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A� O® CERTIFICATE OF LIABILITY INSURANCE DAM(MMIDD/YYYY) CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 01/04/2018 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 CONTACT Danielle Nihau NAME: Select5olutions Insurance Services PHONE (866)500-6359 FAX (925)951-0077 AIC No EXt: A/C, No: 1107 Investment Blvd E-MAIL danielien@selectsolutionsins.com EACH OCCURRENCE $ 1,000,000 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL p Suite 100 EI Dorado Hills CA 95762 INSURERA: Philadelphia Consolidated Holding Corp INSURED INSURER B: New York Marne & General Insurance 16608 Wiseplace, a Ca Corp INSURER C: 1411 N. Broadway INSURER D: NSURER E: Santa Ana CA 92706 INSURER F: COVERAGES CERTIFICATE NUMBER: 17/18 & 18/19 Master 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE 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. INSR LTR TYPE OF INSURANCE AUDL INSD SUEIR MO POLICY NUMBER POLICY EXP MMIDDIVYYY LIMITS COMM ER CIALGENERALLMBILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 0 OCCUR PREMISES Eaaccuonce $ 100'000 MED EXP (Any one emon) $ 5,000 FMWDD,/�Y PERSONAL&ADV INJURY $ 1,000,000 A Y PHPK1758146 01/01/2019 GEN'L AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2.000,000 X POLICY JERCT 7 LOC PRODUCTS - COMPIOPAGG $ 2.000,000 IS OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY (Per person) $ A OWNED F7 SCHEDULED AUTOS ONLY AUTOS PHPK1758146 01/01/2018 01/01/2019 BODILY INJURY(Peraccident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident Collisiion $ 1,000 X UMBRELLALIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAR CLAIMS -MADE PHUB613132 01/01/2018 01/01/2019 AGGREGATE $ 1,000,000 DEO I X1 RETENTION $ 10,000 $ B WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA WC201700006833 08/15/2017 08/15/2018 OTF4 X STATUE ER E.L. EACH ACCIDENT $ 1.009,000 E.L. DISEASE - EA EMPLOYEE $ 1.000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana Is included as additional insured on General Liability policy per attached endorsement. General Liability coverage is primary and non-contributory per the attached endorsement. The Professional Liability Limits shown represent the per claimlaggregate limits of liability. CERTIFICATE HOLDER CANCELLATION ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana, Community Development Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-25 AUTHORRED REPRESENTATIVE Santa Ana CA 92701 A.; �,r �-� �F „"`'9 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD