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667979 Miller Mendel, Inc. <br />CertlSWe Of Inswence <br />12118t2019 614:47 PM <br />A� �® CERTIFICATE OF LIABILITY INSURANCE <br />° iy1812019 ) <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 Wan ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsements . <br />PRODUCER <br />oee <br />M <br />eNTechlnsurance <br />CONTACT <br />NAME: <br />PHONE Ell, (800)668-7020 FA/c ryo; 877-526-9067 <br />-echlnsurance <br />E-MAIL <br />riD ss; <br />INSURE AFFORDING COVERAGE <br />NAIC0 <br />30 N. LaSalle, 25th Floor, Chicago, IL 60602 <br />INSURERA: LI d's Syndicate 2623 Furlong Limited <br />INSURED <br />INSURER a: Sentinel Insurance Company. Limited <br />flow <br />INSURER C : Hartford M to <br />OD914 <br />Miller Mendel, Inc. <br />1425 Broadway Ste 430, Seattle. WA, 98122 <br />INSURER D: <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 />1N&i <br />LTRPOLICY <br />TYPE INSURANCE <br />AWL' BR <br />POUCYEFF POUCYEXP <br />NUMBER (MMIDDITYYYf fMWOONYYA3LIMITS <br />B <br />1/ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 1 OCCUR <br />STOP GAP (See below W limits) <br />Yea <br />46SBMUF4112 1ZJ262019 12R&2020 <br />EACH OCCURRENCE <br />S 1.000.000 <br />PRE ISES Ea oca <br />S 1.000.000 <br />NED EXP (Any an pawn) <br />S 10,000 <br />PERSONAL SADVINJURY <br />S1•0•0 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY 7] JJEC LOC <br />OTHER. <br />GENERALAGGREGATE <br />S2•000•ODD <br />PRODUCTS <br />S 2.000,000 <br />S <br />B <br />LE UABIUm" <br />UTO <br />WNED SCHEDULED <br />S�AUTOS <br />AUTOS NON-0WNED <br />_ AUTOS <br />FA <br />Y« <br />ISSBMUF4112 <br />122B2019 <br />12262020 <br />-01IWrr <br />Ea am eta I OTE U <br />S 1.000.00o <br />BODILY INJURY(PW PMson) <br />S <br />BODILY INJURY(PW accdw) <br />S <br />PRO ERTY DAMAGE <br />S <br />S <br />B <br />./ UMBRELLA LIAS I V <br />EXCESS LYLE I <br />OCCUR <br />CWMS-MADE <br />Ym <br />46SBMUF4112 <br />1b2912f20 <br />EACH OCCURRENCE <br />$4,000.000 <br />AGGREGATE <br />S 4,000,OD0 <br />OEO <br />I <br />I RETENTIONS <br />S <br />WORKERS COMPENSATION <br />ANDEMPLAYERS'LIABILDY YIN <br />C ANY PROPRIETORIPARTNER/MCUTIVE <br />OFFICERIMEMBER EXCLUDEDT No <br />(Ma"atory In NH) <br />OescnOeder un <br />IDESCRIPTION OF OPERATIONS 0.1. <br />NIA <br />46WECAA9PY1 <br />11202019 <br />11202020 <br />TA ERA <br />E.L. EACH ACCIDENT <br />$ TDOD000 <br />EL DISEASE - EA EMPLOYEE <br />S1,000.D00 <br />E.L. DISEASE - POLICY UNIT <br />S 1.0W000 <br />A ' Professinal UatNlrty(Enas arW Omissions) <br />V1=1e0501 <br />M7612019 <br />12J2&2020 Ocwn*nWAgpregNe $4.000.0001 S4,00D.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD IN. Additional Ranaras ScbaeYN, may M Atbehee K non N"" Is required) <br />City of Santa Ana is named as Additional Insured as their interests may appear in regards to general liability and automobile liability. <br />ULK I IFIUA I t KULUtK %oANL.CLLA I IUN <br />REVIEWED & APPROVED 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 y Ris MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 17 2020 <br />N AUTHORIZED REPRESENTATIVE �—�) <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />