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A �ssQQD
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYYY)
<br />3!3012015
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Arthur J. Gallagher & Co. Insurance Brokers
<br />of California, Inc. LIC 40726293
<br />3697 Mt. Diablo Blvd., Suite 300
<br />NAME cr Certificate Department
<br />PHONE 925- 299 -1112 FAX 925- 299 0328
<br />E -MAIL . CertRequests @ajg.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC q
<br />Lafayette CA 94549
<br />INSURER A: Liberty Insurance Corporation
<br />42404
<br />41112015
<br />INSURED
<br />INSURERB:Westchester Surplus Lines Insurance
<br />10172
<br />Redflex Traffic Systems, Inc.
<br />INSURER C: Liberty Mutual Fire Insurance Coma
<br />23035
<br />23751 N. 23rd Avenue, Suite 150
<br />Phoenix, AZ 85085 -1854
<br />INSURER D;LM Insurance Corporation
<br />33600
<br />INSURER E :First Liberty Insurance Corporation
<br />33588
<br />INSURER F
<br />$1,000,000
<br />C nVFRAnFR rFRTIFIr-ATF NIIMRFR• 1715688575 RFVISIf1N NIIMRFR-
<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 />INSR LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />D
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />TB6Z91453980035
<br />41112015
<br />4/1/2016
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE � OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />MED EXP (Any one person)
<br />$10,000
<br />PERSONAL & ADV INJURY
<br />$1,000,000
<br />N'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />POLICY PRO F7 LOC
<br />JECT
<br />PX
<br />PRODUCTS - COMP /OP AGG
<br />$2,000,000
<br />$
<br />OT HER: CAP of $25M
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />A82Z91453980025
<br />1112015
<br />4/1/2016
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />AUT OWNED SCHEDULED
<br />AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />HIREpAUT05 NONOWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br /> 'HAPD Ded
<br />$
<br />X
<br />COMPICOLL X DED': $5,000
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X OCCUR
<br />TH7Z91453980045
<br />1112015
<br />4!112016
<br />EACH OCCURRENCE
<br />$5,000,000
<br />AGGREGATE
<br />$5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DFD X RETFNTION$$10,000
<br />$
<br />1
<br />E
<br />E
<br />WORKERS COMPENSATION
<br />EMPLOYERS' LIABILITY YIN
<br />WC6Z91453980075
<br />1112015
<br />411/2016
<br />PER —7-7G—TH-
<br />X STATUTE ER
<br />ANY PROPRI ETC RIPARTNERIEXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />OFFICERIMEMBER EXCLUDED? El
<br />NIA
<br />E.L. DISEASE - EA EMPLOYE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, descrihe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT
<br />$1,000,000
<br />B
<br />PROFESSIONAL & CYBER LIABILITY
<br />G27435075002
<br />1112015
<br />4/1/2016
<br />Aggregate $2,000,000
<br />(See attached Remarks Page]
<br />SIR Each Claim $50,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required)
<br />RE: Activities performed by or on behaff of the permittee or contractor as required by contract. ADDITIONAL INSURED(S):
<br />The City of Santa Ana, CA, its officers, employees and volunteers as required by written contract.
<br />CERTIFICATE HOLDER CANCELLATION
<br />@ 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana Paula Coleman
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza, M -29
<br />Santa Ana CA 92702 USA
<br />AUTHORIZED REPRESENTATIVE
<br />I
<br />4�6x.�
<br />@ 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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