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ACOR®r CERTIFICATE OF LIABILITY INSURANCE 11. " DATE(MMIDD"W) 5/17/2016 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(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 lieu of such endorsemen s . PRODUCER CONTACT Patricia Buchanan Kinter—Buchanan Insurance Agency License Number: OE40872 pNHqMF VygNNo sap, (310)798-6100 FAX NO), 1310)798-6151 EMAIL u AD RE .Corts@r,Binsurance.com . 111 Pier AVG., Suite 100 INSURERS AFFORDING COVERAGE NAIC4 INSURER A;Technolocfv Insurance Company 39071 Hermosa Beach CA 90254 INSURED INSURERS: Kingdom Causes, DBA: City Not INSURER C: P.O. Box 90243 INSURER D: INSURER E: Long Beach CA 90809 INSURER F: CUVtRAUtS CERTIFICATE NUMBER:CL1422108681 REVISIONNIIMRER- 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSRR TYPE OF INSURANCE ADDL SUBR POLICY N ft POLICV EFF POLICY EXP DOP,YYY --' LIMITS Patricia Buchanan/KBI COM MERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR EACH OCCURRENCE $ DAMAGE ' P a o urr c $ MED EXP(Any one person) $ _ PERSONAL&ADV INJURY $ AGGREGATE LIMIT APrPL�IES PER. T LOC POLICY[:] jEGa GENE HAL AGGREGATE $ GEN'L PRODUCTS - COMP/OP A13G $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acci "a - BODILY INJURY (Par person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Peraccul $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ er ecGtlent $ UMBRELLA LIAe OCCUREACH OCCURRENCE $ AGGREGATE $_ EXCESS LIAR CLAIMS MADE DEO I I RETENTION $ A WORKERS COMPENSATIONPE AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWENECUTIVE OFFICERIMEMBER EXCLUDED? FYI (Mandatory In NH) If yac, describa under DESCRIPTION OF OPERATIONS below NIA WC3535817 3/1/2016 3/1/2017 DTH. R STATUTE ER E.L. EACH ACCIDENT $ 1000,000 E.L. DISEASE - EA EMPLOYE $ 1 000 000 E.L. DISEASE. POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddR onal Remarks Schedule, may be attached if more space Is required) The City of Santa Ana, Its officers, employees, agents, volunteers and representatives are named as additional insured with respect to the Operations of the insured, Coverage is primary and non-contributory \7" CERTIFICATE HOLDER CANCELLATION ©1988,2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025121`14011 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE Patricia Buchanan/KBI ©1988,2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025121`14011