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A� Roie CERTIFICATE OF LIABILITY INSURANCE DATE 10/31/18 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 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 endorsemen4 s . PRODUCER PELLETT INSURANCE SERVICES INC 4355 San Benito Rd. CONTACT NAME: Karen Daniels PNC ash. ONE 805 227-6780 Fac Na: 805 460-7445 E-MAIL , karen ellettins.com INSURERIS) AFFORDING COVERAGE NAIL It Atascadero, CA 93422 INSURER A: Amco Insurance Company A+XV 002014 OH2721820 INSURED Data Ticket, Inc. INSURER B : INSURER C INSURER D: DBA: Revenue Experts NSURER i : 2603 Main Street, .cite. 300 INSURER F: Irvine CA 92614 COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE AODL SUBR POLICYNUMBER POLICY MMLOUY� LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000.00 CLAIMS -MADE 19 OCCUR PREMISES Eeoccunence $ 300000 MED EXP (Any oneperson) $ 6,000 PERSONAL & ADV INJURY $ Excluded A Y y ACPBP03037427618 11/1/2018 11/1/2019 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 RO- POLICY E PRO- LOG PRODUCTS - COMP/OPAGG $ 4000000 $ OTHER: AUTOMOBILE LIABILITY COMBINED MBI EDISINGLE LIMIT $ 1 OOO OOO BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS ACPBP03037427618 11/1/2018 19/1/20/18 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 2 00O 000 AGGREGATE $ 2.000.000 A EXCESS LIAO CLAIMS -MADE ACPBP0307427618 11/1/2018 11/1/2019 DED R TENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N/A PERTU E ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EM YEE $ _ (Mandatory in NH) If yes, describe under DESCR PTION Of OPERATIONS below E.L. DISEASE -PP 4 IT DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES(ACORD 101, Additional Remarks Schedule, maybe attached if more apace Is required) -y Z%D It is agreed that the Certificate Holder listed below is included as additional insured. Including Waiver of SLibr6g9tion. Non -Contributory Wording as required by written contract. ::.::� ;,;� ✓ ma's R'4 as CERTIFICATE HOLDER CANCELLATION City of Santa Ana, Its officers, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE employees, agents, volunteers, and THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN representatives, Police Department ACCORDANCE WITH THE POLICY PROVISIONS. 60 Civic Center Plaza AUTHORIZED REPRESENTATIVE P.O. Box 1981 Santa Ana, CA 92702 Kpup, j,/ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD