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A-- mo l$ - oZ91 L CERTIFICATE OF LIABILITY INSURANCE _./ DATEIMNVDDNYYYI 4/2/2018 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(les) 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 Kellogg 6 Moreland Agency, Inc. DHA Arroyo Insurance Services 1654 Plcun Lane Redlands CA 92374-4532 CONT NAME: CT ,7Uhe Rybak ._ _�_ PHDNE (909j792_8950 FAz INC. No(909)792-2030 nMRe ,iulier@arroyoins. com INSURER(Sj,AFFOR„OING,COVERAGE NAIC0 INSURERAMesa Underwriters S ecialt INSURED TR Holliman Associates Inc 3543 Citrus Avenue Highland CA 92346 INSURERB:United Financial Casualty CO 11770 INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:CL17111704239 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 INSURANCE9= L SUWR Sam POLICY NUMBER POLICY EFF IMMIQQyYYYY) POLICY EXP IMNVOONYYYJ UMns X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A CLAIMS -MADE Fx_1 OCCUR riweRrEa— PREMISES $ 100,000 MED EXP onePerson) $ 5,000 X Y trID000401800293S 11/17/2011 11/11/2018 PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE UNIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY 0PRO- JECT 11 LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED Ea adent SINGLMI cci$ 11000,000 BODILY INJURY (Per parson) S B ANY AUTO ALL OWNED X SCHEDULED AUTO AUTOS X Y 04196679-0 10/10/2017 10/10/2018 BODILY INJURY (Par accident) $ PROPERN DAMAGE Per acrldent $ 'Y NON OWNED HIRED AUTOS X AUTOS Unnaured motorist Blsplit floor $ 100,000 UMBRELLA UAB OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION Is WORKERS COMPENSATIONH' AND EMPLOYERS' LIABILITY YIN ANY MOPRIETOWPARTNERIEXECUnVEEI STATUTE ER _ EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory In NH) EL DISEASE - EA EMPLOYE S Vas describe u NIK DESCRIPTION OF OPERATIONS balmy .._......_.__._...._.._...._.._.._.._._ EL DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Addh onal Ronerka Schedule, may be attached H more apace Is required) City of Santa Ana, Its Officers, Employees, Agents, Volunteer and Representatives are Additional Insureds per endorsements 14US010120127, 1198 and 8610. Vv 4- c/I 404-4- �� 1 i / City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOPo2ED REPRESENTATIVE ie Rybak/PAT ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)