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. 1 <br />1 .- , - <br />- ACOR© CERTIFICATE OF <br />LIAE3iLITY INSURANCE <br />DATE (MMAH)/YYYY) <br />o7�o6�zoxo <br />PRODUCER (g 51) 736 -9477 FAX (951) 736 -9478 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Orion Risk Management Insurance Services, <br />Inc. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Ca. Li c. #OD28764 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. <br />2280 Wardiow Circle, Suite 250 <br />EACH OCCURRENCE <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />Corona, CA 92880 <br />MEDEXP(MyoC.epereon) <br />a Excluded <br />PERSONAL S AOV INJURY <br />INSURED Select Trenc ess P pe -Ines, IRC. <br />GENERAL AGGREGATE <br />INSVRERA: Scottsdale Insurance Co. <br />DBA: Rooter Alert <br />INSURER B: <br />283 Winfield Circle <br />INSURER C: <br />CorDRa, CA 92880 <br />S 2 OOO OQO <br />INSV RER D: ' <br />INSURER E <br />POLICY JEGT LOC <br />CO AG <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ENSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIRE1v1ENT, TERFA OR CONDITION OF ANY CONTRACT OR OTRER DOCUMENT WITH RESPECY TO WHICH THIS CERTIFICATE MAY BE ISSUEp OR <br />NIAY PERTAf N, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TFIE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN FRAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS <br />DD• <br />rypE Op INSURANCE <br />POLICY NUMBER <br />POLICY ERFECTVE <br />07�O1�ZOlO <br />P L CY 1 TION <br />LIM /T8 <br />A <br />GENERAL LIABILITY <br />}( COMMERCIAL GENERAL LIAHILfiY <br />CLAlM50.1AOE OCCUR <br />BC30022496 <br />O7 /O 1�ZO71 <br />EACH OCCURRENCE <br />5 1 000,000 <br />DAMAGE TO RENTED <br />S ZOO , OOO <br />MEDEXP(MyoC.epereon) <br />a Excluded <br />PERSONAL S AOV INJURY <br />S }. GOO, OOO <br />GENERAL AGGREGATE <br />S 2 OOO , OOO <br />PRODUCTS- C0.11PlOP AGG <br />S 2 OOO OQO <br />GEN'L AGGREGATE LIT.117 APPLIES PER_ <br />POLICY JEGT LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LRNIT <br />(Ea eeUderH) <br />S <br />ANY AUTO <br />�PO�I�r WJ' RY <br />S <br />ALLOWNEO AUTOS <br />SCHEDULED AUTOS <br />HIRED AVT06 <br />NON -OWNED AUTOS <br />�j -rte <br />C( SiY <br />i,`� y <br />�',��y <br />�� y1Z� <br />(t'Q V <br />- 1 <br />��1 <br />n�� `- <br />�J� l`Lr Lj`i <br />�� <br />BODILY INJURY <br />(Par eccWenlj <br />S <br />PROPERTY DAMAGE <br />(Per acc?doM) <br />$ <br />GARAGE LV\BILITY <br />ANY AUTO <br />'d <br />_ b St�O <br />�,�i <br />��)L`i Apt,. <br />AUTOONLY -EA ACCIDENT <br />S ' <br />OTl -IER THAN EA ACC <br />AUTO ONLY: AGO <br />S <br />$ <br />EXCEHSNMBRELLA LIABILITY <br />OCCUR � CLAIMS MADE <br />EACH OCCURRENCE <br />S <br />AOGREDATE <br />S <br />S <br />3 <br />DEDUCTIBLE <br />RETENTION S <br />WC STATU- OTH- <br />3 <br />WDRKERS COMPENSATON ANO <br />EMPLOYERS•LWBILITY <br />E.L EACH AGGIOENi <br />S <br />ANY PRO PR ?ETOR/PARTHER/EXECVTNE <br />OFFICER/MEMBER EXCLUDED? <br />E -L. DISEASE - EA EMPLOYE <br />S <br />E.L. O15EASE - POLICY LIMIT S <br />Orion does not warrant that <br />coverage may exist for any <br />kl yyea, Oeacnbe lsder <br />SPECULL PROVISIONS ba:ov <br />ert does not address <br />overage <br />iwitations exclusions <br />specific purpose or situation <br />DESCRIPTION OF OP£RATION9ILOCATONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEb1EFiT/ SP ECWL PROVl8iON8 <br />he City of Santa Ana, its officers, agents, volunteers, and employees are named as additional <br />- nsured per the terms and conditions of the attached endorsement. Primary wording applies per the terms <br />f the attached endorsement. <br />O days NOC except 10 days for non - payment <br />3 R C .__ __. _._ -_ __ _.- <br />SHOULD ANY DF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION GATE THEREOF, T}fE 1SBUING INSVREA WILL ENDEAVOR TO MAIL <br />3O DAYS YlRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />City of Santa Ana <br />20 Ci vi C Center Pl aza (M -30) BVT FAILV RE TO NAIL 9UGH NOTICE SHALL I6iPOSE NO OHLiGAT10N OR LIABILnY <br />P .O. BOX 1988 OF ANY KIND UPON THE ENSURER, 1T5 AGENTS OR REPRESBNTATNES. <br />Santa Ana, CA 92702 -1988 AVTHOR¢ED REP[tESENTATVE lie �qp,�,0 <br />Sh anna Li ins SEL bb 55 <br />�.. .+. -.ten f.�er.r.e nTe, -..r wr,o <br />AcoRD zs (zooiiDa> <br />