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A� H CERTIFICATE OF LIABILITY INSURANCE ATE (MMMDIYYYY D6/28/20 e ) 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 Llzette Barges Amorelli, Roseman & Associates Insurance Services PHONE (909)987-7600 aC No:(909)987-7656 -MAIL lizetteb@arainsurance.com ADDRESS: 3333 E Concours St Building 9-200 INSURERS AFFORDING COVERAGE NAIC B INSURERA:State Comp. Insurance Fund 35076 Ontario CA 91764 INSURED INSURER B : INSURERC: Mdg Associates, Inc. INSURER D : INSURER E: 10722 Arrow Route Ste 022 INSURER F: Rancho Cucamonga CA 91730 COVERAGES CERTIFICATE NUMBER:18/19 WC 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 7ypE OF INSURANCE ADD BR POLICY NUMBER POLICY EFF (MMIDDprfYY1 POLICY EXP IMMIDDIVYYY1LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED MI EB Ea occurtence $ MED EXP(My one person) $ PERSONALS ADV INJURY $ GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per Person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccidenl $ NON -OWNED HIRED AUTOS AUTOS 8 UMBRELLALIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION ANDEMPLOYERS'UABILITY YIN PER OTH- R STATUTE ER E.L EACH ACCIDENT $ 1,000,000 ANY PROPRIETOWPARTNERIEXECUTIVE A (FFICEWMEMBER EX ❑NIA Mandtory in NH)CLUDED7 1980750-18 7/1/201B 7/1/2019 E.L. DISEASE -EA EMPLOYE $ 1,000,000 H yes, tlescdbe under DESCRIPTION OF OPERATIONS bad. E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) PROOF OF INSURANCE FOR CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: TERRI EGGERS, SENIOR MGMT ANALYST ACCORDANCE WITH THE POLICY PROVISIONS. COMMUNITY DEVELOPMENT AGENCY AUTHORIZED REPRESENTATIVE 20 CIVIC CENTER PLAZA SANA ANA, CA 92701 _ Lizette Bazgas/JULIO 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) INS025 oounn The ACORD name and logo are registered marks of ACORD