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WESTCOM-16 S _QNZAI.
<br />act a CERTIFICATE OF LIABILITY INSURANCE DAT8111 ° Y"'
<br />0812712018
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsament(st.
<br />PRODUCER '^"'" v w — I , v -- - ,
<br />HUB International Insurance Services Inc. PRONE
<br />(Arc, Na Ezt): (951) 779-8575
<br />3390 University Avenue, Suite 300
<br />E-mAI-mAI cai.c u hubinte
<br />Riverside, CA 92501I ADDB�� @
<br />INSURED
<br />Westbound Communications, Inc.
<br />625 The City Drive, Suite 480
<br />Orange, CA 92368
<br />COVERAGES CERTIFICATE. NUMBER:__. _. _... _ .._ REVISION NUMBER:
<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
<br />OF ANY CONTRACTOR 07HER DOCUMENT WITH RESPECT TO
<br />WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
<br />THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />INSR, TYPE OF INSURANCE Af0DLSDISUBR: WVDPOLICY NUMBER
<br />ITRA
<br />P EPF - POLICY EXP LIMITS
<br />I X i COMMERCIAL GENERALUABIUTY
<br />_
<br />EACH OCCURRENCE $
<br />{' (
<br />2,000,000'
<br />CLAIMS -MADE
<br />LIP-� OCCUR X X 72SBAIB4627
<br />AD MADE TO RENTED
<br />0$/O6/2018i 0$/O6/2019 PREMISES IEa ecrurr ce ,„
<br />1'000'000
<br />MEEU EXP An one PresoN $,
<br />10,000
<br />PER ONAL&ADV INJURY $
<br />('
<br />2,000,000
<br />GENTAGGREGATE LIMIT APPLIES PER: I('
<br />'GENERALAGGRFGATE III
<br />4,000,000
<br />Fx—I POLICY PLT LOC
<br />'�PROGUCTS-COMPIOPAGG $
<br />4'000'000
<br />_�.
<br />I OTHER:
<br />AI
<br />._...,�.$
<br />IGOMOINEOSINGLE LIMIT
<br />.IEa
<br />2,000,000
<br />AUTOMOBILE LIABILITY
<br />a' itlent S
<br />_
<br />I. i ANY AUTO j 72SBAIB4627
<br />105/06/2018 05/06/2019' BOnI LY INdURYC erson
<br />OWNED �' SCHEDULED
<br />—� AUR)SONLY _' AUTO$
<br />BOn;LY lNJURYI sT a^c,dent
<br />X I HII2�D }( NONpWNEO i
<br />t PROPE{tTY OAMAOE
<br />AUTOS ONLY -AUTOS ONLY
<br />I
<br />A X'EX UMBRELLAAB X OCCUR
<br />EACH OCCURRENCE
<br />2,00a,000
<br />ABCLAIMS -MADE. �72SBAII34627
<br />0570612018 0510612019 nGUREGATE
<br />2,000,000
<br />DED X RETENTION$ 10,0m
<br />f$
<br />B WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY
<br />X PERATUTE { ORH ,
<br />Y t N
<br />ANY PROPRIETORIPARENERtEXECUTIVE j —' 1 72WECLR3763
<br />ppFFICERIMEMBER EXCLUDED?
<br />0912$t2018' 09t28t2019 j EL EACH ACCIOENT , I_
<br />1,000'000
<br />(MentleCory In NH) �YIIN/A,�1,000,000
<br />�EL 7DISEASE-EA hMPLOYE
<br />If yes describe under
<br />DESCRIPTION OF OPERATIONS naom
<br />E.L. DISEASE. POLICYICY LIMIT
<br />1,000,000
<br />C ;Processional Liad MCN000234351801
<br />69125 2018 0912WO19 Per Claim
<br />3,000,000
<br />C-_Retention: $10,000 'iMCN000234351801
<br />1 09/2512018 0912512019 Aggregate
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS t LOCATIONS 1 VEHICLES (ACORD U 1, Additional Remarks Schedule, may be sneered if more space Is required)
<br />The City of Santa Ana, It's officers, employees, agents, volunteers and representatives are Additional Insured in regards to General Liability per
<br />form
<br />IH 12001185 which includes 30 Day Notice of Cancellation. Primary & Non -Contributory
<br />warding and Waiver of Subrogation coverages apply to the
<br />General
<br />Liability policy when required by written contract per the attached endorsement SS0008 04/05 (pgs. 16-17 of 24).
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE ACCORDANCETION W TH DATE
<br />THE THEREOF,LICY IONSWILL BE DELIVERED IN
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701 -
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) bG 1988-2015 ACORD CORPORATION. All rights reserved.
<br />Th�Q,GZRD name and logo are registered marks of ACORD
<br />�.—
<br />
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