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A-'ZOIto-173 A� o® CERTIFICATE OF LIABILITY INSURANCE DATE (61MDDYYYY) 05/22/2019 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(ies) must have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER CONTACT Teresa Shen NAME: Milestone Risk Management & Insurance Services PHC NNE.,(949) 852-0909 ac (949) 852-1131 N Ex : No): License No. OB72766 EMAIL tshen@milestonepromise.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N 8 Corporate Park, Suite 130 INSURERA: Travelers Casualty Insurance Company of America 019046 Irvine CA 92606 INSURED INSURER B : Oak River Insurance 34630 Reprographics Fax Group Inc., DBA: C3 Technology Services INSURER C : 1536 E. Warner Ave. INSURER D : NSURER E Santa Ana CA 92705 1INSURER F: COVERAGES CERTIFICATE NUMBER: 19/20 Master 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF SD WVO POLICYNUMBER POLICY EFF MMMD/YYYY POLICY EXP MMIDDr/YYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE OCCUR PREMISES EoN D Ea ccurrence $ 1,000.000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 2,000,000 A 680006N797658 05/23/2019 05/23/2020 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 4,000,000 X POLICY ECOT LOC PRODUCTS - COMP/OPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Par person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS BA006N798090 05/23/2019 06/23/2020 BODILY INJURY (Per accident) $ PROPERTVDAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY P $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUDVE OFFICEMMEMBER EXCLUDED? (Mandatary, In NH) NIA REWC915511 10/02/2018 10/02/2019 X STATUTE T117 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe allached if more space is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured with respects to GL per the attached endorsement. t 5btAL9 City of Santa Ana 20 Civic Center Plaza-20 (tp-273 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. AUTHORIZED REPRESENTATIVE All H.Infe rcenrv<H ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD