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CHAZPAR-01 SKUMAR1 A� o CERTIFICATE OF LIABILITY INSURANCE OAT/1112020 Y) 3/11/2020 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 License # 0757776 HUB International Insurance Services Inc. 16030 Venture Blvd., Suite 500 Encino, CA 91436 cNTACT Donna Jones ME: PHONE PAX (AIC(,dNo, Ext: (310 ) 534-7992 A/C, No: ppOR`` $: donna.jones@hubinternational.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: Travelers Casualty Insurance Company of Amerlc 19046 INSURED INSURER B INSURER C Chazey Partners, Inc. INSURER D 52 Chestnut Avenue Los Gatos, CA 95030 INSURER E INSURER F : COVERAGES CFRTIFICATF Milld R• RFVISIQN MUMPER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 LTIRA TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP DD LIMITS X COMMERCIAL GENERAL LIABILITY X OCCUR X 68098781741 612112019 6121/2020 EACH 1,000,000 O RENTED nce $ 300ggg An ane areas $ 5,000 B ADV INJURY ffEaoOCCURRENCELNTEU 1000,000 AGGREGATE LIMIT APPLIES PER POLICY PEp LOG GGREGATE $ 2,000,000 GEN'L -COMP/OP AGO $ 2,000,000 ONOWNDE $ Included OTHER: AUTOMOBILE LIABILITY SINGLE LIMIT Ea d ent BODILY INJURY Per erson ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS $ BODILY INJURY Per accident $ PROPERTY AMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAS CLAIMS -MADE DEO RETENTION$ ANDEPLERLBI LIABILITY YIN T PER LITµMOYS E.L EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE FFFICERIMEMBW�,� EXCLUDED? NIA EL DISEASE - EA EMPLOYE $ `Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more s re ace Is quired( Additional Insured applies The City of Santa Ana, it's officers, employees, agents, and representative tPor General Liability policy per attached form #CG Dl 86 11 03. Primary and non-contributory wording applies per attached form #CG DO 37 04 05. 30 day notice of cancellation110 days for non-payment of premium. *REVISED CERTIFICATE* This Certificate voids and supersedes Certificate issued on 03102/20. ROVED CERTIFICATE HOLDER 1:'il L-eL, T UNIS CANCELLATION BY IS 12 20 City of Santa Ana � L Risk Management Division OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th Floor AUUUTTHHOrARCEED REPRESENTATIVE * Santa Ana, CA 92701 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD