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ACCIR � CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br />6/29/2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher & Co. <br />Insurance Brokers of CA. Inc. License #0726293 <br />505 N. Brand Boulevard, Suite 600 <br />CONTACT Eva Wagner <br />N ME.: <br />PHO Ne 818-539-1396 FAx 818-539-1696 <br />E,NIAIL . eva—wagner@ajg.com <br />INSURERS AFFORDING COVERAGE MAIC p <br />Glendale CA 91''203 <br />INSURER A: Federal Insurance Company 20281 <br />INSURED MANN&KA-02 <br />INSURER S:..Hartford Accident and Indemnity Com 22357 <br />Manning & Kass Elirod <br />Attn: Robert Santos <br />INSURER C r <br />EACH OCCURRENCE $1'....,000,000A <br />801 South Figueroa St 15th Fl <br />INSURER D: <br />Los Angeles CA 90017-3012 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 762447104 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />(MM/DDIYYe'Y <br />POLICY EXP <br />(MMIDDIYYYY ) <br />LIMITS ...... <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />3534-45-58 <br />9/15/2016 <br />911512017 <br />EACH OCCURRENCE $1'....,000,000A <br />CLAIMS -MADE L x r OCCUR <br />Al <br />PREMISES EREN � m nue $1,000 000 <br />MED EXP Lny one person) $10,000 <br />PERSONAL & ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $2,000,000 <br />POLICY PRO -0 LOC <br />JECT <br />PRODUCTS-COMPIOPAGG $Included <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />7496-79-96 <br />9/1512016 <br />9/1512017 <br />Ea accINident SINGLE $1,600,000 <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />P id <br />BODILY INJURY (Per accident) <br />) $ <br />Ix <br />NON -OWNED <br />HIRED AUTOS Ix AUTOS <br />PROPERTY DAMAGE <br />Per accident $' <br />$ <br />UMBRELLA LIAB <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAR <br />DED RETENTION$ <br />$ <br />8 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY IN <br />ANY PROPRIETORIPARTNER/EXECUTIVE Y`"j <br />OFFICERIMEMBER EXCLUDED? u <br />(Mandatory in NH) <br />NIA <br />72 WE RT0499 <br />y� <br />y. ,D,,`y <br />r L <br />41112017 <br />FORM <br />,y <br />f% <br />411/2018....... <br />eg <br />p;� <br />PER ETH - <br />x 5TATUTE ER <br />E.L. EACH ACCIDENT $1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />If yes, descrdbe under <br />DESCRIPTION OF OPERATIONS below <br />f, <br />77" <br />E.L. DISEASE - POLICY LIMIT $1,000,000 <br />Ili i a M. <br />hwtit°m <br />ilii <br />wT for Assistant _ <br />Ity Attorney <br />DESCMPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional. Remarks Schedule, may be attached if more space is required) <br />Subject to all policy terms and conditions. <br />The City of Santa Ana and its officers, employees, agents and representatives are additional insureds for general liability coverage as <br />required by virtue of a written contract or agreement and to the extent insurable as respects their interest in the operations of the named <br />insured. The insurance provided by this policy is primary, and all other insurance available to the additional insured is non-contributory. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS.. <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Qe 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and Ingo are registered marks of ACORD <br />