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® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDM W) 01/08/2018 I 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(les) 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 _doe t confer rights to the certificate holder in lieu of such endorsement(s). Aon Servi Ces Ce tral, Inc. Minnis MN Offic PRODrapolis CONTACT NAME' (AIC.PHONE El): (952) 886-8000; FAX No : (312) 381-0536 5600 83rd Street 8200r, Suite 1100 EMAIL ADDRESS: - - INSURERS) AFFORDING COVERAGE NAICe Minn MN 55437 USA j INSURE INSURER A: Twin City Fire Insurance Company 29459 IBI Grp 18401 Von U arman Ave. Suite 110 INSURERS: INSURER C: Irvine CA 92612 USA INSURER D: INSURER E: INSURER F: PREMISES Ea occurrence) COVERAGES CERTIFICATE NUMBER: 570069901365 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICYNUMSER MMIDD/YYYY1 IMM/D LIMITS COMMERCIAL GENERAL LIABILITY PO BOX 1988 Santa Ana CA 92702 USA EACH OCCURRENCE CLAIMS- DE ❑ OCCUR PREMISES Ea occurrence) MED EXP (Any one person) PERSONAL& ADV INJURY GEN'LAGGREGATE LIMITAPPUESPER: GENERALAGGREGATE POLICY PRO- LOC PRODUCTS AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY ( Per person) ANYAUTO OWNED SCHEDULED AUTOS ONLYAUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per acodenp PROPERTY DAMAGE Peraccident UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR CI -AIMS -MADE AGGREGATE OED RETENTION A WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR I PARTNER I EXECUTIVE N 41WEID5484 01/1-3720-18 01/13/2019 PER -707 X STATUTE E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? ❑N/A E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) /e, describe under DESCRIPTION OF OPERATIONS be. E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, ABdifional Remarks Schedule, may be attached if mare space is required) Reference: IBI Project 30866 Santa Ana General Plan Circulation Element Update. n rT/VI d'ClEbll� "'�'•0 l CERTIFICATE HOLDER CANCELLATION V. w ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza PO BOX 1988 Santa Ana CA 92702 USA ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD