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OVERINC-01 AMYLUDWIG <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DDIYYYY) <br />F <br />TYPE OF INSURANCE <br />1/4/2013 <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 AMEN6, 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 CERTIFICATE HOLDER. <br />IMPORTANT: If 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 />Caledonian Insurance Group, Inc. <br />BOX 60 <br />Me <br />Mercer Island, WA 98040-0060 <br />CONTACT <br />NAME: <br />PHONE 1 (206) 232-9870 I n/c <br />A/C No xt No): 1 (206) 232-9515 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A: National Fire Ins. Co. Of Hart <br />9/3/2012 <br />INSURED <br />IN SURER B: Transportation Insurance Co. <br />INSURER C: Continental Casualty Co. <br />OverDrlve, Inc. <br />INSURER D: <br />One OverDrive Way <br />Cleveland, OH 44125 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NI IM91=10• <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDNYYYI <br />POLICY EXP <br />(MMIODNYYYI <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 7 OCCUR <br />X Stop Gap- $1,000,000 <br />4030411637 <br />9/3/2012 <br />9/3/2013 <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGETO PREMISES RENTED encs $ 100,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JFC7 LOC <br />PRODUCTS - COMPIOPAGG $ 2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />4030411671 <br />9/3/2012 <br />9/3/2013 <br />EO aB NeD SINGLE LIMIT $ 1,000,000 <br />BODILY INJURY (Per person) $ <br />JX <br />ALLOWNED SCHEDULEDBODILY <br />AUTOS AUTOS <br />INJURY Per accident $ <br />( )HIRED <br />AUTOS X NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accident $ <br />C <br />X <br />UMBRELLA LIABX <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />4030411587 <br />9/3/2012 <br />9/3/2013 <br />EACH OCCURRENCE $ 10,000,000 <br />AGGREGATE $ <br />DED I X I RETENTION $ 10,000 <br />Aggregate $ 10,000,000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/ N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />If yes, describe under <br />N / A <br />T WC STATU- OTH- <br />LIMITS R <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />City of Santa Ana, its officers, agents and employees are additional insured as required by written contract. SDIAS Tc) <br />APp kov <br />s Sta t ��ty Attofney <br />„ ,.,n, c nvwr=r% toANI:tLLA I IUN / — <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />AUTHORIZED REPRESENTATIVE <br />©1988-2010 ACORD CORP&AATION. A�4iahts reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />