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CERTIFICATE OF LIABILITY INSURANCE DATE(MY'
<br />08/17/2018
<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 INSURERS), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollCy(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 lieu of such endorsement($).
<br />PRODUCER
<br />CONTAC
<br />NAME: ANA LEE
<br />INSURANCE LAND INSURANCE SERVICES PHONE .213-388-5505
<br />4032 WILSHIRE BLVD E,MAp A/CNo 213-388-714
<br />3UITE 309
<br />INSURANCELANDOGMAIL.COM
<br />LOS ANGELES INSU 8 AFFORDING COVERAGE r1AES
<br />CA 90DIG INSURMA:EVANSTON INSURANCE COMPANY 35378
<br />INSURED INSURERS: UNITED FINANCIAL CASUALTY:CO. 11770
<br />VALLEY MAINTENANCE CORPORATION }�-ap��=�C.� INsuFMRC:UNITED STATES LIABILITY I S. CO. 25895
<br />10002 PIONEER BLVD. SUITE 101 -A-C 17-Ja5 INSURER D: ICW GROUP 27847
<br />SANTA PE SPRINGS
<br />INSURER E: TRAVELERS CASUALTY AND SURETY: COUP 19038
<br />CA 90670
<br />COVERAGES reorle,r ATv a INS F:
<br />ON
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE
<br />BEEN ISSUED TO THE INSUR DENAMID ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
<br />DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES
<br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
<br />MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />N
<br />LTR
<br />TYPS ORINBURANCE
<br />POLICY NUMBER
<br />M UCY lFP
<br />POLICY EIfP
<br />LaY15
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAJMSMADE © OCCUR
<br />3AA183369
<br />OB/13/1015
<br />OS/13/3019
<br />EACHOECC,TOU�s� E
<br />i 1,000,000
<br />ISES Ea u
<br />$ 100,000
<br />A
<br />MEDEXP(An one enan
<br />S 51000
<br />PERSONAL B ADV INJURY
<br />S 1,000r000
<br />x
<br />GEN'L AGGREGATE UMli APPLIES PER;
<br />GENERAL AGGREGATE
<br />S 2,000,000
<br />PdJCV❑JEEP LOC
<br />PRODUCTS-COMP/OPAGG
<br />S INCLUDED
<br />OTH R:
<br />AUTOMOBILE LMBILITY
<br />COMM. PROP! OTIT®t8
<br />S 25,000
<br />0629218$-0
<br />11/02/2017
<br />11/02/2015
<br />eecrl.Nq INGL LIP
<br />i 2,000,000
<br />B
<br />ANY "IRO
<br />ALL OS SCHEDULED
<br />BODILY INJURY(Per parson)
<br />$
<br />BODILY INJURY (Pa scan.,)
<br />i
<br />AUTOSSCHED
<br />AUTOS AUTOS
<br />NON -OWNED
<br />HIRED AUTOS AUTOS�MDAMAGE
<br />S
<br />AGGREGATE
<br />S 1,000,000
<br />UMBRELLA LUIB
<br />(.`
<br />OCCUR
<br />EXCESS LIAR CLAIMS -MADE
<br />XL1578400A
<br />5/02/20185/02/2019
<br />EACH OCCURRENCE
<br />S 51000,000
<br />AGGREGATE
<br />$ 51000,000
<br />DED RETENTION
<br />WORKERS COMPENSATION
<br />PRODUCTS
<br />S 5,000,000
<br />AND EMPLOYERS' UASILMY YIN
<br />WSA5037498 01
<br />8/13/2018
<br />8/13/2019
<br />T TANY '
<br />D
<br />OFFICERAIEMBERMLUDDEEDi�CUTIVE
<br />NIA
<br />E.L. EACH ACCIDENT
<br />E 11000,000
<br />In
<br />EL. DISEASE SA EMPLOYE
<br />i 1,000,000
<br />IlMyyas, OeOary
<br />e wEer
<br />E.1- DISEASE - POLICY UNIT
<br />S 11000,000
<br />DESCRIPTION OF OPERATIONS palow
<br />E
<br />CRIME
<br />105620659
<br />05/24/2018
<br />05/24/2019
<br />THIRD PARTY
<br />$1, 000, 000
<br />DESCMPTIONOFOPEMnMSILOCATIONS)VEHICLES ("CORD t01,AE,Er1onU RamT,ta SCMCON, may peam<na4lr mon ApAn M,pulre0l
<br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRENTA{'8 ARE
<br />NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY.
<br />CERTIFICATE HnI nco
<br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBE LICIE6\ 5jkEELLED BEFORE
<br />THE EXPIRATION DATE THERE OTICE E DEWERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS, �C 20 CIVIC CENTER PLAZA
<br />AUTHORIZED REPRESENTATIVE
<br />SANTA ANA CA 10163-4668
<br />w�
<br />01988.2014 ACORD CORPORATION. All riahfs reserved_
<br />• ••- • I 1 ,IC m�umu name ana logo are registered marks of ACORD
<br />
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