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AC�O,R'L�® CERTIFICATE OF LIABILITY INSURANCE DAM MM/2017w1 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 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: NMC Insurance Services A,CCNIJo Eat; (949) 206-0929 a,c No: (949) 916-9929 P.O. Box 2159 nooRess, service@nmcins.com INSURERS) AFFORDING COVERAGE NAICR INSURERA: U.S. LIABILITY INSURANCE CO. Laguna Hills CA 92653 INSURED INSURER e: INSURERC: Con SCIOUS Break Inc. INSURER D: 1 Dover INSURER E : INSURERF: Trabuco Canyon CA 92679 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ADDLSUBR Maawa POLICY NUMBER POLICY EFF (MMIDDMYYI POLICY EXP HMIDDIYYYY)LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X CLAIMS -MADE F—IOCCUR PREMISES Ea recurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 A CL1789714 12/302016 12/30/2017 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L X POLICY JECT LOC PRODUCTS - COMPIOP ASS $ Included Professional Liability $ Included OTHER: AUTOMOBILE LIABILITY .01481eDt SINGLE LIMIT $ Included BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-O HIRED AUTOS X AUTOS VNED AUTOS CL1789714 12/302016 12/302017 X BODILY INJURY (Per accident) $ PROPERTYDAMAGEAGE Per accident $ a UMBRELLALIAS H OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE RED I I RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN Ably PROPRIETOR/PARTNERIEXECUTIVE ❑NIA OFFICERIMEMBER EXCLURED? PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EAEMPLOYEE] $ (Mandatory In NH) f yes, deecnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additl one[ Remarks Schedule, may be attached If more space I required) �J The City of Santa Ana, its officers, employees, agents, and representative are additional insured per attached endorsem G\Y�� .�,\, JGP'dfi The City of Santa Ana 20 Civic Center PIZ Santa Ana, CA 92701 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 [oilLK-I&IIIIII d•7:7.IK•7:71+7:LYi[•Tdwilliff 'Ii�MMI-T.11i ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD