KELLY ASSOCIATES MANAGEMENT GROUP LLC (KAMG) - 2017

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A� ®® CERTIFICATE OF LIABILITY INSURANCE 0DATE 5/04/2017 VI 05/04/2017 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(ies) 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 endorsements). PRODUCER CONTACT VALLEJO INSURANCE ASSOCIATES LLC / P O BOX 4446 VALLEJO, CA 94590 qq AIQNNo Ext: flea 661-0808 AIC, Na(8771562-6091 E•MAiL D s, somieo.contorr Irovelam.com INSURER($) AFFORDING COVERAGE NAICU (888)661-3938 INSURER A: TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA 680-6A711560-16 INSURED KELLY ASSOCIATES MANAGEMENT INSURER a: INSURERC: GROUP, LLC oD 1440 N. HARBOR BLVD, STE 900INSURER INsuRER B: FULLERTON, CA 92838 INSURER F: COVERAGES CERTIFICATE NUMBER: 610654943511421 REVISION NUMBER: THIS IS TO CERTIFY THAI" THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO "f HE 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 TYPE OF INSURANCE ADD INSD SUER me POLICY NUMBER YY POLICY EFF MMIDDIYY POLICY EXP MMIDDIYYYV LIMITS AX �( COMMERGIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR 680-6A711560-16 09/19/2016 09/19/2017 EACH OCCURRENCE $2,000.000 DAMAGE TO RENTED PRE S S Ea o curve $300,000 X MED EXP (Any one arson $5000 HIRED AUTO X NON OMEDAUTO PERSONAL A ADV INJURY $2,000,000 SENT AGGREGATE LIMIT APPLIES PER: PRO - POLICY �JECT �( LOC GENERAL AG EGAT $4,000000 PRODUCTS - CO /O G $4,000,000 $ OTHER: AAUTOMOBILE LIABILITY X BA -6A605880.16 09/19/2016 09/19/2017 COMBINED SINGLE LIMIT (Ea accident) $1,00a,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accidmnl) $ ALL OWNED SCHEDULED AUTOS AUTOS HIREU AUTOS NON -OWNED AUTOS P OPERdI'DAMAGE ( 6l aLG O D $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA SCATUI'F. ERH E.L. EACH ACCIDENT Is C.L. DISEASE -EA EMPLOYEE If yas, door lba under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD i01, Additional Remarks Schodula, may be ottoohod it more space Is required) AS RESPECTS TO GENERAL LIABILITY, CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE ADDITIONAL INSURED CG D1 05 - BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS ON A PRIMARY AND NON-CONTRIBUTORY BASIS, BUT ONLY AS RESPECTS TO WORK PERFORMED BY THE INSURED, AS RESPECTS TO AUTOMOBILE LIABILITY, CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE ADDITIONAL INSURED - CA T4 20 - AUTO COVERAGE PLUS ENDORSEMENT- BLANKET ADDITIONAL INSURED. (SEE ATTACHED) CLERK OF THE CITY COUNCIL CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (M-30) PO BOX '1988 SANTA ANA, CA 92702 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, L^P__ . 44:_X�A— .. ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD V