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ACORO® CERTIFICATE OF LIABILITY INSURANCE `..� DATE (Mm'/2019yY) 05/062019 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 NAME: STEVE SCHNEIDER PHONE (714) 83&0693 nAic Ne ; (714 838-9438 Silver Creek Insurance Agency, Inc. E-MAIL stave silvercreeka en cem ADDRESs: @ 9 cy 17742 Irvine Blvd INSURERS AFFORDING COVERAGE NAIC N Suite 203 INSURERA: SENTINEL INS CO LTD 11000 Tustin CA 92780 INSURED INSURER B: INSURER C White Nelson Diehl Evans LLP INSURER D: 2876 Michelle Ste 300 INSURERE: / (� Irvine ��a��Q -QI 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. INBR LTR TYPE OF INSURANCE ADDL SU a POLICY NUMBER MMI POLICY MMIDDY� LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Q OCCUR X 57SBABH5586 06/01/2019 06/01/2020 EACH OCCURRENCE $ 1,000,000 PREMSES Ea occu ance $ 1,000,000 MED EXP(An one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT LOG OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED A AUTOS ONLY UTOS NON -OWNED AUTOS ONLY X AUTOS ONLY 57SBABH5586 06/01/2019 06/01/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Par person) $ XHIRED BODILY INJURY (Per amdent) $ PROPERTY DAMAGE P r c id n $ $ A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 57SBABH5586 06/01/2019 06/01/2020 EACH OCCURRENCE $ 4,000,000 M AGGREGATE $ 4,000,000 DEC x RETENTION $ 10000 PR/COMP OPS AGG $ 4,000,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y OFFICERIMEMBEER EXCLUDED?ANY I (Mandatory in NH) M yes, describe under DE SDRIPTION OF OPERATIONS below NIA 57WECDX4233 06/01/2019 06/01/2020 PER OTH- 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, Addl onal Remarks Schedule, may be attached If more space is required) Those usual to the insured's operations. The City, its officers, employees, agents and volunteers are named as additional per additional insured form SS00080405 attached to this policy. Certificate holder is automatically added as additional insured when required by written contract. Business liability wavier of subrogation applies. Coverage is primary and non-contributory ycn „�,yn, c n yMIYyCLLM 11V1Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE P.O. Box 1964 Santa Ana CA 92702-1964 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD \ 'd _ u \ \li