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ACORa CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `.� 06/01/2018 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 Meredith MCCaleb CISR NAME: James G Parker Insurance Associates PHONE (559)222-7722 Fax (559)222-1724 A/C No Ext: AIC, No: License #0554959 E-MAIL mmocaleb@jgparker.com ADDRESS: P O Box 3947 INSURER(S) AFFORDING COVERAGE NAIC N Fresno CA 93650 INSURER a: Financial Pacific ins Co 31453 INSURED INSURER B: State Compensation Ins Fund 35076 Midori Gardens Inc INSURER C: 3231 Main Street INSURER D: INSURER E : Santa Ana CA 92707 INSURER F: COVERAGES CERTIFICATE NUMBER: 18-19 GUBAM/C 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 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 LTR TYPE OF INSURANCE AUDI. INSR SUUR WVD POLICYNUMBER POLICY EFF MMIDDIYI'YY POLICY UP MMIDDIYI'YY LIMITS X COMMERCIAL GENERALLIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE $ 1,000,000 JAMAUIE PREMISES Ea NIED occurrence) 100,000 $ MED UP (Any one Person) $ 5,000 PERSONAL SADV INJURY $ 1,000,000 A 60505090 06/01/2018 06/01/2019 GENTAGGREGATE LIMITAPPLIES PER POLICY ❑ PRO- ❑ JECT LOC GENERALAGGREGATE g 2,000,000 PRODUCTS-COMPIOPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 60505090 06/01/2018 06/01/2019 BODILY INJURY (Per accident) $ X HIRED NON -OWNED AUTOS ONLY H AUTOSONLY PROPERTY DAMAGE Per accident $. 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE Y❑ IM OFFICEREMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS bekrx NIA 9232562-2018 06/01/2018 06/01/2019 XSTATUTE EORH E.L. EACH ACCIDENT $ 1,000.000 E. L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aaached if more space is required) VvV Job: City of Santa Ana The City of Santa Ana, its officers, agents and employees are included as additional insureds as per attached endorsement CG 2 `11Z1P1. 111 a City of Santa Ana Parks, Recreation & Community Arm Silvia Cuevas 20 Civic Center Plaza Santa Ana CA 92701 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 AI � li" `� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD