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9/4/2018 Insurance Services ,�►coRO� CERTIFICATE OF LIABILITY INSURANCE TE(MMIDDIYYYY) 709/O4/2018 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 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 NAME: Automatic Data Processing Insurance Agency, Inc. PHONE IFAX A,C. No. Ext I.. ND): 1 Adp Boulevard ADDRESS: Roseland, NJ 07068 INSURER(S) AFFORDING COVERAGE NAIC INSURER A: Ratcd by Multiplo CDmpanles INSURED CiiAZEY PARTNERS INC INSURER R INSURER C: 1570 THE ALAMEDA SUITE 306 INSURER D: San Jose, CA 95126 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 973975 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 INISR LTR TYPE OF INSURANCE INSD tyyp POLICY NUMBER (MM,DD,YYYY POLICY LIMITS COMMERCIAL GENERAL LIABILITY GLAINIS-NIADE UCCUR EACH OCCURRENCE $ 1"PREMISES (Ea occurrence) $ MED EXP Any one person) $ PERSONAL & ADV INJURY $ GENL AGGREGATE LIMIT APPLIES I'ER: POLICY PROJECT ❑LOCC OTHER' GENERAL AGGREGATE S PRODUCTS - COKIP:CP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS b (Ea accident! 5 BODILY INJURY (Pa person) S BODILY INJURY (Per accident) S i iP,x accld-h $ $ UMBRELLALIAB EXCESS LABCLAMIS OCCUR MADE EACH OCCURRENCE $ AGGREGATE $ UEL RETEh TIGh i $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR PART7:ENEREXECUTIVE Y / N OFFICEWMBEREXCLUDED? N❑ (Mandatory In NH) 11 �— desc�be ands DESCRIPTION OF CPERATIONS below NIA N 76WBGKZ7629 06/01/2018 06/01/2019 �( ST ER DEATUTE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1.000,000 E.L. DISEASE - POLICY UNIT I S 1,000,000 DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES (ACORD 101. Additional Remarks Schedule. may be attached if more space is required) REVIEWED BY: &� EUNICE HEREDIA (PG �ZDF 'I l+C R t l r l L.H I C rl V L-L! CR l.fi1V V C!_L.A I I UIN City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 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 1988-2014 ACORD ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD reserved. https://adpia.adp.com/iSExternal/app/index.html?clientid=2202516&requestFrom=run#/pc 1/1