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DATE AC O CERTIFICATE OF LIABILITY INSURANCE 8/29(/2017 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 policyhes) 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 RITA M PRICE INSURANCE AGENCY INC. PO Box 189 Lake Arrowhead, CA 92352 CONTACT NAME. PHONEp _. lac mnr(909)336-6989 M ._ E-MAIL ADDRESS ._.._ INSU0.EP15 AFF00.01N0 COVERAGE NNCN 0544472 INSURER A. u son—Specia y Laurance o. INSURED Race Central LLU Judy Ikenberry tl'a-"JI �P Irl}".k INSURER B INSURER 229 S. Olive Avenue INSURER D. Rialto, CA 92376 INSURER _ INSURER F 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. NSP LTR TYPE OF INSURANCE Ali w n SUER Vined POLICY NUMBER POLIO - MMIDD 10MMIDDPi LIMITS CONSIERCML GENERAL. LARLIM EACH CCCURRENOE 5 1,000,000 CLAIMS -MADE FxI OCCUR PREMISES la occurrence 5 / MEO EXP(Any one person) $ 0 / 'a' x HBD 10015218 029 01/27/2017 01/27/2018 PERSONAL 8 ADV INJURY $ / / UUU GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2, / POLICY E PRO ❑ ;_CC ECT PRODUCTS CCMPIOP AGO 7_17$ / / $ OTHER. AUTOMOBILE LIABILITY COMB Ea accibent v L $ BODILY INJURY (Per person) S ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY `, BODILY INJURY (Per accident) S PROPERTY DAMAGE$ (Per accident $ rr� 4/ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE p1�� r X� C w AGGREGATE $ DED REfENTON 8 $ WORKERS COMPENSATIONS AND EMPLOYERS"LIABILITY YIN ANY PROPRIFfORRARINEWEIECti OFFICERNEMBER EXCIADEDP IMddedid In all /�. l 1 �T ER DIN STATUTE ER - E.L. EACH ACCIDENT $ E. L. DISEASEEAEMPLOYE S 't yes describe under DESCRIPTION OF OPERATIONS below EL DISEASE- POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached if more space Is required) Certificate Holder is listed as additional insured: The City of Santa Ana, its officers, employees, agents, and representatives as additional insured. City of Santa Ana 20 Civic 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 Tink] All nmhtc rr c r,ni ACORD25(2016/03) The ACORD name and logo are registered marks of ACORD