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AcCORveCERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMpO <br />�""" <br />7/22!201616 <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 polioy(tes) must be endorsed. If SUBROGATION IS WANED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certlBcate does not confer rights to the <br />certificate holder in lieu of such andomement(s). <br />vRoeuoea <br />NA"E Shelley Escobar CISR <br />James G Parker Insurance Associates <br />HOME (559)222-7722 FAX Isssfzz2•v2� <br />t. we Nm� <br />L <br />A .sescobar@jgparker.com <br />License #0554959 <br />P 0 Hc% 3947 <br />INSURERIS) AFFORDING COVERAGE NAICA <br />Fresno CA 93650 <br />ISURHRA:Scottsdale Insurance Company 41297 <br />INSURED <br />INSURER 6: <br />Katie Ralivas dba Climb It <br />tNEURERC; <br />2565 Royal Crest Drive <br />INSURER G: <br />INSURERS: <br />7/13/2017 <br />Escondido CA 92025 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:15-17 GL/Partic Liab REUISIrIM NIIMRFR• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 />INSRaudp <br />.LM <br />TYPEOPINSURANCEAoul <br />POLICY N <br />GUC PP <br />@Xp <br />OrTYYY <br />UNITS <br />A <br />X <br />COMMERCIALGENERALLIABILITY <br />CLAIMSSNDE 7--1OCCUR <br />EACH OCCURRENCE 3 1,000,000 <br />P MI E era $_ 100,000 <br />MEDEX+ An am man S s^ 5,000 <br />CPS2511143 <br />7/13/2016 <br />7/13/2017 <br />PERSONAL 3 ADV INJURY S 1,000,000 <br />.v._._.�....___...,... <br />GENERAL AGGREGATE $ 2,000,000 <br />GENL <br />X <br />AGGREGATE LIMIT <br />LIMIITAPPLIES PER; <br />POLICY Eoc�ICT — <br />PRODUCTS •COMP70P AGO S 2,000,000 <br />$ <br />OTHER. <br />AUTOMOBILE <br />LIABILITY <br />IN.1EIIN4 IN LE LIMIT S <br />ANY AUTO <br />BODILY INJURY (Pot Fm» S <br />AULEDLL <br />NEG SCHAUTOS D <br />HIREDALfr05 AUT 5� <br />b\I <br />BODILY INJURY (Par PWkmQ S ^1T <br />PROPHRTYQ E S <br />—FTJ <br />tier N <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LMB <br />CLAIMS -MADE <br />I <br />( <br />AGGREGATE $ <br />ICED <br />I I Aterami-ONs3 <br />WORRERSCOMPSNSATIOM <br />V <br />PER <br />AND EMPLOVERI'UABILRY YIN <br />ANY PROPRIETO"ARTNIUMECUTIVE —'� <br />OFFICEtary In ER H)EXCLUOED7 LyN/A <br />(Myyi9AnggdAtAN In MO <br />OF OPERATIC Eebw <br />1DP,rMe <br />y <br />CQ 51 <br />/'�DESCRIPTTIIONN <br />eelII0� <br />STATUTE <br />EL.EACH ACCIDENT 6 <br />H.LOISEASE,EA EMPLOYE £ <br />G.L. DISEASE. POLICY LIMIT S <br />A <br />Participant Liability I <br />CPS2511143 Ip <br />7/13/2016 <br />7/13/2011 <br />Pe, O=mrt $25,000 <br />AN"te $50, 000 <br />DESCRIPTION OF OPeRATIONS I LOCATIONS I VEHICLES (ACORD IN, AOM100061 R®marFt 3004111.. may bs taathed 11 men space 1. mgalmd) <br />City of Santa Ana, Its Officers, Agents, and Employees are named as additional insured as respects <br />general liability and per form CC2026 attached. <br />City of Santa Ana <br />Its Officers, Agents and Employees <br />Attn: Purchasing Department <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 />Parker III/SCG �_..t'�e+�� aL� D'�'•%r+f'^s <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 19n 1 AIN I <br />