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A� V CERTIFICATE OF LIABILITY INSURANCE DAT MMIDD17 NYYY) 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 endorsement(s). PRODUCER CONTACT NAME: Carmen Rodriguez Millennium Corporate Solutions License # OL12555 ONE PH No, _Ext);__(949) 857-4500 FAX X No): (949)857-4800 ADDRESS: crodriguez@mcsins . com INSURER(S) AFFORDING COVERAGE NAIC # - - 5530 Trabuco Road Irvine CA 92620 INSURERA:Citizens Insurance Company of INSURED INSURER B INSURER C: Acire, Inc INSURER D: 6855 N Campbell Ave INSURER E INSURER F: Portland OR 97212 COVERAGES CERTIFICATE NUMBER-CL178137670 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. INTR OF INSURANCE ADDLTYPE IVSD WVD SUER POLICY NUMBER POLICY EFF MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED 30,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 OB3 A034591 03 7/6/2017 7/6/2018 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 1 JECT PRO- 0 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Hired & Non -Owned Auto $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaaccident $ 1,000,000 BODILY INJURY (Per person) $ p' ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS OB3 A034591 03 7/6/2017 7/6/2018 BODILY INJURY (Per accident) $ X HIRED AUTOS 7G NON -OWNED AUTOS PROPERTY DAMAGE $ Par aocldent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY Y / N OTH- .$TAT,UTE,,,,, EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? F-1 N/A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A PROFESSIONAL LIABILITY OB3 A034591 03 7/6/2017 7/6/2018 EACH OCCURRENCE $1,000,000 CLAIMS MADE POLICY AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Glendale, its Officers and Employees are included as additional insured with primary & non-contributory wording for general liability per attached form 391-1006 0609 when required by written contact as respects to the insureds operations. *10 days notice of cancellation for non-payment of premium. REVIEWED BY:Ell EUNICE HEREDIA (PG OF \,CIC I Iris m 1 r- MULu The City of Glendale Traffic & Transportation Division 633 East Broadway, Room 300 Glendale, CA 91206 ACORD 25 (2014/01) INS025 001401 ) 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 Diem Jurkosky/DIEM U 1938-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD