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<br />AC" & CERTIFICATE OF LIABILITY INSURANCE
<br />bA 79/O/YYYY
<br />O6/29/2018
<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 INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the polloy(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 endorsements).
<br />PRODUCER
<br />Willie of Texas, Inc.
<br />c/o 26 Century Blvd
<br />P.O. ➢ox 305191
<br />CONTACT
<br />NAME
<br />PHONE 1-077-945-7378 FAX 1-868 467 2378
<br />° N,L__,.
<br />..UvC. ..._"
<br />ADD119SS: Certi£icates@willis.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC4
<br />Nashville, TN 3723D5191 USA
<br />INSURER A:Travelers Indemnity Company
<br />25558
<br />INSURED
<br />NEC Corporation of America
<br />INSURER a: Travelers Indemnity Company of America
<br />25566
<br />INSURER C: Travelers Property Casualty Company of Ame
<br />25674
<br />3929 W. John Carpenter Freeway
<br />INSURERD: Charter Oak Fire Insurance Company
<br />25615
<br />Irving, TX. 75063
<br />INSURER E:
<br />_
<br />INSUREfl F:
<br />KnelliaiNFAIN " 'r AAuFTr/l\111111 llel ..
<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 CONTRACT OR 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 />INTp
<br />TYPE tlFIN5URANCE
<br />BR
<br />POLICY NUMBER
<br />PgLICY EPF
<br />MM/DD/VYYYI.(MWDD/YYYYI
<br />POLICY EXP
<br />LIMITS
<br />X
<br />COMMERCIAL
<br />EACH OCCURRENCE
<br />$ 11000,000
<br />DAMAGE TO RE
<br />AD6GENIF_LLIABILITY
<br />CLAIMS -MADE OCCUR
<br />PREMISES Ee oecurrel oo
<br />$ 300,000
<br />MED FXP(Any one person)
<br />$ 20,000
<br />_.--._
<br />y
<br />y
<br />EK*OLBA-162D3729-1ND-18
<br />07/01/2018
<br />07/01/2019
<br />PERSONAL &ADV INJURY
<br />$ 11000,000
<br />GEN'L AGGREGATE UMITAPPLIES PER:
<br />GENERALAGGREGATE
<br />2,000,000
<br />❑ PRO- =
<br />POLICY JHCT LOC
<br />PRODUCTS AGO
<br />11000, 000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SI GLE L IT
<br />$ 1,G00,000
<br />Ea accident
<br />X
<br />ANYAUTO
<br />BODILY INJURY (Per pemon)
<br />$
<br />p
<br />OWNED '- SCHEDULED
<br />AUTOS ONLY AUTOS
<br />y
<br />y
<br />BA-CAP-1621)3730-iND-18
<br />07/01/2018
<br />07/01/2019
<br />BODILY INJURY(Per accident)
<br />---
<br />$
<br />HIRED NON-OMEO
<br />Al1T080NLV AUTOS ONLY
<br />PROPERTY DAMAGE
<br />,Pet accidentl
<br />$
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5.000,000
<br />610001000
<br />EXCESS LIA➢
<br />CLAIMS MADE
<br />Y
<br />Y
<br />HCpJ-CUP_I62S3792-TIL-18
<br />O'//O1/2010
<br />07/01/2019$
<br />DED x RETENTION- .._ 10,0o
<br />$$
<br />WORKERS COMPENSATION
<br />H.
<br />X ISTA - ER
<br />AND EMPLOYERS'' LIABILITY Y/N
<br />UTE
<br />E.L. EACH ACCIDENT
<br />$ 11000, 000
<br />C
<br />ANVPROPRIETOR/PARTNEWEXECUTIVE
<br />OFFICERIMEMBEREXCLUDED7 No
<br />N/A
<br />Y
<br />HC2J-U➢-162D3650-18
<br />07(01/2016
<br />07f01/2019
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 11000,000
<br />(MsndRBry In NH)
<br />under
<br />vSORP
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 11000,000
<br />D ION
<br />DESCRIPTION OF OPERATIONS bnlow
<br />D
<br />Workers Comp aneation and
<br />BRO-U➢-162D366-2-18
<br />07/01/2018
<br />07/01/2059
<br />E.L. Each accidental
<br />_
<br />$1,000,000
<br />;Employers
<br />Liability -
<br />E.L. Disease - Be Itur
<br />$1,000,000
<br />Per Statute
<br />E L Disease-Pol limit
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />The City of Santa, 20 Civic Center Plaza, Santa Ana, California, its Officers, F,mployees, Agents, and volunteers are
<br />included as Additional Insured with regard to liability and defense of suits arising from the operations and uses
<br />performed by or, on behalf of the Named Insured. With respect to bodily injury or property damage claims arising out of
<br />the operations performed by or, on behalf of the Named Insured, such insurance as is afforded by this policy is primary
<br />and is not additional to or contributing with any other insurance carried by or for the benefit of the Additional
<br />Insured provided claims that give rise are from the Named Insured rs negligence and arising out of operations
<br />AJ,U)1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />The City of Santa Ana, 1_`�'--"
<br />�,{.0 9(�„j�U_Q } ,JJ}Q ACCORDANCE WITH THE POLICY PROVISIONS.
<br />its Officers, Agents and Employees Attu: Carl Narek AUTHORIZED REPRESENTATIVE
<br />t l (Q �Y:
<br />PO Box 3.988 C
<br />Santa Ana, CA 92702 -
<br />.... © 1988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />OR M 16383493 BATCH, 770054
<br />
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