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A� & CERTIFICATE OF LIABILITY INSURANCE DATE 04/04/2018VVV) 04/04/2018 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 NAME: PAYCHEX INSURANCE AGENCY INC 150 SAWGRASS DR ROCHESTER, NY 14620 PHONE AIC FAX No Ext: 877 362-678$ AIC, No: S]] 677-044] E-MAL ADORIES$, paychex tra elem.com INSURER($) AFFORDING COVERAGE NAIC N (877) 362-6785 INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA INSURED AMERICA ON TRACK INSURER B: INSURER C: 600 W SANTA ANA BLVD INSURER D : STE 710 SANTA ANA, CA 92701 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 255197711591490 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/OOIYYYY POLICY EXP MMIDDIYYYV LIMITS COMMERCIAL GENERALLIABILITYEACH CLAIMS -MADE OCCUR OCCURRENCE $ DAMAGE TO ENTED PREMISES Ea occurrence $ MED EXP An one erson $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ❑ PRO. ❑ POLICY JECT LOC GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO AOSCHEDULED AUTOS AUTOS BODILY INJURY (Pat eccldent) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Peraccident) $ $ UMBRELLA LIAB IOCCUR EACH OCCURRENCE $ EXCESS LIAB I CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN NIA UB-603M4278-18 01/01/2018 01/01/2019 X STATUTE OR E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 f yes, describe under DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF SANTA ANA 20 CIVIC CENTER PLAZA M25 SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD