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TISBYDE-01 PNEARHOE 144:711l o CERTIFICATE OF LIABILITY INSURANCE �-"�� D06113/2ATE Y7 06/1312017 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 Llceri OC88587 ACT RMT CDS Insurance Services 2001 E. Financial Way, Suite 200 Glendora, CA 91741 PHONE : (626) 610.9500 A/c, FAX (AIC, Na, Ext): Ne):(626) 610-9299 AD%J INSURERS AFFORDING COVERAGE NAIC N X INSURER A: Financial Pacific Insurance Co 31453 88316542 INSURED INSURER B: ONTO Security Ins Co 24082 T I's by Design 3595 Cadillac Avenue INSURER C: National Liability & Fire Company 20052 DAMAGE TO RENTED urrencs 100,000 PREMISES (Ea Suite 103 INSURER D: INSURER E: Costa Mesa, CA 92626 INSURER F COVERAGES CFRTIFICATF NHMRFR• RFVI6InN NIIMRFR• 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 RESPECT TO 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 TYPE OF INSURANCE ADDLSUBR INSD MD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X 88316542 03/12/2017 03/12/2018 EACH OCCURRENCE $ 1'606'006 DAMAGE TO RENTED urrencs 100,000 PREMISES (Ea MED EXP (Any oneperson) 5,000 PERSONAL &ADV INJURY 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY [_] UER8T 7 LOC GENERAL AGGREGATE 2,006,000 GEN'L X PRODUCTS - COMP/OP AGO $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY CEOMBINED SINGLE LIMIT andIdent)$ 1,000,000 BODILY INJURY P.,person) $ X ANY AUTO BAS (17) 57668974 12/01120161210112017 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ ROPERTV AMAGE Per accident $ X HR X NON -OWNED MRS S ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE OED RETENTION$ O AND EMPLOYERSELIABILIITY ANYPROPRIETOR/PARTNERIEXECUTIVE YIN �MatlaR/ME NHR EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below N/A V9WC857904 06105/2017 06/05/2016 X STATUTE OTH- E.L. EACH ACCIDENT 11000,000 E.L. DISEASE - EA EMPLOYE 1,96D,DDD E.L. DISEASE - POLICY LIMIT 1,000,000 O ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requ /red) All endorsements apply as per written contract. City of Santa Ana, its Officers, Agents and Employee arelis named as additional Insured as respects General Liability if required by written contract per attached endorsement(s) CG 20 1OR 12 11. Should any of the above described policies be cancelled or reduced prior to the expiration date thereof, the issuing insurer and/or agent will endeavour to mail 30 days written notice to the Certificate Holder, but failure to do so shall impose no ligation or Iiabil'ty of any kind upon the insurer, its agents or representatives. � O 0 CERTIFICATE HOLDER CANCELLATION y ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana its Officers, Agents and Employee 20 Civic Center Dr, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE >� ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD