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r ® DATE (MM/DD/YYYY) A�!z® CERTIFICATE OF LIABILITY INSURANCE 5/26/2020 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 CONTACT NAME: ChrlSt N U en Bowermaster & Associates PHONE FAX 10805 Holder St c •E 714-733-6200 ac No : Ste 350 nDORess : cn.guyen@bowermaster.com Cypress CA 90630 INSURERS AFFORDING COVERAGE NAIC # INSURERA : Ohio Security Insurance Company 24082 INSURED WGRSOUT-01 INSURER B : Westchester Surplus Lines Insurance Company 10172 WGR Southwest, Inc. 11021 Winners Circle , Suite # 101 INSURERC : Los Alamitos CA 90720 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 848122632 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, IY EXP LTR TYPE OF INSURANCE INSD SWVO UER POLICY NUMBER MM/DDIYYYY MM/CY EFF DDIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y G71528790002 5/31 /2020 5/31 /2021 EACH OCCURRENCE $ 10000, 000 DAMAGE RETED CLAIMS-MADE OCCUR PREM SESOEa occurrence) $ 50, 000 MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 1 , 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2, 000, 000 POLICY ❑ PRO LOC PRODUCTS - COMP/OP AGG $ 2,000, 000 X OTHER: $ A AUTOMOBILE LIABILITY BAS58160457 5/31 /2020 5/31 /2021 COMBINED SINGLE LIMIT $ 1 , 000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ B UMBRELLALIABX OCCUR G71528820002 5/31 /2020 5/31 /2021 EACH OCCURRENCE $ 5, 000 , 000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5, 0001000 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATUTE OERH IN ANYPROPRIETOR/PARTNER/EXECUTIVE YN / A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Professional Liability G71528790 002 5/31 /2020 5/31 /2021 Deductible $2,500 11000, 000 Pollution Liability Deductible $2,500 11000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, maybe attached if more space is required) City of Stockton , its officers , agents , and employees are additional insured per attached form . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Stockton , its officers , agents , and employees ACCORDANCE WITH THE POLICY PROVISIONS . Attn : Risk Management 425 N . EI Dorado St AUTHORIZED REPRESENTATIVE Stockton CA 95202 - USA © 1988 -2015 ACORD CORPORATION . All rights reserved . ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD