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SWS21-1 OP ID: SK
<br />�•----" CERTIFICATE OF LIABILITY INSURANCE
<br />DATEhia
<br />81301DIY2o17
<br />oa/3a7
<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 policypes) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s),
<br />PRODUCER
<br />Milik & Associates Insurance
<br />Services, Inc,
<br />917 SVillage oaks Dr, 101
<br />Covina, CA 91724
<br />CONTACT
<br />Name Joseph Flores
<br />................... . _
<br />AICONr o Ear 909.468-2233 �ac No 909 468 2232
<br />1 '
<br />...............1..............:.......
<br />MAIL ss:jgse h@milikinsurance.com
<br />Joseph Flores
<br />INSURCR(S) AFFORDING COVERAGE i NAIC#
<br />_ ,,,,,4, _
<br />INSURER A: Hartford Insurance Group 119682
<br />INSURED Sws2,Inc.
<br />INSURER B:ZurichAmerican lnSuranceCO 140142
<br />dba the Ryte Professionals
<br />4699 Montef[no Dr.
<br />INSURER C : 1
<br />_ _
<br />Cypress, CA 90630
<br />INSURER, D:
<br />INSURER E:
<br />�
<br />Mscurrence 1,000,000
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 CR 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 />ILSRi TYPE OF INSURANCE
<br />ADDLE
<br />BR
<br />POLICY NUMBER
<br />POLICY EFF
<br />Y YYI
<br />POUCYEXP
<br />(MM)ODIYYYYI
<br />LIMITS
<br />A X
<br />I COMMERCIAL GENERAL LIA94ITY
<br />EACH OCCURRENCE_ iS 1,000,000
<br />CLAIMS -MADE ❑OCCUR
<br />X
<br />72SBAUU2017
<br />09/05/2617
<br />�
<br />Mscurrence 1,000,000
<br />MED EXP (Anyone person) S 10,000
<br />J
<br />!
<br />PERSONAL& ADV INJURY I$ 1,000,00
<br />' GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE Ii1S 2,000,000
<br />X POLICY )GCT PRO-
<br />[], ❑ LOC
<br />I
<br />PRODUCTS-COMPIGP AGG $ 2,000,00
<br />I$
<br />OTHER:
<br />1 AUTOMOBILE LIABILITY
<br />t..�
<br />COMBINED SING .LIMIT $ 1,000,60
<br />(F,aacoldene
<br />A ANY AUTO
<br />72SBAUU2017
<br />09105/2017,09(05/20191
<br />BODILY INJURY (Per person) is
<br />ALLOWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident) '$
<br />'X HIRED AUTOS X NAOT�WNED
<br />PROPER I YDAMAGE -$
<br />Peraaddent
<br />I
<br />I
<br />$
<br />X UMBRELLA UAB
<br />L J
<br />OCCUR
<br />��
<br />� W
<br />EACH OCCURRENCE $ 5,000,000
<br />A �I EXrESSUAO
<br />CLAIMS
<br />72SBAUU2017
<br />0910512017'
<br />0 910 512 01 8
<br />AGGREGATE g _5,000,000
<br />s
<br />• DEDRETENTION SI
<br />WORKERS COMPENSATION
<br />!AND
<br />EMPLOYERS' LIABILITY
<br />A ANY PROPRIETORIPARTNOVEXECUINVE YfN
<br />72VVECLRIS01
<br />09/0512017
<br />09/65/2018
<br />EL EACH ACCIDENT 1 $ 1,600,060
<br />i OFFICERIMEMBER EXCLUDED'!
<br />'(Mandatary In NH)
<br />NIA
<br />(
<br />EL DISEASE - EA EMPLOYEE $ 1,000,00
<br />! Ifyes, desedba under
<br />. DESCRIPTION OF OPERATIONS be.
<br />E.L. DISEASE -POLICY LIMIT i$ 1,000,000
<br />B (Professional
<br />PRA009333001
<br />04/01/2017
<br />1 04/01/2018
<br />!Aggregate 5,000,000
<br />B !Crime
<br />PRA009333001
<br />04101/2017
<br />10410112018
<br />•D16 Acts 3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD tot, Additional Remarks Schedule, may be attached it more space Is requ)red)
<br />*30 day notice of cancellation except in the event of nonpayment. 1
<br />The City Santa Ana, its
<br />of officers, employees, agents, and representatives
<br />are named as Additional Insured regarding the General L.labil ty policy
<br />(endorsement to be Issued by carrier).
<br />CERTIFICATE HOLDER CANCELLATION
<br />CITYSAA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Finance & Management Servs.
<br />20 Civic Center Plaza, M-16
<br />PO Box 1988
<br />AUTHORIZED REPRESENTATIVE �T
<br />Santa Ana, CA 92702
<br />I
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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