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CERTIFICATE OF LIABILITY INSURANCE <br />V/�__ <br />THIS CERTIFICATE V "AA/ 14 <br />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 CPRTIpI('ATF unl Dro <br />1- 11— KIANT: 'Tine cemncats nolder is an ADDITIONAL INSURED, the POIIcyQes) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may requl re an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PROWLER Phon ®:951. 678.3365 ME: <br />United Agencies, Inc. (M) NAME: Stacy Ortiz _ <br />CA License #0252636 Fax: 951. 676 -3020 PHONE -- <br />27403 Ynez Rd., Ste. 110 Np Ent 1, 951•$76.3365 ��� lac N 1. 951.676 -3020 <br />Mrs. Yang C- hanher <br />5170 Sepulveda BIA <br />Sherman Oaks, CA <br />- 2- 012- - 0 cj <br />THIS <br />INDICATED. <br />CERTIFICATE <br />EXCLUSIONS <br />...__ ......... <br />IS TO CERTIFY THAT THE POLICIES <br />NOTWITHSTANDING ANY REQUIREMENT, <br />MAY BE ISSUED OR MAY <br />AND CONDITIONS OF SUCH <br />..... <br />OF <br />PERTAIN, <br />POLICIES. <br />INSURANCE <br />r 11.1ocrm: <br />LISTED BELOW HAVE BEEN <br />TERM OR CONDITION OF ANY <br />THE INSURANCE AFFORDED BY <br />LIMITS SHOWN MAY HAVE BEEN <br />ISSUED TO <br />CONTRACT <br />THE POLICIES <br />REDUCED BY <br />THE INSURED <br />OR OTHER <br />DESCRIBED <br />PAID CLAIMS. <br />REVISION NUMBER: <br />NAMED ABOVE FOR THE <br />DOCUMENT WITH RESPECT <br />HEREIN IS SUBJECT TO <br />-. . <br />POLICY PERIOD <br />TO WHICH THIS <br />ALL THE TERMS, <br />tYPE OF INSURANCE <br />GENERALUABILITY <br />O <br />POLICY NUM ER <br />MMI 0 Y <br />IbrcE YY <br />LIMITS <br />B <br />X CoMMERCIALGENERALLIABILITY <br />X� <br />CLAIMS-MADE OCCUR <br />X <br />X <br />USA4029224 <br />�, .,y <br />ll...•++ t� <br />01110/14 <br />t"q `�'!O � <br />0111011$ <br />^)�LYL <br />. EACH OCCURRENCE <br />RENTED--- - <br />PREM SE a acc-_„ unangy <br />3 1,000,00 <br />8 10,0 <br />Mep E %P {Aors pargpn) <br />m/ <br />8 5,00 <br />PERSONAL AADVINJUnY <br />8 11000100 <br />GEwL AGGREGATE LIMIT APPLIES PER <br />GENERALAGGREGATE <br />5 2__000,00 <br />y� <br />ppo <br />PRODUCTS - COMP /qP AGO <br />_ <br />5 ... 1,000,DO <br />X POLICY PRO- Ld.': <br />AUTOMOBILE LIASILnY <br />ANY AUTO <br />AIRUS NED � AUTOS <br />F--- <br />HIRED AUTOS AUTOS NEO <br />AUTOS <br />l <br />t.IJ <br />Assistant <br />,- „...... ----.. <br />AttC7Yl <br />j/ <br />- ---^'° <br />{ {Oy <br />__ <br />WHINE SINGLELIMIT <br />jam <br />_.... <br />ILYI <br />Bg014Y INJURY (Per pmrxon) <br />-- <br />g _ <br />BODILY INJURY (Par aceideM) <br />--�- <br />E <br />GP a amla MAC. <br />_ <br />5 <br />EACH OCCURRENCE _ <br />4 <br />5 <br />5 5,000,0Q <br />C <br />UMBRELLA LIAR X OCCUR <br />X e%cee9 DAB CLAIMS MADE <br />XLBB04652 -01 <br />01/10/14 <br />01/10115 <br />DE X ETENTIONS <br />AOOREVATE <br />-' -� <br />$ 5,000,00 <br />X INC STATU- OTH- <br />-- <br />3 <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIMBER EXCUJEEEtltECUrIVE YIN <br />OF8%:EEMEMBEN E %CLUbEO'r ❑ <br />{Mantlalpry in NH! <br />N/A <br />WCC 0004991 <br />05102/13 € <br />05/02(14 <br />E.L. EACH ACCIDENT <br />3 1 ,000,00 <br />E.L. DISEASE - EA EMPLOYEE <br />3 .— 1,000,00 <br />llyas. tleurbe Vnder <br />DF.SCRIPTI NOF OPERATI NS bet <br />- <br />E.LOISEASE- POLICY LIMIT <br />E 11000100 <br />bE5CRIPTION OFOPERATN?NS/ LOCq'LIONSI VEHICLES (ANmch ACORD 101, Additr ml Ramarae 3phatluls, If man Apum la rulmronl <br />Certificate holder, its officers, employees, agents, and ropresentativee are <br />named as Additional Ensured in regards to the general liability where <br />required by written contract, with primary and non - contributory wording in <br />respects to the operations of the Name Insured. <br />_CERTIFICATE HOLDER .....__.. -_._ -- <br />CITYOFS <br />City of Santa Ana <br />Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 52702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />ACORD 26 2010106 v inks Iry ORD <br />( ) The ACORD name and Ingo are registered marks of ACORO <br />