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Page 1 of 1 ACQR®® CERTIFICATE OF LIABILITY INSURANCE �„i' GATE 08/223/20173/2017 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(ies) must have ADDITIONAL INSURED provisions or 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 Willis Insurance Services of California, Inc. c/o 26 Century Blvd P.O. Sox 305191 CONTACT NAME: PHONE 1-877-985-7378 FAX 1-888-467-2376 AIDAIC No), ADDRESS: certificates@willis.com INSURER(S) AFFORDING COVERAGE NAIC# Nashville, TN 372305191 USA INSURER A: Ohio Security Insurance Company 24082 INSURED Interfinish Corp INSURER B: State Compensation Insurance Fund of Calif 35076 EACH OCCURRENCE $ 1,000,000 Attn: Tom Burne INSURERC: INSURER D: P.O. Box 26614 Santa Ana, CA 92799, INSURERE: INSURER F: DAMAGE OR PREMISES Ea acwnence $ 1,000,000 COVERAGES CERTIFICATE NUMBER: W3327356 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. /LTR TYPE OF INSURANCE I D BR POLICVNUMBER POLICY EFF MM/DOIV A` LIMITS Santa Ana, CA 92701 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE OR PREMISES Ea acwnence $ 1,000,000 MED EXP (Any one person) $ 15,000 A X DEDUCTIBLE=NONE y BKS (18) 57 30 00 89 09/01/2017 09/01/2018 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ X ANY AUTO A AUTOS ONLY ALITo5ULE0 BAS (18) 57 30 00 89 09/01/2017 09/01/2018 BODILY INJURY (Par accident) $ 1AUTOS HIRED NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE $ Peraccident Liability Ded NIL $ UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CL A, DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBERE%CLUOE07 ee NIA 9023752-17 09/01/2017 09/01/2018 X PEk DTH. STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, descibe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate holder, its officers, agents, and employees are included as an Additional Insured as respects to General Liability. CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD as ID: 14982363 BATcB: 424984 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Attn: Purchasing Department 20 Civic Center Plasa Santa Ana, CA 92701 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD as ID: 14982363 BATcB: 424984