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WESTCOM-16 --a NZ
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 04/2612018Y)
<br />164726/2616
<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 INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the po)(cy(tas) must have ADDITIONAL INSURED provisions or be endorsed,
<br />IfSUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an ondomement. A statement on
<br />this Certificate does not confer rights to the certificate holder in lieu of such andorsement(s).
<br />PRODUCER
<br />INSURED
<br />Insurance Services Inc.
<br />re.. Ste 300
<br />Westbound Communications, Inc,
<br />825 The City Drive, Suite 480
<br />Orange, CA 92868
<br />779.8575
<br />nwhco rcnrrcrnxrc inrX�nco. GCUMMa uruuRMO.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />. - __- _ _
<br />IN$R 4ADOL SUDR� POLICY EEE POporyYP
<br />TYPE OF tNSUAANCE POLICY NUMBER LIMITS
<br />JtI .. IMMIDtlY/YWt IMMItlO!•IYYYL
<br />A X COMMEROAL GENERAL LIABILITY i LACH OCCURRENCE y 3_ 2,000,00 0
<br />-._ RAMAGE TO RFNTED 100G,00b)
<br />Cs�rleas+nAL7E X OCCUN X X �72SBAIB4627 OWOW2018 0510612019 ._Pgr„p3IgES (E, L, .rvd+col $._ _.0,00._
<br />1000"0
<br />i I_PER$ONAt 8 ApV INJt1RY �
<br />21000,000
<br />00
<br />ifim AGCR£eATE UWT APPLIES PER S.UENFRALAGGGRE6y1rF _ A,O O,O
<br />X POLICY LOC PRODUCTS =COMP()P ADD 3 _ 4000,000
<br />OTHER_..__.._...
<br />A AUTOMOBILELIAaILnY COMB INE0 SINCL P LIMir 2000,000
<br />ANY AUTO ''72SBAIB4627 05106/2018 06106/2019 eCUILYIWU$YjPSr pa+con}-
<br />._—. OWNED i Scr .DU ED _
<br />,_., Auras OtZLY
<br />___;AUTOS -Egon Y ea,iwzY jeer acaaa.0 s
<br />X..., NAL"nL�... PgqOPERTYpAMAGE
<br />�N
<br />ONLY
<br />_XUMBREE LA UAS ..-_.O_...._,.... ---•''1-
<br />A ''. LLA LIAe X OCCUR ' �......... '. £:Af,T1000URRENCE '. $ 2,000,000
<br />EXCE$SLiAa _ CLAIMS .72SBAIS4627 0510672018. W0612019 ACOREOATE �1_ 2,000,000
<br />DED X RETENTIONS 10,000 .. _
<br />B WORKERS COMPENSATION X PL5TAit1TF QrII
<br />AND EMPLOYERS LIABILITY
<br />Y+672WECLR3783 09128/2017 0912812016', 1000,000
<br />ANY PROPRIETOR/PARTNERaXEOU NE ' EL EACH ACCIDENT $.
<br />4p�FICENMFMBEn EXCLUDED' Y NtA --""—
<br />+{MantlPvPV lR NHt
<br />EA EMRLOYE ^E.t_DtSEASE-S 1x000,000
<br />i Pymm. d'"CAba m,ae, i.. ..� li _..._
<br />_ OESCRtPT1C1N dFOi'ERATION4 §nlav iE�ISEASE. PQLIT�Y '+r3 1x000,000
<br />C 'Pofessional Liam MCN000234351701 09725/2017 09125/2018 iPOr Claim TT�3,000,000
<br />C !Retention: $10,000 ,IMON000234351701 -, 09125/201710912512018 ;Aggregate 3,000,000
<br />DESCWTKM Of OPERATIONS! LOCATIONS t VERICLES IACORO tel, Add ftmai Rsm AS Schedale, may pa anAohed emwx mpncA+s.""m )
<br />The City of Santa Ana, It's otOcers, employees, agents, volunteers and representatives are Addhionai I "LlIn
<br />In regards to General Liability per farm
<br />IH12001185 which Includes 30 Day Notice of Cancellation. Primary & Non -Contributory wording and Waiver of Subrogation coverages apply to the General
<br />Liability policy when required by written Contract per the attached endorsement SS0008 04!05 (pgs. 16.17 of 24).
<br />PCDTICU'ATC unt Inca r`arer:Pl i AnnM
<br />ACORD 25 (2016103) O 1986.2015 ACORD CORPORATION. All rights reserved.
<br />are registered marcs of ACORD{"
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />GE WILL 8E bEWYERED IN
<br />THE EXPIRATION DATE THEREOF, ACCORDANCE WITH THE PORGY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />•-- ------
<br />AVTTHHORtZED REPRESENTATIVE
<br />ACORD 25 (2016103) O 1986.2015 ACORD CORPORATION. All rights reserved.
<br />are registered marcs of ACORD{"
<br />The ACORD a nl io o
<br />r,.
<br />I
<br />
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