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rti i a e of Insurance THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION. OI�'LY AND COINTERS NO RIGHT UPON YOU THE CERTIFICATE HOLLER. THIS CERTIFICATE IS NOT ANI INSURANC F POLICY Ar "D DOES NOT AMEITD, EXTEND, R ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to ertify that WEST COAST AIISTS, INC NAME AND *'f e 2200 EAST VIA BURTON ADDRESS o' L b � 92806 " INSURED ANAHEIM A is, at the issue date of this certificate, insured by the Company under the poliey jies listed below. T ho, insurance afforded by the listed pol#oy( # es) is subject to at t it terms, exclusions a Lid Conditions and is not altered by any requirement, terns or condition of any contract or other dmument ivith respect to which this certificate may he issued. TYPE F POLICY EXP DATE I" IiLTDU 0 E TE 'DED POLICY NUMBER LIMIT OF LIABILITY POLICY TERM WO TPEN ATI F STATUT Y 112009 WA 66 - 3 - 06 WA2- D -03949 -079 COVERAGE AF RDW UNDER LAW OF THE FOLLOW II G STATES: CA EMPLOYERS LIABILITY Bodily IV,000, by Accident Each Aeci &nt Bodily Injury By Disease $1,000,000 PoEcUiraft Bodily Injury By Disease $1,000,000 Fachperson GENERAL LIABILITY 7/1/2010 T2 - - 039499# cneral Aggro gatthcr than Products 1 Completed Operations $2,0001000 Products 1 Completed Operations Aggregate OCCURRENCE ..............$2,000,000 El CLAIMS MADE Bodily Injury and Property Damage Liability $1,000,000 per Occurrence Personal Injury Per Person / Organization I1T'RO DATE tFI E DA[ A ES $100,990 t MEDICAL PAYMENTS T $5,990 AUTOMOBILE LIABILITY OWNED NON - WINED HIRED 7/1/2010 AS - 1- 39499- - y ! ul Stitt ' t. -s Each Accident -Single Limit , ,999 131 And P.D. Combined Each Person Each Ace ident or Oceurrenc Each Accident or Occurrence OTHER s,.,stant 411/2999 7/112010 TH2- '[- 039499 -043 $5,090,090 PER OCCURRENCEIAGGREGATE UMBRELLA EXCESS LIABILITY ADDITIONAL DINIME T RE: All jobs performed by the named Insured during the policy term. Additional Insured: City of Santa Ana, its officers, employees, agents, volunteers and representatives, on the General Liability policy listed above (per attached CG 2919 9794 & CG 2937 endorsem n . This insurance is primary and non-contributory. * If the certificate expiration date is continuous or extended term, you Nyiil be notified ifcoverage is terminated or reduced before the certificate expiration date. SPE LAL NOT ICE- OTIIO: AINY PERSON WINO, IN ITH INTENT TO DEFRAUD OR KNOWING TTIAT 11 IS FAC ILlTATINO A FRAUD AGMINTST AN INSURER, SUBMITS AN APPLICATION OR FILES A CL AIM CO - CATi+iWG A FALSE OR DE EPTR "E STATEMENT IS GUILTY OF INS U ANCE FRAUD. L %1PORTANT NOTI C E TO FL OR PO LTC YHOLDER A D CERTIFICATE FOLDERS: IN THE EVENT YOU I1A1VE ANY QUESTIONS OR NE ED INFORINfATI N ABOUT THIS C ERTIFICATE FOR AWA REASON, PLEASE CQN'TA T YOUR LOAL SALES PRODUCE R "HOSE NAME AND TELEPHONE UMBER APPEARS LN THE L 1VER RIGHT HAND CORNER OF TIUS CERTIFICATE, THE APPROPRIATE LOCAL SATES OrFICEIMAIIANIG ADDRESS MAY ALSO BE OBTAINED BY CALIUING THIS UMBER. Liberty Alutuid NOTICE OE CANCELLATION: ( ;CST APPLICABLE UNLESS A INUMBER OF DAYS IS ENTERED BELOW) Insurance Group BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OIL REDUCE THE NISURAICE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF UCH AID ELLATID ; HAS BEEN MAILED TO: Fc-i of Santa Ana Pu tic Works Agency M85 Bandy Fox 9�Z�&LZ ( - 1-3� Ld Englewood 1 0972 AUTHORIZED REPRESENTATIVE te S o South Daisy Avenue Buiidin -A u l fit, u`i Englewood co 80111 - 303 - 798.8260 4/21 /2909 Banta Ana CA 92793 OFFICE PHONE DATE ISSUED E This rtifi at i s executed by LIBERTY MUTUAL AL INSURANCE CROUP as respects such insurance % is rded by those Companies NNE 772