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667979 Miller Mendel, Inc. Certificate of Insurance (page 1 of 1) 01/08/2018 10:00:49 AM T ® ACICERTIFICATE OF LIABILITY INSURANCE DATE(MMIOD/YYW) 1/612016 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 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 CONTACT NAME: PNONE 800-668-7020 uc Not, (877) 826-9067 Techlnsurance 000 30 N. LaSalle, 25th Floor 0000 30 Chicago, IL 60602 E-MAIL ADDRESS, COMMERCIAL GENERAL LIABILITY INSURERS AFFORDING COVERAGE NAIC Ii INSURER A: Beazley Insurance Company Inc. 37540 INSURED Miller Mendel, Inc. /1 2�(�.--i51 �DI INSURER B: Sentinel Insurance Company, Limited 11000 INSURERC: Hartford Casualty Insurance Company----- - - 29424 INSURER D 32410 Dutch Canyon Rd /'� Scappoose, OR 970564001 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 R TYPE OF INSURANCE ADDL SURR POLICY NUMBER EFF MM/DDYNYYY TY EXP M/DD MtYYYY LIMITS 1/ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F✓ OCCUR DAMAGE T RENTED PREMISES Meoccurrrence $ 1.000,000 MED EXP (Any one person) $ 10,000 STOP GAP (see belowfor limits) PERSONAL B ADV INJURY $ 1,000,000 B Yes 46SBMUF4112 12126/2017 12/26/2018 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 POLICY ❑ JECT PRO- r-1LOC PRODUCTS - COMP/OP AGG $ 2,000.000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ We accident 1.000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALLOWNED SCHEDULED AUTOS 46SBMUF4112 12Y26/2017 12/26/2018 PROPERTY DAMAGE $ Per accident) B , , NON-0WNED HIREDAUTOS AUTOS Yes $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE ❑ OFFICEWMEMBER EXCLUDED? Y (Mandatory In NH) NIA 46WECAA9PY1 11/20/2017 11/20/2018 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 7,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below F . DISEASE -POI CYI IMIT $ 7,000,000 A Professional Liability(Emors and Omissions) V177137160301 12/26/2017 12/26/2018 $1,000,000/$1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) I City of Santa Ana is named as Additional Insured as their interests may appear in regards to general liability and automobile liability. (�o g iea.uoCeara City of Santa Ana 20 Civic Center Plaza 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 I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD