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�— CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/20/2018 1 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 have ADDITIONAL INSURED provisions or 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 Aon Risk Insurance Services west, Inc. LOS Angeles CA Office 707 Wilshire Boulevard Suite 2600 CONTACT NAME: PHONE(866) 283-7122 FAX (800) 363-0105 (AJC. No. Ext): (A/C. No.): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # LOS Angeles CA 90017-0460 USA INSURED INSURER A: Travelers Property Cas CO Of America 25674 wi l l dan Financial Services 27368 Via Industria INSURER B: Lexington Insurance Company 19437 INSURER C: suite 200 Temecula, CA 92590 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570070486210 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD SUBR WVD POLICY NUMBER (MWDDQ= IMM1DDIYYYY1LIMITS A X COMMERCIAL GENERAL LIABILITY PbJUIJJbb586TIL17 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑OCCUR DAMAGEOR N $1,000,000 PREMISES Ea occurrence) MED EXP (Any one person) S15,000 X Employee Benefits Liability X Contractual Liability Included PERSONAL 8 ADV INJURY S1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,006 X POLICY PRO ❑ LOC JECT PRODUCTS-COMP/OP AGG $2,000,000 OTHER: A AUTOMOBILELIABILRY P -810 -7j365332 -TIL -17 11/09/201711/09/2018 COMBINED SINGLE LIMIT $1,000,000 Ea accident BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLYAUTOS HIRENON-OWNED PROPERTYDAMAGE ONLY AUTOS ONLY Per accident) UMBRELLALIA6 EACH OCCURRENCE AGGREGATE EXCESS LIAB HOCCUR CLAIMS -MADE DED I RETENTION A WORKERS COMPENSATION AND PJUB9355881917 1:70-912017 11 09/2018 X PER STATUTE I OTH- ER EMPLOYERS' LIABILITY YIN E.L EACH ACCIDENT $1,000,000 ANY PROPRIETOR/ PARTNER I EXECUTIVE N OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 B Archit&Eng Prof 028174912 11/09/2017111/09/2018 Aggregate $2,000,000 SIR applies per policy terns & condiions Per Claim $1,000,000 SIR $250,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: User Fee Study; Prop 218 Sanitation Review. The City of Santa Ana, its officers, employees, agents and representatives are included as Additional Insured in accordance with the policy provisions of the General Liability policy. The General Liability policy evidenced herein is Primary and Non -Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. Should General Liability, Automobile Liability and workers' Compensation policy be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to c rtificate holders in accordance with the policy provisions. REVIEWED BY: EUNICE HEREDIA (PG I OF ) Ll O N m O 0 O r U) O Z m R V d U CERTIFICATE HOLDER CANCELLATION Qq: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Santa Ana AUTHORIZED REPRESENTATIVE Finance and Management Services Agency Purchasing Division L%� �s 20 Civic Center Plaza _-} Santa Ana CA 92701 USA �i ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD