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WEMI
<br />14`co,Rv CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DDIYYYY)
<br />6/4/2012
<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 (888) 825-4322
<br />Bowermaster &Associates
<br />P.O. BOX 6026
<br />10805 Holder Street - Suite 350
<br />Cypress, CA 90630
<br />NAME,ACT
<br />A/CCC N Ext :1-714-733-6251 Alc No): 1-714-252-8253
<br />E-MAIL
<br />PRODUCER
<br />CUSTOMER ID#:HONCOM-001
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURED Hondo Company, Inc.
<br />2121 South Lyon Street
<br />Santa Ana, CA 92705-
<br />INSURER A: Landmark American Insurance Co.
<br />INSURERB:Travelers Indemnity Company_
<br />INSURERC:RSUI Indemnity Company
<br />INSURERD:Preserver Insurance Company
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NIIII
<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
<br />LTR
<br />I TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />UBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE 7�7I OCCUR
<br />LHA136126
<br />6/1/2012
<br />6/1/2013
<br />DAMAGE TO RENTE
<br />PREMISES Ea occurrence) $ 50,00
<br />MED EXP (Any one person) $ 5,00
<br />PERSONAL & ADV INJURY $ 1,000,00
<br />X BI/PD Ded./OCC $5,000
<br />GENERAL AGGREGATE $ 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG $ 2,000,00
<br />POLICY X PE LOC
<br />$
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />BA2A092685
<br />6/1/2012
<br />6/1/2013
<br />COMBINED SINGLE LIMIT $ 1,000,00
<br />(Ea accident)
<br />BODILY INJURY (Per person) $
<br />ALL OWNED AUTOS
<br />BODILY INJURY (Per accident) $
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />li
<br />PROPERTY DAMAGE $
<br />(Per accident)
<br />$
<br />NON -OWNED AUTOS
<br />I
<br />$
<br />UMBRELLA LIAB
<br />I X
<br />OCCUR
<br />EACH OCCURRENCE $ 2,000,00
<br />C
<br />X
<br />EXCESS LIAB
<br />—
<br />CLAIMS -MADE
<br />NHA230581
<br />6/1/2012
<br />6/1/2013
<br />AGGREGATE $ 2,000,00
<br />DEDUCTIBLE
<br />$
<br />$
<br />RETENTION $
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE [ 7Y
<br />OFFICER/MEMBER EXCLUDED?
<br />N/A
<br />WCCO017519
<br />1/1/2012
<br />1/1/2013
<br />WC STATU- OTH-
<br />X TORY LIMITS ER
<br />E. L. EACH ACCIDENT $ 1,000,00
<br />E.L. DISEASE - EA EMPLOYE i $ 1,000,00
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
<br />RE: Project #11-2605 Golden Loop Bike Trail, Project #11-2612 Maple Street Bike Trail
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are
<br />named as additional insureds with respects to General Liability r form RSG15017 1207- Primary wording is included.
<br />CtK I II -ICA I t HOLDER rANrFI I ATIr1N
<br />C) 1985-2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701 -
<br />AUTHORIZED REPRESENTATIVE
<br />C) 1985-2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
<br />
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