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ACORbe CERTIFICATE OF LIABILITY INSURANCE 14.� DATEIMMIDDNYYY) 02/142018 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 Ileu of such endorsement(s). PRODUCER CONMA NMC Insurance Services _NAME:__ q�CEN E.O. : (949) 206-0929_ FAC No: (949) 916'9929 P.O. Box 2159 E-MAIL service nmcins.com AOIXeEs INSURER(S) AFFORDING COVERAGE NAIC* _ INSURERA U.S. LIABILITY INSURANCE CO. Laguna Hills CA 92653 INSURED ,, ��--1T 1 �-7 INSURER C: INSURER Conscious Break Inc. flypp -&4Lon- i INSURERD: 1 Dover INSURERE: 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 BYPAID CLAIMS. ILTR NSR TYPE OF INSURANCE POLICYNIMSER POLICY EFF PMIODmm, LIMITS A X COMMERCIAL GENERALLMBILITY X CLAIMS -MADE ❑ OCCUR CL 1789714A 12/302017 12/302018 EACH OCCURRENCE $ 1,000,000 MISETr RENTED— PWAGES'EaawRa�ce $ 100,000 GEN'L X MED EIP(My one person) $ 5,000 PERSONAL &ADV IN•.URY $ 1,000,000 _ AGGREGATE LIMIT APPLIES PER POLIC'! '0 1 LOC OTHER- GENERA -AGGREGATE $ 2,000,000 PRODUCTS-CONIPIOPAGG $ Included Professional Liability $ Included AUTOMOBILE X LIABILITY ANYMTO ALLOYrNED SCHEDULED AUTOS AUTOS HIREDAUTOS X NON-OYdiED AUTOS CL 1789714A 12I302017 12/302018 Ea BINae�VJeDISNGLELiMIT $ Included BODILY INJURY (Per Person) $ -- BODILY INJURYIPeraceitlent) $ _ P •I fAG� PgracntlenU S UMBRELLA LIAR EXCESSLIAR OCCUR ClA1NSIMDE - - Qv /`eyv RVV b J EACH OCCURRENCE $ AGGREGATE It F-FO—EI-F71ETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROFPIETORIPARTNEPf ECUTIVE Y] OFICERNENBER EXCLUDES'? (Mandatoryin NH) Ito., &e.be in de, DESCRIP[ION OF OPERAT..:ONS below N/A OTH- STATUTE ER E.L, EACH ACCIDENT $ E.L. DISEASE-EAEMPLOYE $ E.L. DISEASE -POLICY LIMIT $ Ca�me� eG ea m% DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES(ACORD 101, Additional Rem Nle, may be M.hed if mom apace le regplmd) The City of Santa Ana, its officers, employees, agents, and representative are additional insured per attached endorsement. The City of Santa Ana 20 Civic Center Piz Santa Ana, CA 92701 ACORD 25 (2014101) 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 OO 1988-2014 The ACORD name and logo are registered marks of ACORD hts