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ACORO® CERTIFICATE OF LIABILITY INSURANCE 41112014 �i an /zota YYYY) 4/26/2013 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 HO ER. IMPORTANT: If the certificate hold .W art AD4. N,& I U , the pollcy(les) 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 Lockton Insurance Brokers, LUG - -'I'r' 725 S. Figueroa Street, 35th Fl c i_ , _ - .. I =1 CA License #OF15767 Los Angeles CA 90017 CONTACT NAME: PHONE FAx AJCJ AC No: E -MAIL ADDRESS: GENERAL LIABILITY (213) 689 -0065 INSURERS AFFORDING COVERAGE NAIL# INSURER A: Vj2ijant Insurance m an 20397 EACH OCCURRENCE INSURED Best Best & Krieger LLP INSURER B: Feder I Trisurance. Company 20281 INSURER C: X 1312669 3750 University Ave., Ste. 125 INSURER D Riverside CA 92502 NSURER E: INSURER F: COVERAGES BESBE01 CERTIFICATE NUMBER: 11767171 REVISION NUMBER: XXXXXXX 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE A00 BURR WAD POLICY NUMBER MMI POLICY POLICY LIMITS A GENERAL LIABILITY Y N 35894252 4/30/2013 4/36/2014 EACH OCCURRENCE S 1-000-000 DAMAGE TO RENTED PREMISES (Ea occunenca) $ 1 000 000 X MMERCIAL GENERAI IpBILITY MED EXP (My one o,m CLAIMS -MADE (�J_ OCCUR X PERSONAL B ADV INJURY $ 1,000,000 Deductible: $0 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ POLICY PRO JECT LOG B AUTOMOBILE UABILM N N 73555244 4/30/2013 4/30/2014 (Ea accident) $ 1,000,000 BODILY INJURY (Per parson) $ XXYYMX ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per a¢itlent $ XXXXXXX X PROPERTYDAMAGE $ XXXXXXX NON -0WNED HIREDAUTOS X gUTOS $XXXXXXX UMBRELLA LIAR OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX° EXCESS LIAR CLAIMS -MADE DIED I I RETENTIONS $ B WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY N 71750505 4/1/2013 4/1/2014 X TORYLIMIT ER E.L. EACH ACCIDENT $ OFFICERIMEM ER EXCLUDED' —1 1 NIA E.L. DISEASE - EA EMPLOYE $ 1000000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Santa Ana, its officers, employees and agents are Additional Insured to the extent provided by the policy language or endorsement issued or approved by the insurance carrier. Coverage provided is primary and non - contributory. Waiver of Subrogation applies per attached endorsement(s). To Fpg � V-5 T ORGY. CERTIFICATE HOLDER fit` HTLk" - CANCELLATION See Attachments A5515 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11767171 AUTHORIZED REPRESENTATIVE City of Santa Ana Attention: City Manager 20 Civic Center Plaza Santa Ana CA 92701 7A� ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD )T)1988-WO ORI) CORPORATION. All rights reserved