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ac r Ra v" CERTIFICATE OF LIABILITY INSURANCE ,A"'RNT '' <br />�. 5/6./201- <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER <br />IMPORTANT: it the Certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. H SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not center rights to the <br />to rtif Gate holder In lieu of such and OEseme nt s . <br />PRODUCER NAME. Sara Davia <br />WONE <br />Insurance Solutions �Ax6 Nq. mB (949)348-7400 �; .'.•No„•:..: ....-xr7s <br />License $0746539 APPURE”: saradeine-solution. con <br />33302 Valle Rd, Suite 200 AFFO RDINC,-OVFH Ar., NIeCi <br />San Juan Capistrano CA 92675 .INsuRERAhawc, Insurance Co 19100 <br />MUREDINSURER B <br />DR GARY A LINNEIUM 1m INSURER C: <br />1534 8 WARNER Avg STE A INSURER D: <br />NSURER E <br />SANTA ANA CA 92705-5475 INSURER IF <br />C.nVFRAOCS CERTIFICATE NU MBER:17-18 REVISION NUMBER' <br />THIS IS TO CERTIFY THAT THE PauCIES Of wsukATICE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INBR LIK TYIIK FINWRANCE =LSUER Tau v LY POKY 6.]I► <br />LaeTa <br />X COMMERCIAL GENERAL LIABILITY <br />e,ACH CCCUiPENCE 8 <br />1,000,000 <br />C <br />DAAAGRENTED <br />EN <br />i_oe.Doo <br />WOCCUR <br />A CMS -MADE <br />p U SES om ) I <br />• ILCP7821875918 fid/2017 6/6/2016 <br />MED EXP(Ary am pera0e) S <br />5,000 <br />PERSOHALaA0vewViY f <br />1.000,000 <br />GEHLABGRIEeATE APPLIES PER: 4 I <br />GENERA AGOREISATE 6 <br />2. DOC, 000 <br />pNRIRpT <br />r POIICT JCyT Lac <br />.. PRODUCTS.- COMP00P AGO .i <br />2, DOC. 000 <br />s <br />u^• • uAsafry <br />• a <br />1,008,080 <br />A w AUTO <br />BODILY INJURY (Per person) S <br />A <br />ALLONTIEDSCHEVU ED ACP7621675116 6/6/2017 8/6/2012 <br />BODILY INJURY OW wdda%) i <br />AUTOS <br />AUTOS <br />PRO DAMAGE S <br />WIRED AUTOSAUTOS <br />iX <br />a <br />UmnR LS L" OCCUK <br />EACH Oelcio INC! _ <br />F &Ss UAR DLNMcup:TE <br />AGGREGATE. <br />DFD HFrI,N',I <br />NTJPoLEN6 CUMPEa5Anok <br />ANO EMPLOYERS LIABILITY YIN <br />A". <br />A". PROPRIETORIPARTNEIVEXECUTIVE <br />E.LBAOIALCK*W s <br />C FICERIMEMBER EXCLUDED? <br />oty.�.k"In 111 <br />6.1 DLA -EA a <br />DESCRN>TION OP OPERATIONS bebr <br />EJ_ UMLOM-POLICY LUT <br />OEOr.RrPnoR nP OPEawnms I LOCAnome rYEINLF CA yAcoNb rm, Atlele w R«n,rtA Bch Wu In. m,y M etr c Hnwn ,pew In�Ir.dl <br />The City of Santa Ana, its officers, employees, agents and volunteers are <br />included an additional <br />insured <br />per the attached endorsement. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />All r HORIL'0 RLP RL 5 LN I A I I':L <br />Alessandra/PETERS—^•'�' <br />®1968-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 (2owl) <br />