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CERTIFICATE OF LIABILITY INSURANCEDATE(MM1DDlYYYY) 07121/2017 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 endersoment(s). PRODUCER WBAInsurance 13304 Philadelphia Street Ste 200 Whittier CA 90601 CNAO . T Maria Fredendall PHONE 562 789-5704 FAX 562 789-5804 EMAIL License #OD79617 INSURERS AFF RDING COVERAGE NAIC # A; Philadelphia Indemnity Ins Company INSURED Kingdom Causes dba: City Net PO Box 90243 Long Beach CA 90809 -INSURER INSURER B: Hiscox Insurance Company Inc. INSURER C: INSURER D, INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NIIIVIBFR. 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. INSR TYPE OF INSURANCE ADDL MR 5UBR 11VIAn POLICY NUMBER POLDICDY EFF rCYYYI POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE 2,000,000 AX COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100 Q00 CLAIMS -MADE ?OCCUR Y PHPK1576201 01!11!2017 01111!2018 MED EXP (Any one arson $5,000 PERSONAL &AoV INJURY 2,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: _$4,000,000 PRODUCTS - COMPIOP AGG $4,000,000 X I POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ATOSCHEDULED AUTOS AUTOS Y PHPK1676201 01/11/2017 01/1112018 BCDILY INJURY (Per accident) $ PftOPERTYOAMAGE $ X HIRED AUTOS X NON -OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION TWO STATU- OTH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE� OFFICEWMEMBER EXCLUDED? J� N!A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Professional Liability Y PHPKIS76201 01!1112017 0911112018 $1Mil Each Incident $21VilAggre. 8 Privacy Liability Y MPL1841282.16 10119/2016 1011912017 $1,000,000 Limit DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 191, Additional Remarks Schedule, If more space is required) The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named additional insured with respects to the operations of the named insured per the attached CG20261185 endorsement. Such insurance is primary and non-contributory. CERTIFICATE HOLDER CANCFI.I.ATION City of Santa Ana 20 CIVIC Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE [9 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD .\,do