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HOWRGEN -02 DORTIZ
<br />'A� R® CERTIFICATE OF LIABILITY INSURANCE
<br />°AT °"" " "'
<br />3//30/23012016
<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 />MG Skinner & Associates
<br />11030 Santa Monica Blvd., Suite 207
<br />Los Angeles, CA 90025
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />AID No Exi: (310) 478 -5041 Arc No : (310) 479.8707
<br />q DRIESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC e
<br />INSURERA:Zurich American Insurance Company
<br />16535
<br />INSURED
<br />INSURER B : American Guarantee And Liability Insurance Company
<br />26247
<br />INSURER C: Ace American Ins Co
<br />22667
<br />The Act 1 Group, Inc., dba ATIMS
<br />INSURER D:
<br />P.O. Box 29048
<br />Glendale, CA 91209.9048
<br />INSURER E:
<br />PREMISES Ea occurrence
<br />INSURER F:
<br />X
<br />MED EXP(Any one person)
<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 />ILTR
<br />TYPE OF INSURANCE
<br />NSD
<br />R
<br />VD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIDDIYYYV
<br />POLICY EXP
<br />MMIDD/YYYV
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 3,000,000
<br />CLAIMS -MADE ® OCCUR
<br />X
<br />PRA 9698691.04
<br />04/01/2016
<br />04/01/2017
<br />PREMISES Ea occurrence
<br />$ 1,000.000
<br />X
<br />MED EXP(Any one person)
<br />$ 10,000
<br />General Liability
<br />PERSONAL &ADV INJURY
<br />$ 3,000,000
<br />AGGREGATE LIMIT APPLIES PER
<br />GENERALAGGREGATE
<br />$ 3,000,000
<br />GENT
<br />X
<br />POLICY [:] PRO- ❑ LOG
<br />ECT
<br />PRODUCTS- COMPIOP AGG
<br />$ 3,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,060
<br />A
<br />X
<br />ANY AUTO
<br />PRA 9698691.04
<br />04/01/2016
<br />04/01/2017
<br />BODILY INJURY (Per person)
<br />$
<br />ALLOWNEp SCHEDULED
<br />AUTOS AUT S
<br />OWNED
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />NON -O
<br />HIRED AUTOS X AUTOS
<br />PROPERTY DAMAGE
<br />Per accident)_
<br />$
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />B
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />UMB9467218 -04
<br />0410112016
<br />04/01/2017
<br />DED X RETENTION$ 0
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED? YI
<br />(Mandatory In NH)
<br />NIA
<br />WLRC48604675
<br />04/01/2016
<br />04/01/2017
<br />X PER 10
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />_
<br />It 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DE SCRIPTION OF OPERATIONS below
<br />EL .DISEASE - POLICY LIMIT
<br />1 $ 1,000,000
<br />•
<br />Crime(3rd Party)
<br />PRA 9698691.04
<br />04/01/2016
<br />04/01/2017
<br />Occurrence /Aggregate 3,000,000
<br />•
<br />E &O /Prof. Liability
<br />PRA 9698691.04
<br />04/01/2016
<br />04101/2017
<br />Occurrence /Aggregate 3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />Santa Ana Police Department/City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insureds under the General
<br />Liability policy. Primary and Non - Contributory coverage clause will apply. Separation of Insureds clause applies under the General Liability policy. Notice of
<br />Cancellation under General Liability: 30 days 110 days for non - payment of premium.
<br />rZ,C. vid'ue b7
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2014101)
<br />© 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Santa Ana Police DepartmentlCity of Santa Ana
<br />20 Civic Center Plaza
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />��-
<br />ACORD 25 (2014101)
<br />© 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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