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CHAZPAR-01 DJONES ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 09106/2018Y) `-� 09/06/2018 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 License # 0757776 AME: cAONrncr Donna Jones N Encino, CA - GNW - HUB International Insurance Services Inc. PHONE I FAX -- 16030 Ventura Blvd. (AIC, No, Ext): (A/C, No): Suite #500 ADDRESS: Donna.Jones@hubinternational.com Encino, CA 91436 INSURED Chazey Partners, Inc. 52 Chestnut Avenue Los Gatos, CA 95030 B: Travelers Casualty Insurance Company of Americ 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. — - - — --- -_ - ---._... -— INSR TYPE OF INSURANCE DL SUBR POLICY NUMBER POLICY EFF MMLICY EXP LIMBS LTR A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE wril OCCUR X 680913791741 EACH OCCURRENCE $ 1,000,000 06/21/2018, 06/21/2019 PRXM3ES ERENTErrDence) $ 300r000 _MEO_EXPSAnLonePerson '_.- $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 — — AGGREGATE LIMIT APPLIES PER: POLICY ma LOC GEN'L GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG_ $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY -Ea COMBINED SINGLE LIMIT accldentl $ 1,000,000 ANY AUTO 6809B791741 06/21/2018 06/21/2019 BODILY INJURY Per arson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY -INJURY tPer accident] L$ X yy ED AUTOS ONLY X AUTOS hp FP OPE itle IrAGE $— UMBRELLA LIAR EACH OCCURRENCE'., $ HOCCUR EXCESSLIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEER/EXECU I WE OFFICER/MEMBEREXCLUDED? j (Mandatory in NH) NIA PER OTH- STALU.T�_I.......... __ _ E_L,-EACH ACCIDENT $ _--- E.L. DISEASE___-_ EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below I—'� - - - E.L. DISEASE- POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, it's officers, employees, agents, and representative are named as additional insured in regard to General Liability, per the attached endorsement form. Primary/Non-Contributory wording applies per the attached form CGD037 04/05. Written Notice of Cancellation of 30 days; except 10 days for Non -Payment of Premium. REVIEWED BY: EUNICE HEREDIA (PG OF ) 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD