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AC"RV CERTIFICATE OF LIABILITY INSURANCE DATE (MMI/D 01/03 /2018018 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 AU Insurance Services 10825 Old Mill Rd Omaha, NE 68154 CONTACT NAME: PHONE (877)234-4420 AIC. No,Ezq: FAX (A/C, No): (877)234-4421 E-MAIL ADDRESS: PRODUCER (877)234-4420 CUSTOMERID# INSURER(S) AFFORDING COVERAGE NAIC N INSURED INSURER California Insurance Co. 38865 INSURER. B: U.S National Corp. 10205 San Fernando Rd INSURER C: Pacoima, CA 91331-2618 INSURER D: CTL 1273 1412949 INSURER E: INSURER F: COVERAGES CFRTIFICATE 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 LTR TYPE OF INSURANCE ADD INSR SUB MD POLICY NUMBER POLICYEFF MM/DD P000YE)fP MMIDDIYYY GENERAL LIABILITY EACH OCCURRENCE $ DAMAGETORENTED. $ COMMERCIAL GENERAL LIABILITY ❑❑ CLAIMS MADE EOCCUR MED EXP (any oneperson) $ PERSONAL &ADV INJURY $ GENERALAGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: $ PRODUCTS MPOP AG $ PRO - POLICY F JECT 17 LOC AUTOMOBILE LIABILITY ANYAUTO ❑❑ COMBINED SINGLE LIMIT Ea accident $ ALL OWNED AUTOS BODILY INJURY Per erson $ SCHEDULEDAUTOS $ BODILYINJU Pera HIREDAUTOS PROPERTY DAMAGE Per accident $ $ NON -OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESSLIAB CLAIMS MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION X WCSTA ITS I OFIR A ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERY/EXECUTIVE OFFICER/MEMBER EXCLUDED'! (Mandatory In NH) NIA ❑ 4 6 - 5 2 0 6 1 7 - 0 1 - 0 2 11/14/2017 11/14/2018 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 1, 000 , 000 $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 If Yes, describe under SPECIAL PROVISIONS below El� DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach Acord 101,Additlonal Remarks Schedule,if more space is required) 2of 8 . c0l;- APA.A.t 7 of 7 City of Santa Ana 20 Civic Center Place Rm 429 PO Box 1988 Santa Ana, CA 92702 Attn: Purchasing Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILLBE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATW- 8336 ACORD CORPORATION. All rights reserved