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WEMI <br />CERTIFICATE OF LIABILITY INSURANCE I DATE 614/2012 Y) <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 (888) 825-4322 CONTACT <br />Bowermaster 8. Associates FHCcNE EXt:1-714-733-6251 ac Ne: 1-714-252-8253 <br />P.O. BOX 6026 E-MAIL <br />10805 Holder Street - Suite 350 PRODUCER <br />Cypress, CA 90630 CUSTOMER ID#;NONCOM-001 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED Hondo Company, Inc. INSURER A; Landmark American Insurance Co. <br />2121 South on L Street <br />Lyon INSURE_R_B Travelers Indemnity Company___ <br />Santa Ana, CA 92705- <br />. _ - - <br />INsuRER c :RSUI Indemni�Company_ <br />INSURER D: Preserver Insurance Company____ <br />INSURER E ; <br />INSURER F; <br />CfIV FRA(':FC CFOTI GI/•`ATF NI IML3FO• OC\/ICIn AI wll IMQCO <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 />INSR _-_-.__..-__-__--. - -- __ -- ADDLSUER --- _--- --__.____.-POLICY Eli'* POLICYEXP--__--_-_-__ --_-- --_-__ ____------------- <br />LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY) (MM/DD/YYYY1 LIMITS <br />AUTHORIZED REPRESENTATIVE <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />X <br />LHA136125 <br />6/1/2012 <br />6/1/2013 <br />-ti _ - <br />AM/�GETORENTE� <br />PREMISES Ea occurrences. <br />$ 50.000 <br />CLAIMS -MADE X OCCUR <br />- <br />MED EXP An one <br />(Any person) <br />PERSONAL 8 ADV INJURY <br />$ 1,000,000 <br />X BI/PD Ded./OCC $5,000 <br />GENERAL AGGREGATE <br />S 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />S 2,000,000 <br />POLICY PRO <br />X - LOC <br />$.. __ -.-- <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />- <br />(Ea accident) <br />B <br />X <br />ANY AUTO <br />BA2A092685 <br />6/1/2012 <br />6/1/2013 <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />--- <br />BODILY INJURY (Per accident) <br />$ <br />- <br />SCHEDULED AUTOS <br />P -- TY ---.---- -- - <br />PROPERTY DAMAGE <br />--- --------- - --- <br />HIRED AUTOS <br />(Pe accident) <br />$ <br />NON -OW NED AUTOS <br />$ <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />$ 2 000,000 <br />X <br />EXCESS LIAB <br />CLAIMSMADEAGGREGATE <br />C <br />NHA230581 <br />6/1/2012 <br />6N /2013 <br />- ------ ---- <br />-- - - <br />------------------ — -- - <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />OT <br />X <br />AND EMPLOYERS' LIABILITY YIN <br />TORY LIMIT$ <br />- -- <br />D <br />ANY PROPRIETOWPARTNER/EXECUTIVE <br />WCCO017519 <br />1/1/2012 <br />1/1/2013 <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />OFFICER/MEMBER EXCLU DED? Y� <br />N / A <br />"-- -. -" --- -- <br />E.L. DISEASE EA EMPLOYEE <br />-- -- <br />1,000,000 <br />(Mandatory In NH) <br />DESCRI PTIION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are <br />named as additional insureds with respects to General Liabili er fgrm RSG15017 1207; Primary wording is included. <br />yr <br />tM � N � I � [M•� � �: Ul ■ tl � G �— ��i--!^1�N•\. r.a y ■ �•� � ra. <br />L.nUra .. t` L SS-]::;L3y <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana A,Sd t�u)']E. ity Aklornc` <br />C/O Public Works Agency- The Depot <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, M-21 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701- <br />v ZOO-�uuw ZI mu LVKYVKHI IVm- fill rlgncs reservea. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />