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A -7_m7 -j -;G, a� �® CERTIFICATE OF LIABILITY INSURANCE °AT1v27/1 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(les) 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 NAME: Gwen Harvey PHONE (310)642-1933 ac Ne: R.F.P. INSURANCE AGENCY aooaeSS: harve rf insures.com 5601 W Slauson Ave #250 INSURERS AFFORDING COVERAGE NAIC# Culver City, CA 90230 INSURERA: State Compensation Ins. Fund 20702 INSURED Civic Collections Inc INSURER B; Penn -Star Insurance Co. 20702 GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ Included INSURER C: INSURER D AUTOMOBILE LIABILITY ANY AUTO AOWNED UTOS ONLY SCHEDULED AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY INSURER E: 1565 Eldertree dr. INSURER F: Diamond Bar CA 91765 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD L SU D POLICY NUMBER MM/UDY/YEYYY MMIDD/YYY/ LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR CPV0015640 07/18/17 07/16/18 EACH OCCURRENCE $ 11-0 0- 0-OOO DAMAGE RENT PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY E PRO- ❑ LOC ECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ Included $ B AUTOMOBILE LIABILITY ANY AUTO AOWNED UTOS ONLY SCHEDULED AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY CPV0015640 07/16/17 07/18/16 CEOMaBBIINdEEDt SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) Ilyes, tlascribe under DESCRIPTION OF OPERATIONS below NIA I 9067373-17 66/02/17 06/02/16 X/ PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1.000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS / LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) 30 day Notice of Cancellation or 10 day for Non-payment City of Santa Ana 60 Civic Center Plaza, RM 97 Sanata Ana, CA 92701 �I/7q,//7 APPROI 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 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD