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ACC)R"� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DDIYYYY) <br />TYPE OF INSURANCE <br />6/26/2018 <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(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 rights to the certificate holder In lieu of such endorsement(s). <br />S4ectrum Risk Management <br />74PDiscovery <br />Irvine, CA 92618 <br />CONTACTPRODUCER <br />NAME., Account Manager <br />A/CNNo Ext: 949-756-5730 FVC No: 949-756-5740 <br />E-MAIL <br />ADDRESS: office@spectrumrisk.com <br />INSURERS AFFORDING COVERAGE NAIC # <br />www.spectrumrisk.com OC77485 <br />INSURER A: Navigators Specialty Insurance Co. 36056 <br />INSURED <br />TSCM Corporation <br />TSCM Corp. Arizona <br />INSURER B: West American Insurance Company 44393 <br />INSURERC: National Union Fire Insurance Co. of Pittsbur h PA 19445 <br />INSURER D: Cypress Insurance Co. 10855 <br />Pappano Investment Group, LLC <br />17791 Jamestown Lane <br />Huntington Beach CA 92647 <br />INSURER E: <br />INSURER F <br />CUVtHA[ii-S - CFRT71-1CATF NIIMRFR• A077007CZ ID1=1/1C1nKI Kit IMQCD, <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, NOTWITHSTANDING 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 <br />TYPE OF INSURANCE <br />ADDL <br />D <br />SUBR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DDNYW <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />A <br />,/ COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE ❑✓ OCCUR <br />✓ Deductible- $2500 <br />LA18CGLO195681C <br />1/1/2018 <br />1/1/2019 <br />EACH OCCURRENCE $11000,000 <br />DAMAGE TO RE TED <br />PREMISES Ea occurrence $100,000 <br />MED EXP (Any one person) $5,000 <br />✓ Contractual Liability <br />PERSONAL & ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JE� LOC <br />OTHER: <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OP AGG $2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />✓ <br />✓ <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />Dedcutible-0 <br />BAW(19)57031797 <br />1/1/2018 <br />1/1/2019 <br />OMBINeDtSINGLE LIMIT $1000000 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY Per accident <br />( ) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />C <br />✓ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />✓ <br />OCCUR <br />CLAIMS -MADE <br />EBU 019083645 <br />1/1/2018 <br />1/1/2019 <br />EACH OCCURRENCE $5,000,000 <br />_ <br />AGGREGATE $5,000,000 <br />DED I ✓ RETENTION $0 <br />$ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE 1 1 <br />OFFICER/MEMBEREXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />TSWC913746 <br />7/1/2018 <br />7/1/2019 <br />/ STATUTE ERH <br />E.L. EACH ACCIDENT $1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $1.000.000 <br />E.L. DISEASE - POLICY LIMIT $1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: The Depot at Santa Ana -1000 E. Santa Ana Blvd. Santa Ana CA <br />Dino, its officers, agents and employees and the City, its officers, agents and employees are additional insureds with respect to the general <br />liability per the attached blanket carrier form. Primary and non-contributory wording applies. <br />R VIE VED RYA EUNICE HE_ IA_ OF zs - <br />�,r_m i triwA i r- nvLLir-m GANtiCLLA1IVN <br />He: I he Depot at Santa Ana -1000 E. Santa Ana Blvd. Santa Ana CA <br />Santa Ana Regional Transportation Center SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />San Santa Ana Public Works t enc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />C/ Civic Center Plaza, or Agency <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE ��jj <br />/!»� .. <br />Jim Waterhouse <br />U 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />42778276 1 Ginnie 1 2018 All lines I Ginnie Bustamante 1 6/26/2018 12:08:53 PM (PDT) I Faye 1 of 3 <br />