WATER WISE PRO TRAINING (2)-2018

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A� ®� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 04/18/2017 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 CONTACT NAME: Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue PHON o EW' (888) 202-3007 FAXA/CNo: E MAIL contact@ �hISCOX.COm hiscox.com INSURERS AFFORDING COVERAGE NAICk 32nd Floor N�2o�o-04A INSURERA: Hiscox Insurance Company Inc 10200 New York, NY 10022 1 V 1 INSURED INSURER B: Steven Hernandez INSURER C: 1521 Memorial Drive INSURERD: Apt. C INSURER E: Hollister CA 95023 INSURER F: - OUVtKAUt:S CERTIFICATE NUMBER: aFvlslnm NII INnaco. 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 LTR TYPE OF INSURANCE gDDL SUBR POLICY NUMBER POLICY EFF OLICYYYY POLICY EXP MM/DDIYYYV LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR EACH OCCURRENCE $ 2,000,000 DAMAGET RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 A UDC-1955669-CGL-17 04/18/2017 04/18/2018 GEN'L x AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ SR Gen. Agg. $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT To accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PRO PERTYDAMAGE Peraccident $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE_ _ $ DED RETENTION $ $ WORKERS COMPENSATION ANDEMPLOVERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICE RIMEMSEREXCLUOE09 ❑ NIA PER OTH- _STATUTE ER E.L. EACH ACCIDENT $ EL DISEASE-EAEMPLOYEE $ IMandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) �8 fd -e eaj'=2 City of Santa Ana,its officers, employees, agents, and representative are named as additional insured. Specifically the City Water Division, who services will be given to. 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 L0,14 3 1988-2014 ACORD C reserved. AI Umu LD (LU'l4/U'1) I he ACURD name and logo are registered marks of ACORD