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ACi0RDr CERTIFICATE OF LIABILITY INSURANCE
<br />TE
<br />DAS/B12ole")
<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. If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. if 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 confer rights to the
<br />certificate holder in line of such endorsoment s).
<br />PRODUCER
<br />GA A Myra Gallegos
<br />Knight Insurance Services
<br />PHONE , (818)662-4200 FA% _(el&I dda-9312
<br />535 North Brand Boulevard
<br />�400aesS,NysaG(9Xnightlns.net
<br />Suite 1000
<br />INSURERS) AFFORDING COVERAGE
<br />RAID
<br />Glendale CA 91203
<br />INSURER A,LSber tv Surplus Insurance Com an
<br />10725
<br />INSURED
<br />INSURER Elvationwide Mutual /Allied
<br />23787
<br />All City Management Services Inc
<br />INSURER C!Hous ton Casualty Comor-anv
<br />42374
<br />10440 Pioneer Blvd # 5
<br />INSURER DNadurance American Specialky
<br />41718
<br />INSURER E:
<br />Santa Pe Springs CA 90670
<br />INSURERF:
<br />COVERAGES CERTIFICATE NUMBER:18/19 Master REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER 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 />ILTR TYPE OF INSURANCE A DL POLICY NUMBER POLICIYYYYF POLICY
<br />M IC YYYY LIMITS
<br />X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11 000, 000
<br />A CLAIMS.MAOE OCCUR U iVTE
<br />PREMISES Ba occur8 _ 50, 000
<br />X 1000200941-03 5/x/a018 5/1/2019 ME6EXP(Rny ono person $ �~ Excluded
<br />PERSONAL &AOV INJURY $ 1.,000, 000
<br />GENT. ACxGREOATE LIMIT AP(fP`�LIES PER, »I UENERAL AGCREGxrE $ 2,000,900E
<br />X POLICY JF T L.] LOC PRODUCTS -CaMP10P 1,11 S 2, O(O, 000
<br />OTHER'. $
<br />AUTOMOBILE. LIABILITY M INEUSINGLE LT T $ 1, 000, 000
<br />dent
<br />$ Xnx
<br />ANY AUTO BODILY INJURY (Per parson) $
<br />AUTOS SCHEDULED ADP3068'I6943G § 9 301a 5/1/2019 RODLY INJURY(Peramfdtl R 5
<br />tl
<br />ALTOS AUTOS `!� //
<br />NON-OSLNEO
<br />HIRED AUTOS AUTOS pROa.1dyn DAMAGE S
<br />9�
<br />UMBRELLA LIAR OCCLR 1st Layev (Pximaxy} EACH OCCURRENCE .> _ 3, 0001 000
<br />C X EXCESS LIAs CLAIMS -MADE ACGREGATE
<br />DEU I X I RETENTIONS 8 aiazCS 0944-01 5J1/2015 5(iJ2019 y
<br />WORKERS COMPENSAnON-'" --"- PER �`O +
<br />AND EMPLOYERS'LIAMUTY YIN ISTAT IER
<br />ANY PROPRBTQRPARTNeWCXEOUHVE Not Applicable E.L. EACN ACCIDENT S
<br />OFFICERNEMEER EXCLUDEDD NIA —_.
<br />(MOddatq'ry in NH) EL. DISEASE - EA EMPLOYE,
<br />hXesdeaoION OFS _ FL, DISEASE,POLICYLIMIT _5
<br />❑yea,RIPTION OF UPERAiiONS below
<br />D Excess Llabildty Zed Layer (Secondary) 5/1/2018 5/1/2019 Each Occurrence in EAceas ut $3,000,000 Occ
<br />$0 Retention ELD30900649700 $3M Primary Limit $5,000,000 Agg
<br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schadrla, may be,, attached it mare space iu naqunad)
<br />Certificate Holder Completed to head; City et Santa Ana, it's officers, employees, agents, volunteers and
<br />respreeentatives.
<br />As respects General Liability and required by written contract; Certificate Holder is named as additional
<br />insures(. Insurance is Primary a Non -Contributory. Waiver of Subrogation applicable,
<br />// 119 J
<br />CERTIFICATE HOLDER DANCE
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City CIE Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL SF DELIVERED IN
<br />20 Civic Center Plaza, M29 ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Santa Ana, CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />Manny Mashhc>ur't, NXSGAL ,✓'
<br />© 1988.2014 ACORD CORPORATION, AN rights reserved.
<br />ACORD 25 (2014101) rThe CORD name and logo are registered marks of ACORD
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