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vc c�ir[ r CERTIFICATE OF LIABILITY INSURANCE DAM MMIDhiYYYY)
<br />05/18/2.018
<br />THIS CERTIFICATE IS ISSUED ,A5 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIICATE 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: T the certificatlr holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject tO the terms and conditions of the Ipolicy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such inndorsement(s).
<br />PRODUCER c0 T CT - --
<br />NAM
<br />INSURANCE ]SAND INSURANCE SERVICES PHOE. ANA LEE
<br />NE
<br />4032 WILSHIRE BLVD PNc ,E,n. 213-388-5505 lac Nm. 213-388f-714:8
<br />SUITE 309
<br />nooses$: INSURANCELANDQGMAIL. COM
<br />LOS ANGELES INSURER(S) AFFORDING OOVFRAGE NPJCq _
<br />CA 90010 INSURER A: WESTERN WORLD INSURNACE COMPANY
<br />INSURED
<br />INSURER a. FINANCIAL INDEMNITY COMPANY
<br />VALLEY MAINTENANCE CORPORATION INSURER C_UNITED STATES LIABILITY INS, CO,
<br />INSURER.: ICW GROUP -
<br />10002 PIONEER BLVD. SUITE 101 INSURER E: TRAVELERS CASUALTY AND SURfETY CO,
<br />SANTA FE SFIRINGS CA 90670 ---
<br />COVERAGES
<br />— r•curm,,.. r�.,,,..� INSURER F;
<br />THIS
<br />IS TO CERTIFY THAT THE 101-10ES
<br />OF
<br />INSURANCE
<br />LISTED BELOW HAVE BEEN
<br />ISSUED TO
<br />THE INSURED
<br />NAMED ABOVE FOR
<br />INDICATED,
<br />NOTWITHSTANDING ANY REQUIREMENT,
<br />TERM OR CONDITION OF ANY
<br />CONTRACT
<br />OR OTHER
<br />THE
<br />DOCUMENT
<br />POLICY PERIOD
<br />CERTIFICATE
<br />MAY BE ISSUED OR MAY
<br />PERTAIN,
<br />THE INSURANCE AFFORDED BY
<br />THE POLICIES
<br />WITH RESPECT
<br />TO WHICH THIS
<br />EXCLUSIONS
<br />AND CONDITIONS OF SUCH
<br />POLICIES,
<br />LIMITS SHOWN MAY HAVE BEEN
<br />DESCRIBED
<br />HEREIN IS SUBJECT TO
<br />ALL THE TERMS,
<br />INSR
<br />REDUCED BY
<br />PAID CLAIMS,
<br />I.TR
<br />TYPE OF INSURANCE _711
<br />POLICY NUMBER
<br />POLICYEFF
<br />hiMIDD VYV
<br />POL CY EXP
<br />MMIDDIYWY
<br />LIMITS
<br />--
<br />LIASILIPEACHOCCURRENCE
<br />08/13/201700/13/20M
<br />00,000
<br />IS-MADE©OCCUR472118
<br />FCOMMEARCTZOENERAL
<br />G NTPRE SESIEeaoou,,,,,
<br />$ 10(I,000
<br />MED EXPAnyonaerson
<br />$ 5000
<br />A
<br />PERSONAL&ADV INJURY
<br />$ 1, 000, 000
<br />GEN'L AGGREGATE LIMIT APPLIES PERGENERgLAGGREGATE
<br />$ 2,00(1, 000
<br />Vi POLICY C]PRO❑JTL00
<br />PRODUCTS-COMPIOPAGG
<br />$ INCLUDED
<br />OTHER. _ —
<br />AUTOMOBILE LIABILITY
<br />CONTRG.PRDPERTY OTHI3R9
<br />$ 2EI, O(JO
<br />06292185-0
<br />:Ll/oz/2o1711/Da/Iola
<br />CON SIRED 5INGLE LIMIT
<br />Ee accident
<br />$ 21000,000
<br />E
<br />ANY AUTO
<br />ALL OWNEII SCHEDULED
<br />BODILY INJURY (Par pamon)
<br />.__
<br />$
<br />BODILY INJURY (Pei accitlanl)
<br />_ _
<br />$
<br />AUTOS AUTOS
<br />NON-0VJNE'.0
<br />HIRED AUTOS
<br />_ _ AUTOS
<br />PeEamldanlDAMAGE
<br />_._
<br />$
<br />UMBRELLA LIAR
<br />—
<br />AGGREGATE
<br />$ 1, 000, 000
<br />C
<br />EXCESS LI11B
<br />OCCUR
<br />CLAIMS
<br />XL1578400A
<br />15/02/20185/02/2019
<br />EACH OCCURRENCE
<br />$ 51000_000
<br />-MADE
<br />DED DETENTION$
<br />WORKERS COMPENSATION
<br />AGOREGA'$E
<br />$ 51 000', OUO
<br />PRODUCTS
<br />$ ��D', OOO
<br />AND EMPLOYERIP LIABILITY YIN
<br />WSASQ37498
<br />(I/13 /2017
<br />8/13 /2018
<br />PTATUTE 0R
<br />-__
<br />D
<br />AOFFICE�MEMBER EXCLUDED? ❑VIA
<br />E,L. EACH ACCIDENT
<br />$ I, D00, 000
<br />(Mantletory in NH)
<br />E.L. DISEASE- EA EMPLOYE
<br />$ 1, 000, 000
<br />Ilyyes. Il.-be undo!
<br />DESCRIPTIONOF OPERATIONS below—
<br />E.L. OISEA$iE POLICY LIMIT
<br />$ 1,000., 000
<br />E
<br />CRIME
<br />:110-96206-519
<br />U5/24/2D19
<br />05/24/2013
<br />THIRD PARTY
<br />11000.1000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES -(ACORD -181, Atltlitintlel RnmarES Schedule, may b..ft.0ed if re...Pa6e la regWrotl)
<br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVE ARE
<br />NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY PER THE ATTACHED'
<br />FORM.
<br />CERTIFICATE Well nGA
<br />CITY OF SANTA ANA SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN
<br />20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTHORIZED REPRESENTATIVE
<br />SANTA ANA CA 10163-4668I !� -1S
<br />I t
<br />©1988-20'14 A
<br />ACORD 26 (2014i01) The ACORD name and logo are registered marks of ACORD
<br />
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