PLC E%P IM LIMITS A$ X COMMERCIAL GENERAL LIABILITY -MADE 51000UR LX LIQUOR LIABILITY X 2016-09609Np0 6/13/2016 6/13/2017 EACH OCCURRENCE $ 1,000,000 p $ 500,000 MED EXP one $ 20,000 $1,000,000/ 1 000, 000„_,.,, PERSONAL&ADV INJURY $,_3.000,000 GENT AGGREGATE LIMIT APPLIES PER' X POLICY ❑ JECT [:] LOC C GENERAL AGGREGATE ; 2,000,000 PRODUCTS• COMPNPAGG S 2,000,000 Lauer I.MilBg S 1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTAUTOS HREDAUTOS X AUTOSINNED 2016-00609NP0 6/13/2016 6/13/2017 S 1,000,000 BODILY INJURYfRupaeon) S BODILY INJURY(Poraoddent) S PP1011R nU $ $ uMBReLLALIAB EXCESS LIAS OCCUR CLAW -MADE EACH OCCURRENCE $ AGGREGATE D90 I I RETE ON $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOEUPARTNEMEXECUnVE OFFICEMMEM06R EXCLUDED? (Mandatary In NEO 0RIPTI N OMOrPE TIONS Eelmi N/A 9015327-16 6/6/2016 6/6/2017 T E ER E.L. EACH ACCIDENT $ 1.000,000 E.L. DISEASE. EA EMPLOYEE $ 1,000,000 E.L. DISEASE • POLICY LWET S 1.000 ADD DESCRIPTION OFOPERAnONSI LOCATfONSIVEHICLES (ACORO 101. Addleleaal Smuts Schedule,meg ea attaahad Oman apaeo is requlnd) THE CITY OF SANTA ANA, ITS OFFICER$, AGENTS, EMPLOYERS AND VOLUNTEERS ARE MANED NAR 'INSURED UNDER THE TERMS OF THEIR CONTRACT. INSURANCE IS PRIMARTY AND NONCONTRIBUTRY,10 ARPLIES CITY OF SANTA ANA ATTN: PURCHASING DEPARTMENT 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988-2014 ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD INS026 (tot 401)