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Fax: (714)647-6549 <br />sic®azo® CERTIFICATE OF LIABILITY INSURANCE <br />°ATE'MM'°°AY' <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, <br />04/13/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY!THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($)', AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. -A statement on <br />this certificate does not confer rl hts to the certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Nancy ZDSChmanO <br />Philip B. Robinson Insurance <br />PHONE — FAX <br />�AICE-MAILEst, (949)474-9300 AID Ip. (949)474-8991 <br />23185 La Cadena Drive, Suite 101 <br />SK066480133 <br />Laguna Hills, CA 92653 <br />ADDRESS: brian@pbrinsurance.com <br />EACHOCCURRENCE $ 1,000,000 <br />License #: OB39032 <br />INSURERS AFFORDING COVERAGE NAICN <br />INSURERA: West AmericanInsurance CoMpany '. 24074 <br />INSURED <br />INSURER B: American Fire & Casualty Company 24066 <br />INSURER c: National Liability ,jtg, Insurance Co <br />EXTERIOR PRODUCTS CORPORATION EP MANAGEMENT, INC <br />INSURER D: <br />1031 N Shepard St <br />_! <br />INSURER E: <br />Anaheim, CA 92806 <br />INSURER P: <br />COVERAGES CERTIFICATE NUMBER: 00000000.2716645 REVISION NUMBER: l: 20 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTVWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />ILTR NSR <br />OF INSURANCE <br />ADOLTYPE <br />INSD <br />SWVQ UER <br />POLICYNUMBER <br />MWopffyFF <br />MMI�DYEXP <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FROCCUR <br />Y <br />Y <br />SK066480133 <br />04/23/2019 <br />04/23/2019 <br />EACHOCCURRENCE $ 1,000,000 <br />_ <br />DAMAGE TO RENTED <br />PBEMISES (Ea occuR ce $ 500.000 <br />MED EXP (Any one person) $ 16.000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY 1:1JECCT LOC <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS - COMPIOPAGG $ 2-00 -0,00 -0 - <br />0OO OOOOTHER: <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea occiderl( <br />ANYAUTO <br />BODILY INJURY (Per person) $ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />BODILY INJURY (Per ... dwh $ <br />1 PROPER TY -DAMAGE $ <br />Per cctl nt <br />$ <br />B <br />UMBRELLA LIAR <br />I VI <br />OCCUR <br />Y <br />Y <br />ESA66480133 <br />0412312018 <br />04/23/2019 <br />EACH OCCURRENCE $ 2,000,000 <br />X <br />EXCESSLIAB <br />CLAIMS -MADE <br />AGGREGATE $ 2,000 000 <br />DED RETENTION$ <br />$ <br />`+ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIA6ILITY YIN <br />ANY PROPRIETOWPARTNERIEXECUTIVE® <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />IfyesdescrbaUrder <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />Y <br />V9WC937770 <br />06101/2018 <br />05101/2019 <br />X PER OT - <br />STAT TE ER <br />EL EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,0009000 <br />E.L. DISEASE- POLICY LIMIT $ t000,00-0— <br />000 000DESCRIPTION <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) <br />Exterior Decorating'30 Day notice of cancellation except 10 day for nonpayment of premium <br />The City of Santa Ana, Southern California Edison, and their respective officers, employees, agents, volunteers and <br />representatives are named as additional insureds with regard to liability and defense of suits arising from the operations and <br />uses performed by or on behalf of the named insured. This insurance is primary and is not additional to or contributing with <br />any other insurance by or for the benefit of the additional insureds. <br />The City of Santa Ana <br />Community Development Agency <br />Administrative Services Division m-25 <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />All riahtR recnrved_ <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Printed by NJZ on April 13, 2018 at 03:33PM <br />