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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS A� b® CERTIFICATE OF LIABILITY INSURANCE 3/30/200 2Yl DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Insurance Associates of Northern California 1550 Parkside Drive, Suite 120 Walnut Creek CA 94596 NAME:C Stacey Smith PHONE (925) 934 -0505 FAX Not; (925) 977 -1591 E -MAIL .ssmith @ia -com. corn INSURE NS) AFFORDING COVERAGE NAIL# INSURERA:Travelers Prop Cas Cc of Amer 25674 INSURED Downey Vendors, Inc. / ✓ / fJ '�D� / 6614 Suva Street Bell Gardens CA 90201 INSURER B:Nati Onwide Mutual Ins CO 23787 INSURERC:Great American Insurance Cc INSURER D: INSURER E : $ 1,000,000 INSURER. F: $ 100,000 £ 5,000 COVERAGES CERTIFICATE NUMBER:2012 -2013 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, 1_;M:TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE I POLICY NUMBER POLICY EFF MMIDDIYYYYt POLICY EXP MMI n/VWY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PRE MI E Ee orrLrrenm A ".ED EXP(Any one pcmon) $ 100,000 £ 5,000 A X COMMERCIAL GENERAL LIABILITY 1CLAI`d5 A1PDE �CCCUR I66033564582TIL12 114/1/2012 4/1/2013 PERSONAL B ADV INJURY S 1,000,000 1 GFNERAI_AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMPIOPAGG S 2,000,000 X POLICY 7 PRO- F LO° $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaaccidenl 1,000,000 BODILY INJURY (Per person) S B ANY AUTO ALL ONMED SCHEDULED AUTOS AUTOS pBA78055815260 /1/2012 /1/2013 I BODILY NJURY(Per accident) $ NON -CO HIRED AUTOS AUTOS I P�ROPER r Y DAMAGE LyPer arsgentt $ Uninsured matonst, .combined $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $_ L. EXCESS LIAB _ CLAIMSMAD_E DED : RETENTION$ 10,00 BU019923501 /1/2012 /1 /2U13 _ _ — $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXEGJTIVE OFFICERINEMBER EXCWDEO? (Mandatory in NH) NIA IJUB1215LB6712 /1/2012 /1/2013 X WC STATU OTH- E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYE S 1 00() 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIr 1 $ 1 ODO 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Santa Ana City Hall, Santa Ana Police Dept., Santa Ana City Yard and Santa Ana Library of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured Per attached form #CGD2480805 as respects work p,41�fgF1lred by the named insured. Primary wording applies to O General Liability per attached fvfm1$C'GD0370405- U Laura Sr'ftt Shcedy City of Santa Ana Assistant City Attorlcy 20 Civic Center, 8th Floor Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Stacey Smith /SSMITH -A tat'_" INS025 (201005).01 The ACORD name and logo are registered marks of ACORD