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/'- N IPSSE-1 OP ID,
<br />, is.I CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYYI
<br />`01124/2019
<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 endorsements .
<br />PRODUCER 877.242.9600 CONTACT George Gavaris
<br />Central Insurance Agency, Inc. NPHONEAME,
<br />93 East Main Street AIC,, No, ExU: 877-242-9600- FAX No):877.243-8995
<br />Smithtown, NY 11787 E-MAIL certifies&lainsures.com
<br />cat - - --
<br />George Gavaris ADDRESS: __..... _
<br />INSURER SAFFORDING COVERAGE NAIC N
<br />/� C-� INSURER A: Acceptance Casualty Ins Co 10349
<br />INSURED IPS,Inc. A-��%QI �D1w INSU_RERa Employers Assurance Company - 25402 - --
<br />3002 Dow Avenue, Ste 512 Scottsdale Insurance Company--41297
<br />Tustin, CA 92780 Fp1,'—gyp(��$�•% T INSURER CJ
<br />r, +O.r INSURERD:
<br />INSURER E :
<br />COVERAGES CERTIFICATE NUMBER- RFVISION NIIMRFR.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
<br />DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
<br />HEREIN IS SUBJECT TO ALL THE
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR LIPTYPE OF INSURANCE ADDL BURR POLICY NUMBER POLICY EFF POLICY EXP vMIDOVYI
<br />LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE S
<br />1,000,000
<br />CLAIMSMADE X OCCUR CLOO960530 09/22/2018 09/22/2019
<br />Y
<br />DAMAGE TO RENTED
<br />PREMISES(Ea occurrence) S
<br />100,000
<br />_
<br />X Assault&Battery-
<br />5,000
<br />MED EXP(Any one person) S
<br />_
<br />X Errors & Omission
<br />1,000,000
<br />PER$ONALBADVINJURY S
<br />GEN'L AGGREGATE LIMIT APPLIES PER.
<br />GENERAL AGGREGATE S
<br />2,000,000
<br />X POLICY JERET LOG
<br />PRODUCTS COMPIOPAGG S
<br />2,000,000
<br />OTHER:
<br />S
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />(Ea_accitlent) _ _______$
<br />ANY AUTO _
<br />BODILY INJURY (Per person) __ S
<br />OWNED SCHEDULED
<br />' AUTOS ONLY _AUTOS
<br />-BODILY INJURY (Per accitlenl) S
<br />HIRED NON -OWNED
<br />rggOPERTY DAMAGE
<br />AUTOS ONLY _. _ AUTOS ONLY
<br />PPeeraccdentl__ $
<br />S
<br />A UMBRELLA LIAB X OCCUR
<br />EACH OCCURRENCE $.
<br />5,000,000
<br />X EXCESS LIAB CLAIMS -MADE XL00450516 09/22/2018 09/22/2019
<br />AGGREGATE S
<br />5,000,000
<br />DED RETENTIONS
<br />$
<br />B WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />PER OTH-
<br />X -STATUTE _ OR
<br />YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE EIG 2418484 02 10/28/2018 10/28/2019
<br />E.L. EACH ACCIDENT $
<br />1,000,000
<br />OFFICER/MEMBER EXCLUDED' NIA
<br />(Mandatory in NH) ----
<br />1,000,000
<br />If yes, describe under
<br />E. L. DISEASEEAEMPLOYEES
<br />---- -'
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />EL DISEASE - POLICY LIMIT S
<br />C Excess Umbrella XLS0108378 10/19/2018 09/22/2019
<br />Occ/Agg
<br />4,000,000
<br />VEHICLESDESCRIPTION OF OPERATIONS I LOCATIONS I Schedule, maybe
<br />The CitvofSanta Ana, tsOfficers,employees, DAdditionalRemarks anaoneaxmoreaPaoalaragairaa)
<br />and representative e,�u \�
<br />are itu �fuded as an additional insured under the general liability with
<br />respect to the liability created by the negligent ats, errors and omissionsP'
<br />of the named insured herein as required by written contract on a and
<br />primary
<br />non-contributory basis.
<br />yrdS
<br />��`rX.
<br />CITYSA3
<br />City of Santa Ana Its officers
<br />Employees, Agents, Volunteers
<br />and Representatives
<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 />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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