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HONCOM-001 OLVI
<br />aco�zQ CERTIFICATE OF LIABILITY INSURANCE
<br />--^"'
<br />DATE (MM(DOIYYYY)
<br />5/24/2013
<br />THIS CERTIFICATE j,$1*ISSUED AS -A M,F TT,gR INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES' -''NOT APFIFMATIVELY-O AFi EGATIVELY 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 CE,f2TIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an, ADD TIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the. policy, derfaidp' Ijcies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endomemen s .
<br />PRODUCER (888) 825-4322
<br />Bowermaster & Associates
<br />P.O. BOX 6026
<br />10805 Hostler Street - Suite 350
<br />Cypress, GA 90630
<br />CONTACT NAME; Diana DeLaTorre
<br />PHONefAIG No,714.733.6225_ cNo:714-262-$253
<br />BidAIL
<br />AUOREsS: ddelator mO bowermaater.com
<br />INSURER(S) AFFORDING COVERAGE NAIL N
<br />INSURERA:Landmark American Insurance Co.
<br />INSURED Hondo Company, Inc.
<br />2121 South Lyon Street
<br />Santa Ana, CA 92706-
<br />f)
<br />t �/ C/
<br />INSURER s:Travelers Prop" & Casualty Co of Amer.
<br />INSURERC:RSUI Indemnity Company
<br />INSURER D:Preserver insurance Company
<br />INSURER E:
<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 MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INTR
<br />TYPE OF INSURANCE
<br />AD
<br />INSR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MIDOIYYYY
<br />POUCYEXP
<br />MMIDD/YYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIALGENERALLIAUIL"
<br />CLAIMS -MADE A OCCUR
<br />X BI/PD Ded./OCC$6,000
<br />X
<br />LHA136989
<br />611/2013
<br />etmo14
<br />FACHnnr iPRFNCF R 11000.00
<br />PREMISES Es op�curtarce]$ 60,00
<br />MEOEXP(Anyoneporsw $ 5,00
<br />PERSONAL &ADV INJURY $ 1,000,00
<br />GENERALAGGREGATE $ 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER;
<br />POLICY I X PE T 7 LOC
<br />PRODUCTS - COMPIOP AGO $ 2,000,00
<br />$
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />IInC0 AVT00 ALTO -OWNED
<br />BA2AO9268613
<br />6/1/2013
<br />6/1/2014
<br />( Ma WO SINGLE LIMI r' 1,D0D,00
<br />Ea a0d N) �_____
<br />BODILY INJURY LP., Person) $
<br />9001LY INJURY (Per acgtlent) $
<br />PLIP.. ywd. DAMAGE $
<br />C
<br />X
<br />UMBRELLA LIAR
<br />EXCESS LIAa
<br />N
<br />OCCUR
<br />CUIMS-MADE
<br />NHA233041
<br />611/2013
<br />6MI2014
<br />EACH OCCURRENCE $ 2,000,00
<br />AGGREGATE $ 2,000,00
<br />DED I I RETENTION $
<br />$
<br />D
<br />WORMERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY pROPRIETORIPARTNERfE%ECUTIVE YIN
<br />OFr1rFRfM5. MAF.RNI
<br />F.XOLk10F..0> ❑
<br />(Mandatory In NH)
<br />11y s describe wd '
<br />DESGIRIPTION OF OPERATIONS bikim
<br />A
<br />WCC0017519
<br />111/2013
<br />1/112014
<br />X TORY UMRS OTR
<br />E.L. EACH ACCIDENT $ 1,000,00
<br />E.L DISEASE. EAEMPLOYE $ 1,000,00
<br />E.L. DISEASE. POLICY LIMIT $ 1,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aeach ACORD 101, Additional Romarks Soln,&Io, If mora space isrogalmd)
<br />The City of Santa Ana, its officers, agents and employees are Additional Insureds in regards to General Liability per the attached RSG 15017 1207
<br />endorsement. Primary wording is Included.
<br />APPROVED VED AS TO FORM
<br />City Attorney
<br />City of Santa Ana
<br />Attn: Purchasing Dept
<br />20 Civic Center Plaza - Ross Annex
<br />Santa Ana, CA 92701-4010
<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 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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