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ACORO® CERTIFICATE OF LIABILITY INSURANCE `� DATE(MMMOVYYYY) 1 05/29/2018 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(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 CONTACT STEVE SCHNEIDER NAME: PNONE (714) 838-0693 FAX Ne ; (714) 838-9438 Silver Creek Insurance Agency, Inc. ADDRLE ; steve@silvercreekagency.com 17742 Irvine Blvd INSURER B AFFORDING COVERAGE NAIC N Suite 203 INSURER A: SENTINEL INS CO LTD 11000 Tustin CA 92780 INSURED INSURER B INSURER C: White Nelson Diehl Evans LLP INSURER D : 2875 Michelle Ste 300 INSURER E : INlne A• ojb-m-ol CA 92606 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. ILTR TYPE OF INSURANCE ADDL Lum SUER min POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MMIDDIYI'YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR 57SBABH5586 06/01/2018 06/01/2019 EACH OCCURRENCE $ 1,000,000 RENTEDMAGE TO PREMISES Eaoxunence $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY jEo- LOC OTHER: GENERAL AGGREGATE $ 2.000,000 PRODUCTS - COMP/OP AGO $ 2,000,000 $ OMOBILE LIABILITY ANY AUTO OWNED BACHEDULEDAUTOS ONLY UTOS57SBABH5586 HIRED X NONOWNED AUTOS ONLY AUTOS ONLY 06/01/2018 06/01/2019 COMBINED SINGLE LIMITEa accident $ 1,000,000 BODILY INJURY(Per person) $ P BODILY INJURY(Per accident) $ PROPERlZDAMAGE paraccitlent $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 57SBABH5586 06/01/2018 06/01/2019 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DED I X I RETENTION$ 10000 PR/COMP OPS AGG $ 4,000,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y OFFICEPJMEM ER EXCLUDED?ANY ECUTIVE 1 (Mandatory In NH) H yes, describe under DESCRIPTION OF OPERATIONS below NIA 57WECDX4233 06/01/2018 06/011201g IPER OH_ STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1.000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached it more space Is required) Those usual to the insured's operations. The City, its officers, employees, agents, volunteers and representatives are named as additional insured per additional insured form SS00080405 attached to this policy. Business liability waiver of subrogation applies. Coverage is primary and non-contributory. 30 day advanced notice of cancellation, 10 day notice for non-payment. City of Santa Ana Clerk of the City Council 20 Civic Center Plaza (M-30) Santa Ana CA 92702-1988 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ,,��1 rob �,1 10