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A- 2012 -0713
<br />- --IN
<br />DIGIT -6 OP ID: J1
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />°AT0713011 " " "'
<br />07/30/14
<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 CERJ.R1qAKVCJL R.PtJ %:
<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 police } i By require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s). C� P �"y SANTA ANA
<br />PRODUCER- M1�WV44nY
<br />-
<br />Roger Stone Insurance Agency 949- 757 -0375
<br />5015 Birch Street
<br />Newport Beach, CA 92660 -
<br />Herb Cierley
<br />PHONE FF
<br />AIC No Ext : AIC No'.
<br />E_WAIL ADDRESS:
<br />GENERAL LIABILITY
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC Y
<br />INSURERA:Hartford Casualty
<br />29424
<br />$ 1,000,000
<br />INSURED Digital Map Products Inc.
<br />INSURERS: Navigators Specialty Insurance
<br />X
<br />18831 Von Karman Ave #200
<br />Irvine, CA 92612
<br />INSURER c:
<br />07/26114
<br />07/2611$
<br />DAMAGETO RENTE
<br />PREIdISES Eapmurrence
<br />$ 300,000
<br />INSURER D:
<br />$ 10,000
<br />INSURER E
<br />$ 1,000,000
<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 MAYHAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />INSR
<br />WVD
<br />POLICY NUMBER
<br />MMIDDIYYYY
<br />MMIDDIYYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS MADE OCCUR
<br />X
<br />72UUNVK3844
<br />07/26114
<br />07/2611$
<br />DAMAGETO RENTE
<br />PREIdISES Eapmurrence
<br />$ 300,000
<br />MED EDP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATELIIVIIT APPLIES PER'.
<br />PRODUCTS- COMP/OPAGG
<br />$, 2,000,000
<br />X PGLICY PEC °r LOD
<br />Emp Ben.
<br />$ 1,000,000
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />(Ea acrid e HL
<br />$ 1,000,000
<br />BODILY INJURY (Poi person)
<br />$
<br />A
<br />ANY AUTO
<br />72UUNVK3844
<br />07/26114
<br />07/26115
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per ecdtlont)
<br />$
<br />X HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Pei' accident
<br />$
<br />)(
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />A
<br />EXCESS LIAB
<br />CLAIMS MADE
<br />72RHUVK3446
<br />07/26/14
<br />1
<br />DED I X I RETENTION$ 10,000
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOY ERS' LIABILITY
<br />ANY PROPRIETORIPARTNER /EXECUTIVE Y�
<br />OFFIOERIMEMEER EXCLUDED?
<br />(Mandatory In NH)
<br />MIA
<br />72WEGC3734
<br />01101114
<br />01101/15
<br />X TWO STATIJ OTH-
<br />TO Y
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E. L. DISEASE - EA EMPLOYEE
<br />_
<br />$ 1,000,000
<br />"yes describe under
<br />DESCRIPTION OF OPERATIONS below
<br />EL.DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />B
<br />Errors & Omissions
<br />4731187
<br />07126114
<br />07/26/15
<br />Aggregate 5,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) .,w
<br />The City of Santa Ana, its officers, employees, agents, volunteers and ® POW
<br />representatives are included as Additional Insured under the General R ED
<br />Liability policy per form HG00010605 (page 12 of 18) with respects to
<br />operations of the Named Insured per written contract prior to loss.
<br />Jose Is J
<br />e for Assistant City Attorney
<br />CERTIFICATE HOLDER CANCELLATION Q I/
<br />CITYSA9
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />Y
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Teri Cable
<br />20 Civic Center Plaza
<br />Ross Annex M -21
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />ACORD 25 (2010/05)
<br />© 1988 -2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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