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WESTCOM-16 SG NZALEZ
<br />A�oRO° CERTIFICATE OF LIABILITY INSURANCE DAT00/YYYY)
<br />4/19119I2019
<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 policy(ies) 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 endorsement(s).
<br />PRODUCER License#0757776 HOANTAcr Jordan Bartleson
<br />HUB International Insurance Services Inc. j PHONE FAX
<br />3390 University Avenue, Suite 300 (A/0, No, E.O: (951) 779-8575 (AIC,
<br />No):(951) 231-2572
<br />Riverside, CA 92501 ADDRE
<br />E-MAU-ss: cal-cpu@hubinternational.com
<br />INSURED
<br />Westbound Communications, Inc.
<br />625 The City Drive, Suite 480
<br />Orange, CA 92868
<br />COVERAGES CERTIFICATE NUMBER: RFVIRIhN NIIMRFR-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH
<br />THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR'I TYPE OF INSURANCE
<br />N DL�iSU
<br />D
<br />POLICY NUMBER I POLICY EFF POLDICY EXP LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE ! $
<br />2,000,000
<br />�] CLAIMS -MADE ❑X OCCUR
<br />72SBAIB4627 1 5/6/2019 5/6/2020 DAMAGE TORENTEDencel
<br />1,000,000
<br />X
<br />X
<br />$
<br />MED ESP (Any one person) _ $
<br />10,000
<br />PERSONAL &ADV INJURY $
<br />2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />! GENERAL AGGREGATE $
<br />4,000,000
<br />X POLICY JECOT - LOG
<br />PRODUCTS-COMPIOP AGG $
<br />4,000,000
<br />OTHER'
<br />A AUTOMOBILE LIABILITY COMBINEp SINGLE LIMIT
<br />' Ea accident
<br />2,000,000
<br />$
<br />ANYAUTO ,72SBAIB4627 5/6/2019 5/6/2020 BODILY INJURY Per arson
<br />OWNED !-- SCHEDULED
<br />$
<br />AUTOS ONLY 1 AUTOS BODILY INJURY Per accident
<br />_
<br />X HIRED ! X NON -AWNED PROPERY DAMAGE
<br />AUTOS ONLY _ .:AUTOS ONLY Per auIJ
<br />$
<br />A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE
<br />$
<br />2,000,000
<br />EXCESS LIAB CLAIMS -MADE 72SBAIB4627 5/6/2019 5/6/2020
<br />2,000,000
<br />AGGREGATE
<br />$
<br />DED X RETENTION$ 10,000
<br />B WORKERS COMPENSATION X PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN STATUTE ER
<br />ANY PROPRIETORIPARTNEWEXECUTIVE 72WECLR3783 9/28/2018 9/28/2019
<br />E.L. EACH ACCIDENT
<br />'U
<br />1,000,000
<br />OFRCERIMEMBER EXCLUDED? NIA
<br />(Mandatory in NH)
<br />1,000,000
<br />E. L. DISEASE - EA EMPLOYE
<br />If yes. describe under
<br />DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT �'$
<br />1,000,000
<br />C Professional Liad MCN000234351801 1 9/25/2018 9/25/2019 Per Claim
<br />3,000,000
<br />C Retention: $10,000 MCN000234351801 9/25/2018 9125/2019 Aggregate
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 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 perform
<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) & SS1215 03100.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />ACURD 25 (2015103) © 88-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name d to ar re s of ACORD
<br />/ a j 7
<br />
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