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CERTIFICATE OF LIABILITY INSURANCE <br />9/26/2013 DATE ( n <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 />BELJW. 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: H 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 />GLENDALE INSURANCE AGENCY, INC. <br />601 E GLENOAKS BLVD, SUITE 100 <br />P. 0. BOX 631 <br />GLENDALE CA 91209 -0831 <br />Julia Traughber <br />(818)244 -1144 FN[ ,(818)242 -5288 <br />.Julie @glendaleins.com <br />INSURERS AFFORDING COVERAGE <br />NAIC I <br />INSURERA:General Ins. Co. of America <br />24732 <br />INSURED <br />Phoenix Group Information Systems <br />2677 N. Main Street, Suite 400 <br />Santa Ana CA 92705 <br />awstims American States Ins. Co. <br />19704 <br />S ecialt Ins. Co <br />10328 <br />:Tn Cit Fire Ins. Co. <br />F7CC�aital <br />: <br />f 1,000,000 <br />IMINUMER F: <br />f 1,000,000 <br />COVERAGES CERTIFICATE NUMBER- CL1392603002 RIPWAIn i NI IMRFR• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEIOWf 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 MATH 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 <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />OFF <br />POLICY O' <br />Lam <br />GENERAL UASUrY <br />EACH OCCURRENCE <br />f 1,000,000 <br />(Eat <br />f 1,000,000 <br />A <br />X COMMERCIAL GENERAL WIBILITY <br />GIAMS -MADE 10 OCCUR <br />24CC29837830 <br />10/1/2013 <br />10/1/2014 <br />NED EXP( ana <br />f 5,000 <br />PERSONAL S AM INJURY <br />It 1,000,00 <br />GENERAL AGGREGATE <br />$ 2,000,00 <br />GENL AGGREGATE <br />LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGO <br />It 2,000,00 <br />X POLICY <br />PRO LOC <br />f <br />NITOMOMIE <br />LL1Bl1TY <br />COMBINED SINGLE LIMIT <br />11000,00 <br />BODILY INJURY (Pa, Parson) <br />f <br />A <br />ANYAUTO <br />ALLOWRED SCHEDULED <br />AUTOS AUTOS <br />4CC29837830 <br />10/1/2013 <br />10/1/2014 <br />BODILY INJURY Per atwdMe <br />f <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />PROPERTY E <br />(Par spedent) <br />f <br />f <br />YcBlRe A W <br />OCCUR <br />EACH OCCURRENCE <br />f <br />AGGREGATE <br />f <br />NB <br />CIAfIS#WDE <br />DIED I I RETENTION 3 <br />f <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICEI MEMBER EXCLUDED? ❑ <br />(Myyaaannadattooryyn N1H <br />DESCRIPTION OF OPERATIONS pelow <br />NIA <br />1wC10616080 <br />0/1/2013 <br />10/1/2014 <br />X A OTH- <br />E.L. EACH ACCIDENT <br />It 1,000,00 <br />E.L. DISEASE - EA EMPLOYE <br />f 1,000,000 <br />EL DISEASE -POLICY LIMIT 1 <br />$ 11000,000 <br />C <br />Errors S Omissions Liab. <br />SGCO174704 <br />10/1/2013 <br />10/1/2014 <br />f2500mdedltOibN $1,000,00 <br />D <br />Commercial Crime Coverage <br />KB028107013 <br />10/1/2013 <br />10/1/2014 <br />$250D0 dedurJEle $1,000,00 <br />OESCMPTKIN OP OP TIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Add I Raalalha Sc11a . NMaa Spam M requk m <br />It is agreed that the City of Santa Ana, its officers, employees, agents, volunteers and representatives <br />are named Additional Insureds per form CG2026 (07/04) attached. It is also agreed that this insurance is <br />primary and non - contributory. <br />�IT ©'VBR AS TO FORM _ <br />Y Laura A. Rossini <br />City of Santa Ana <br />Attention: Yolanda Bautista <br />60 Civic Center Plaza <br />Santa Ana, CA 92702 <br />AL:UKU 25 (2UIUIU5) <br />INS025 poi jof <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 />Traughber /0134` «.� - «'.�� <br />©1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />