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A R�'& CERTIFICATE OF LIABILITY INSURANCE <br />DATE ( <br />09/2 M/DD/YYYY) <br />09/26/2012 <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, 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 1-952-830-3000 <br />CONTACT NAME: Kristin Leiding <br />PHtAIONE 952-830-3000 FAX AIC No 952-830-3009 <br />Wells Fargo Insurance Services USA, Inc. <br />-MAIL Kristin.Leidin Ro.com!wellsfar <br />E-MAIL-ADDRESS: <br />ADDRESS: 9 g <br />4300 MarketPointe Drive <br />PRODUCER <br />CUSTOMER ID <br />Suite 600 <br />Bloomington, MN 55435 <br />INSURERS AFFORDING COVERAGE NAIC # <br />Gates Blodgett <br />INSURED <br />INSURER A: The Travelers Indemnity Co of Connecticut <br />Daktronica, Inc. <br />INSURERB: Travelers Property Casualty Co of America <br />INSURER C: The Travelers Indemnity Co of America <br />201 Daktronica Drive <br />INSURERD: The Travelers Indemnity Company <br />PO Box 5128 <br />Brookings, SD 57006-5128 <br />INSURER E : <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 29255947 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 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 />rypE OF INSURANCE <br />A DL BR POLICY EFF POLICY EXP <br />POLICY NUMBER MMIDD/YYYY MMIDD <br />LIMBS <br />A <br />GENERAL LIABILITY <br />HEGLSA117D6882TCT-12 <br />10/01/1 <br />10/01/13 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FKI OCCUR <br />AMA N D <br />PREMISES Ea occurrence <br />$ 1000000 <br />MED EXP (Any one person) <br />$ 15,000 <br />PERSONAL 8 ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />POLICY X PRO-JFCT X LOC <br />$ <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />HJCAP117D6901TIL12 <br />10/01/1 <br />10/01/13 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />X <br />NON -OWNED AUTOS <br />$ <br />$ <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />HSMJCUP117D6894TIL-12 <br />10/O1/1 <br />10/01/13 <br />EACH OCCURRENCE <br />$ 20, 000, 000 <br />AGGREGATE <br />$ 20, 000, 000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEDUCTIBLE <br />$ <br />$ <br />X <br />RETENTION $ 10,000 <br />C <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED? N❑ <br />N / A <br />HC2HUB163D0118-12 <br />HRKUB177D6913-12 <br />10/01/1 <br />10/01/1 <br />10/01/13 <br />10/01/13 <br />X TWe RY IMIT- OTH- <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />Ifyes, descrbe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1, 000, 000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Project: City of Santa Ana A-2006-255 Maintenance Agreegment <br />Additional Insured with respect to General Liability (Primary Basis: Insurance provided by Additional Insured shall be <br />non-contributory): City of Santa Ana, its officers, agents and employees <br />City of Santa Ana <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Laura "Sheedy <br />Assistaat CAy Attorney <br />k.ASA <br />1rf11\ V GLLM 1 1 V I\ <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 />1 � • <br />nicaolenoter C 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />29255947 <br />