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A RbP CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMID; s�
<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(les) 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 endorsoment(s).
<br />PRODUCER Phone: (310)478 -5041
<br />Fax- (3101479 -8707
<br />MG, Skinner 8c A6S0010.SE3
<br />11030 Santa Monica Blvd,
<br />CONTACT
<br />NAM E:
<br />_......_
<br />INC No): AX
<br />PHONE O Eatl
<br />__
<br />ADDRESS,
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC 8
<br />Suite 207
<br />INSURER Zurich American insurance Company
<br />16535
<br />Los Angeles, California 90025
<br />6
<br />INSURED
<br />INSURER B: American Guarantee And Liabili 1nSUranco Coma
<br />26247
<br />The Act 1 Group, Inc., dba: ATIMS
<br />INSURER C: Ace American Insurance Company
<br />22667
<br />P.G. BOX 29048
<br />Glendale, CA 91209 -9048
<br />y/{ n
<br />A A, 't c.^r
<br />- .10'I-L , ✓ 1
<br />INSURER D:
<br />INSURER E:
<br />PTof. Liability ($3M)
<br />INSURER F:
<br />ILI
<br />COVERAGES CERTIFICATE NUMBER: ATIMS06.1 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AMC) CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ILTR
<br />TYPE OF INSURANCE
<br />20 Civic Center Plaza
<br />POLICY NUMBER
<br />MMIDDNEYYY
<br />MMIDDIYYVY
<br />LIMITS
<br />A
<br />✓
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE a OCCUR
<br />PRA 96,98691-03
<br />4/1/2015
<br />4/1/2016
<br />EACH OCCURRENCE
<br />$ 3,000,000
<br />PAEMISES E e n
<br />$ 1,000,000
<br />✓
<br />PTof. Liability ($3M)
<br />�/
<br />Mee EXP An one arson
<br />$ 10,000
<br />Aggregate Limit
<br />PERSONAL &ADV INJURY
<br />$ 3,000,000
<br />GEML AGGREGATE LIMIT APPLIES PER:
<br />✓ POLICY D jRC'T E LOG
<br />_
<br />GENERAL AGGREGATE
<br />$ 3,000,000
<br />PRODUCTS - COMP/OP AGO
<br />$ 3,000,000
<br />$
<br />OTHER:
<br />A
<br />LIABILITY
<br />ANY AUTO
<br />PRA 9698691 -03
<br />4/1/2015
<br />4 /]YZOt6
<br />COMBINED SINGL
<br />a atont
<br />g I,000A00
<br />BOLY INJURY(Perpereoni
<br />$
<br />POMOSIA
<br />ALL OWNED SCHEDULED
<br />AUTOS NONOWNrO
<br />AUTOS ✓ AUTOS
<br />BODILY INJURY Par acoltlem)
<br />(ti1�A
<br />$
<br />PROPERTYDA
<br />EHIRED
<br />Per accldenl
<br />$
<br />$
<br />B
<br />✓
<br />UMBRELLA LIAR
<br />EXCESS LIAa
<br />✓
<br />OCCUR
<br />CLAIMIIAIOE
<br />UMB 9467218 -03
<br />4/l /2015
<br />4/1/2016
<br />EACH OCCURRENCE
<br />$ 10 000 000
<br />AGGREGATE
<br />I$ 10,000,000
<br />oEO ✓
<br />RETENTION$ a
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICEPIMEMSER EXCLUDED?
<br />(Mandatory in NP)
<br />If yyeti, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />I
<br />WLRC48i4)789
<br />4/1/2015
<br />4/1/201(1
<br />✓ ✓ 1 TH-
<br />El. EACH ACCIDENT
<br />$ L,OOO,000
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 11000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />Crime (3rd Party)
<br />PTtA 9698641 -05
<br />4/1/2015
<br />14/1/2016
<br />a„eb Oenmreme 3,000,000
<br />Ae^_rceata Lmm 3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remerke Schedule, may be Interned If mare space u required)
<br />Santa Ana Police Department /City of Santa Ana, its officers, employees, agents, volunteers and representatives are
<br />additional insureds under the General Liability policy. Primary and Non - Contributory coverage clause will apply.
<br />Separation of Insureds clause applies under the General Liability policy. Notice of Cancellation under General
<br />Liability: 20 days / 10 days for non - payment of premium,
<br />'Yto � t, A
<br />CERTIFICATE HOLDER CANCEOLAITION
<br />Holder's Nature ofinuxest : Additional Insured
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Santa Ana Police Department/City Of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE P ICY PROVISIONS. '
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />I
<br />©1888 -2014 ACORD CORPORATION, rights eserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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