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"1 (tom c G/ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) F01123/2013 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 CERTIFICATE HOLDER. 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(s). PRODUCER CONTACT N r. Levine Insurance Group LLC PHON?BnL) 860 739.4444 FAx W:1860} 739-6861 221 Boston Post Road E-MAIL P.O. Box 339 INSURERIS) AFFORDING COVERAGE NAIC X _ East Lyme CT 06333 INSURER : Travelers Property Casual Co of America INSURED INSURER B : U.S. Saws INSURER C : 11 High Street INSURER D: INSURER E: Suffield CT 06078 INSURER F : COVERAGES CERTIFICATE NUMBER: 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 TR I TYPE OF INSURANCE I ADOL mm? SUBR min POLICY NUMBER POLICY EFF t ,D D=L POLICY EXP ! Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED SFRiFaaccurrence) 300,000 S CLAIMS-MADE ] OCCUR 1.680-6A854269-TIL-12 11117112 11/17113 MED EXP An one person) s5,000 _ PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGRE GATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG s2,000,000 POLICY PRO 1 LOC (( f S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT aaccidcnt).___ .-- ANY AUTO BODILY INJURY (Per person) S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ N ON-OWNED PROPERTY DAMAGE I ? $ HIRED AUTOS AUTOS tatci X UMBRELLA LIAB X OCCUR EACH OCCURRENCE s2,000,000 A EXCESS LIAR CLAIMS-MADE CUP-6A854128-12-42 11117/12 11/17/13 AGGREGATE s2,000,000 DED X RETENTION 0 $ WORKERS COMPENSATION ' WC STATU• X OTH- AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECL E.L. EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? NIA IJUB-3794T36-1.12 11117112 11/17113 E 1 (Mandatory in NH) E.L DISEASE • EA EMPLOYE ,000,000 $ If yes, describe under D LSCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT $ 1,000,000 , K Tr-rl yw7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) \ L? ? f l The City of Santa Ana, it's officers, employees, agents, and representatives are named as addit, & it (? CG D2 47 08 05 i d d f .. s as per attache orm insure S7TORCK --- LIS eY pttor ? City tant ?? Assis L;tK I II-IUA I C HULUtK UANUtL-LH I JUN The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f. < ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Exhibit C