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Ac" bs CERTIFICATE OF LIABILITY INSURANCE DA E(MMuc rY ) 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. 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 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 CONTACTNAME: Kaflee Crowe Wood Gutmann & Bogart License #0679263 PHONE FAX (wc, No, SIX,), 714-505-7000 ac No:714-573-1770 E-MAILADDRESS: karlee wdbib.com 15901 Red Hill Ave., Suite 100 INSURER(S) AFFORDING COVERAGE NAICk Tustin CA 92780 INSURER A: Philadelphia Indemnity Ins Co. _ INSURED COASTDS INSURER B Coast Live Oak School Mark Hay INSURER C: INSURER D: 316 Edgewood Road Santa Ana CA 92706 G EN ERAL AGGREGATE $2.0)DLO _GEN'L PRO - PRO- POLICYLOC POLICY L� INSURER E: INSURER F: PRODUCTS - COMP/OP AGO $2,OOGW0 COVERAGES CERTIFICATE NUMBER: 1843591178 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 ADDL SUBR'. POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDO/YYYY MMIDOIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY PHPK1696,I60 922/2017 91222018 EACH OCCURRENCE $1'00,000 hAIMS-MAGE X DAMAGE TO RENTED CLI OCCUR PRE�EapccUrtence 8 700,000 MED EXP (Any one person)$5'00 PERSONAL &ADV INJURY $1,000,000 AGGREGATE LIMIT APPLI ES PER. G EN ERAL AGGREGATE $2.0)DLO _GEN'L PRO - PRO- POLICYLOC POLICY L� PRODUCTS - COMP/OP AGO $2,OOGW0 OTHER: $ AUTOMOBILE LIABILITY COM BINED SINGLE LIMIT $ (Ea aaaident ANY AUTO BODILY INJURY(Perpemon) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NOWOWNED _ PROPEE RTY DAMAGE _ _HIRED AUTOS AUTOS _(Per accident)$ UMBRELLA LIAR OCCUR EACH OCCURRENCE S nVYV EXCESS LIAB CI -AIMS -MADE_ �\ AGGREGATE $ tf��V v 1 DEDTI RETENTION$ $ WORKERS COMPENSATION V OERH AND EMPLOYERS' LIABILITY YIN /`� '�� STATUTE ANY PROPRIETORIPARTNER/EXECUTIVE�A OFFICEREMBER EXCLUDED' ❑ NIA IM G (l �� �' EL. EACH ACCIDENT '$ (Mandatory In NH) EL. DISEASE - EA EMPLOYEE If yes, tlescdbe under 5�P _ DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT l $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured on the General Liability per attached CG 20 26 04 13. Cancellation verbiage as per IL0017 11 98 attached. Primary and Non -Contributory applies on the General Liability per attached PI -GL -005 (07/12). City of Santa Ana; Parks, Recreation and Community Services Agency Attn: Carmen Acosta 1825 W. Civic Center Drive 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD