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ACI� <br />4� °� CERTIFICATE OAF LIABILITY INSURANCE <br />X0 /2/20 4Y) <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, `L} WqR7IFI T R: <br />IMPORTANT: If the certificate holder Is an ADDITI'ANAL N' U <br />I.'E , the policy(es) must be endorsed. If SUBROGATION IS WAIVED, . subject to <br />the terms and conditions of the Do I�e yy..��..��sJJt�In,,..��ollbles may require an endorsement. A statement on this certificate does not eonfor rights to the <br />certificate hotderin lieu ofsuch enH-1 e�ehf{s).5 -. nt i A - A <br />PRODUCER O (( )I i <br />.ill lJE t tl��!",; <br />Tutton Insurance Services, Inc. <br />2'1913 S. Puullmaa. Street <br />License #OB89376 <br />Santa Ana. CA 927055. <br />NAME <br />PHONE (949)261-5335 . 1 (AtC.No):: (949)261 -1911 <br />'MAIL <br />INSURER(S) AFFORDING COVERAGE. <br />NAIC# <br />INSURER ATraVelerS. Casualty Insurance <br />19046 <br />INSURED <br />Reprographics Fax Group, Inc <br />IIBA: C3 Office Solutions <br />15565-C MCGaw Avenue <br />Irvine CA 92614 <br />INSURER S:Travelers Property " Casualty <br />5674 <br />INSURER C: <br />INSURER D.: <br />INSURERE: <br />$ 2,.000,000 <br />INSURER .F: <br />$ 300,000 <br />COVERAGES CERTIFICATE- NUMBER:14 -15 GL /BA /WC 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 MICH 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TR <br />TYPE OF INSURANCE <br />A DDL <br />BUM <br />SUER <br />2an <br />POLICY <br />POLICY EFF <br />MMIDOIYWY ) <br />POLICY EXP <br />(MMIDDIYYYY. <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,.000,000 <br />PREMISES Ea cceur.uaal <br />$ 300,000 <br />A. <br />X COMMERCIALGENERALLIAMLITY <br />CLAIMS -MADE 5XI OCCUR <br />68e9Be1177714. <br />/23(2014 <br />/23%2015 <br />RED E #P (Any one person) <br />$ 5,000 <br />PERSONAL e AOV INJURY <br />$ 2„000,000 <br />GENERAL. AGGREGATE: <br />$ 4.,000,000 <br />GEN L. AGGREGATE LIMIT APPLIES. PCR'. <br />PRODUCTS:- COMPA)PAGG. <br />$ 4,000,000 <br />X POLICY PE C- CT Ll <br />AUTOMOBILE <br />LIABILITY <br />COMBINED 'dl G E LIN11 <br />Eo a rident <br />1,000,000 <br />X <br />BODILY INJURY (Per Person) <br />$ <br />A <br />ANY AUTO <br />ALL OS AUTOSUCE0 <br />8688091-914 <br />/23/2014 <br />/23/201'5 <br />BODILY INJURY (Per acadent) <br />$ <br />NPN OVSTIED <br />HIREDAUT06 AUTOS <br />PROPERT`F DAMAGE. <br />P aoadei4 <br />Medial a MNrs: <br />$ 5 000 <br />UMBRELLA LIAS. <br />OOCOR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE' <br />$ <br />EXCESS LIAS <br />CLAIMS -MADE <br />DEC I I RETENTION:$ <br />R <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YtN <br />ANY PROPRIETGR.PARTNCRODCCUTNE <br />OFIRCERMEMBER EXCLUDED? <br />(Mandatory ln. NH} <br />NIA <br />B4039T8 &714 <br />0/2/Zg14 <br />0/2/2015 <br />X T RTAiL OTbk <br />R <br />EL EACH ACCIDENT <br />$ 1 000 000 <br />E.L. DISEASE -CA EMPLOtiE- <br />$ 1..'000 00.0 <br />fyyas de o,04 under <br />DESCPIPTION.OF OPERATIONS DoOv <br />E L -DISEASE POLICY LIMIT' <br />® 1 000'000 <br />DESCRIPTION OF OPERATIC NS. I'LOCATIDNS I VEHICLES (AttachACORD 101 Additional Remarks Schedule, it more space is required) <br />City of Santa Ana,: its officers, employees, agents., volunteers and representatives are named additional . <br />insured per attached forms CGT4911193, CGD037 0405 & TLT400 1209' <br />ZFa� Pa <br />� ....... <br />r vim....- <br />K t <br />LISA E. S e <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Assistan <br />LEM <br />ACORD 25(2010/05) Cat1988 •201 -0 ACORD CORPORATION. All rights reserved. <br />iNS025 (2niam) of The ACORD name and logo are registered marks of ACORD <br />IF <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 />City of Santa Ana <br />20 civic '.Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Banta Ana, CA 92702 <br />Stanley Tutton /KARLA. <br />ACORD 25(2010/05) Cat1988 •201 -0 ACORD CORPORATION. All rights reserved. <br />iNS025 (2niam) of The ACORD name and logo are registered marks of ACORD <br />