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A- 2,611_164
<br />6,V ((L"q -7t)
<br />NECCORP -01 WITKUSJA
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />Dnr4/412016 r)
<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 />CONTACT Willis Towers Watson Certificate Center
<br />Willis of Texas, Inc.
<br />c/o 26 Century Blvd
<br />P.O. Box 305191
<br />PHONE (877 945 -7378 FAX (888) 467 -2378
<br />AIC No Ezl : AIC No
<br />E-MAIL 5: certificates@wlllls.com
<br />TN 37230.5191
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Travelers Indemnity Company
<br />25658
<br />INSURED
<br />INSURER B: Travelers Property Casualty Company of America
<br />25674
<br />NEC Corporation of America, Inc.
<br />INSURER C: Charter Oak Fire Insurance Company
<br />25615
<br />INSURER D:
<br />3929 W. John Carpenter Freeway
<br />Irving, TX 75063
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 />rypE OF
<br />ADDL
<br />INSD
<br />UBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM /DD/YYW
<br />POLICY EXP
<br />MM /DDIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE a OCCUR
<br />X
<br />X
<br />HK- GLSA- 162D6431- IND -16
<br />04/0112016
<br />04/01/2017
<br />—DAMAGE T RENTED
<br />PREMISES Ea occurrence
<br />$ 300,000
<br />VIED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY ❑ JECT PRO- L' ®
<br />PRODUCTS - COMP /OPAGG
<br />$ 1,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />CEa OMBI NED SINGLE LIMIT
<br />accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY(Per person)
<br />$
<br />B
<br />ANY AUTO
<br />X
<br />X
<br />HJ- CAP- 162D6418- TIL -16
<br />04/01/2016
<br />04/01/2017
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY(Per accident)
<br />$
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />HIRED AUTOS NON-OWNED
<br />AUTOS
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />B
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />X
<br />X
<br />HSMJ- CUP- 162D642A -TIL16
<br />04/01/2016
<br />04/01/2017
<br />DED X RETENTION$ 10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER /EXECUTIVE YIN
<br />OFFICER /MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />X
<br />HC2JUB- 162D644.3.16
<br />04/01/2016
<br />04/01/2017
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, dascribe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />Workers Compensation
<br />HROUB- 4E33925.8.16
<br />04/01/2016
<br />04/01/2017
<br />See Attached:
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />The City of Santa, 20 Civic Center Plaza, Santa Ana, California, its Officers, Employees, Agents, and Volunteers are included as Additional Insured with regard
<br />to liability and defense of suits arising from the operations and uses performed by or on behalf of the Named Insured. With respect to bodily injury or property
<br />damage claims arising out of the operations performed by or on behalf of the Named Insured, such insurance as is afforded by this policy is primary and is
<br />not additional to or contributing with any other insurance carried by or for the benefit of the Additional Insured provided claims that give rise are from the
<br />Named Insured'a negligence and arising out of operations performed for the City of Santa Ana. This insurance applies separately to each insured against
<br />whom claim is made or suit is brought except with respect to the company's li 1 of company's limits of liability. The inclusion of any person or organization
<br />as an insured shall not affect any right which such person or organizat'lo + m, ave as a claimant if not so included.
<br />v �, PjLCV(t2 THE SHOULD
<br />EXPIRATTIIONH DATEV THEREOF,EDNOTICEEWIL BE NCELLED BEFORE
<br />IL, C\v C71'+% ACCORDANCE WITH THE POLICY PROVISIONS.
<br />The City of Santa Ana, PS$lsta
<br />its Officers, Agents and Employees I AUTHORIZED REPRESENTATIVE
<br />Attn: Carl Marek /
<br />PO Box 1988 Cs,aa
<br />Santa Ana. CA 92702
<br />@ 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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