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e7u 13 " 415 AC"MY CERTIFICATE OF LIABILITY INSURANCE on e(MmIDDn r) 4/29/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CgNFf4 E- H�LDi . 1 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement a :' PRODUCER _. Wood Gutmann & Bogart Lic #0679263 15901 Red Hill Ave., Suite 100 B. CT Robin Holloway NOT PHONE E :7 - 2 - 2 A/C N.):714-573-1770 -MAIL ADDRESS: INSURER (S) AFFORDING COVERAGE NAIC # Tustin CA 92780 INSURER A:Hartford Accident and /26/2013 /26/2014 INSURED ARELL -1 INSURER B INSURER C:Amco Insurance Company Arellano Associates Genoveva Arellano 5851 Pine Ave Ste A INSURER D:Nationwide Mutual Ins Cc DAMAGE TO RENTED PREMISES (E.occurrence) $1,000,000 Chino Hills CA 91709 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 872520704 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR UBR MD POLICYNUMBER POLICY EFF MMIDDYYV n POLICY EXP MMIDDiNYVY LIMITS C GENERAL LIABILITY ACP7806098272 /26/2013 /26/2014 EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (E.occurrence) $1,000,000 CLAIMS -MADE OCCUR MED EXP Any one person) $10,000 PERSONAL &ADV INJURY $1,000000 GENERAL AGGREGATE $2000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $2,000,000 POLICY PRO LOC JECT F7 I I $ D AUTOMOBILE LIABILITY ACP7806098272 /26/2013 /26/2014 COMBINED 1,000,000 BODILY INJURY (Per person) $ ANYAUTO ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accldenl $ X NON -OWNED HIRED AUTOS X AUTOS C UMBRELLA LIAB X OCCUR ACP7806098272 /26/2013 /26/2014 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 EXCESS LIAB CLAIMS�MADE DED X RETENTION$0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 72WECDQ0297 /2712013 /27/2014 X WCSTATU OEH- ANY PROPRIETOMPARTNERIEXECUTIVE❑ E.L. EACH ACCIDENT $1,000,000 OFFICER /MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under DE SCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B C Errors &Ommissions Valuable Papers & Records PHSD839544 ACP7806098272 18/2013 /26/2013 /8/2014 /26/2014 2,000,000 /Claim 2,000,000 /Agg 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE: All Operations for the City of Santa Ana Certificate holder is named as additional insured on the General Liability per attached PB6003 04 11. Primary and Non - Contributory applies on the General Liability, endorsement to follow from company. APPROVED AS TO koitiv, a� CERTIFICATE HOLDER .ry"�l.Q..f PC., . /!-'- CANCELLATION WLaur& L:Lt `Isheed Assistant, City Attor I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE e)1'HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD