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DATE IMMIDDIYYYY)
<br />A6 �O CERTIFICATE OF LIABILITY INSURANCE 09/25/2013
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />BELLOWS THIS CTE CES NOT ERTIFCATEFIRMATIVELY OR OF INSURANCED05SA NOTLY AMEND, CONSTITUTEXTEND OR A CONTRACTER THE BETWEEN COVERAGE
<br />THESSUINGAFFORDED
<br />NSURER(S)THE
<br />POLICIES
<br />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). oNrncT Kristin Leiding
<br />PRODUCER 1-952-830.3000
<br />NRME:__�.__.�.___�--_______._._.—.— FAX
<br />walla Fargo Insurance Services USA, Inc. PHONE 952-830-3000 i(A!C Nol: 952-830-3009 _
<br />l All.
<br />MAIL Kris Cin.Laidingr3wa11sPergo_eom
<br />4300 Market Po into Drive ADQRE9s;.,........."____—..---_...—,...-_.__"_._ ----;........_..,.-._—
<br />Suite 600 INSURER(B�AFFORDINOCOVERAGB .___ __.._._. 1_.__NAIC 9
<br />MN $5435 .-__....._"_ —..—.
<br />Bloomington, INSURERA The Travelers Indemnity C¢ of Connecticut
<br />Scott Gronholz -- Travelers Ind
<br />.__Wp�� --- - Travelers Indemnl ty Company
<br />INSURED �y '"Y h� r3,t-1±p INSU%ER O: __ _�_M......... __...v.."-__— I__.�
<br />Daktronics, Inc.,. f'S� INSURERS: Travelers Property Casualty Co of America
<br />201 Daktronica Drive INSU_R_ERD_: The Travelers Indemnity Co of America
<br />qR The Travelers Indemnity Company_
<br />p0 Box 5128 INSURER E
<br />Brookings, SO 57006-5128 INSURER F:
<br />all Marano.
<br />COVERAGES CER-FiFIGA It NUNI111; a.,.,,.�-
<br />THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED
<br />--------
<br />NAMED ABOVE_ FOR THE POLICY PERIOD
<br />THIS IS TO CERTIFY
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
<br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED
<br />WITH RESPECT TO WHICH THIS
<br />HEREIN IS SUBJECT TO ALL THE TERMS,
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE
<br />POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />EXCLUSIONS AND CONDITIONS OF SUCH -.-.""-- —' POLICY EFF POLICY EXP
<br />—_�_ —
<br />INSR AOD sUS"kT l
<br />POLICV NUMBER IMMIDDIYYYVI IMMIDDMYWE
<br />LIMITS
<br />EACH OCCURRENCE
<br />000 000
<br />LTR tYPF.OFIN9URANCE
<br />HEGLSAll7D6882TCT-13 10/01/1� 10/01/14'
<br />A I GENERAL LIABILITY
<br />I
<br />r�$1,
<br />AGE TO ENTER I
<br />1.00tl 000
<br />I�OMMERCIAL GENERAL ABICITY
<br />OCCUR
<br />Rli
<br />�MEDEXP(AnXon.PmNm)
<br />15 Q00
<br />$mm
<br />CLAIMS MADE
<br />r---- I �I"PERSONAL&ARV
<br />I
<br />I
<br />INJURY 1�$.1,
<br />00IS aaa
<br />_._.. _....._
<br />GENERAL AGGREGATE
<br />$I ? 000 000 _..
<br />(_PRODUCTS
<br />I GENLAGGREGATE LIMIT APPLIES PER :
<br />_
<br />COMPIOP AGG
<br />$21000,000
<br />i
<br />POLICY X PRO- X LOC _
<br />FJCAP117D6901IND-13 10 Ol 7. 01141
<br />COMBINED SINGLE LIMIT
<br />1 000 000
<br />B IADTDMDBILE LIABILITY
<br />ANY AUTO
<br />BODILY INJURY (Per parson)
<br />�DODILY
<br />$
<br />LX
<br />ALL OWNED I—�BCHEDULFO ) I
<br />MJURY(F er---re4�
<br />( OAMAOE
<br />r-- AUTOS L AUTOS =
<br />I.ROPERTY
<br />I,_
<br />...—._.
<br />ix 191RED AUTOS Cx_..i AUTOS i I
<br />.�
<br />Is
<br />C Ix iUMBRELLA LIAR IX OCCUR HSNJCVY117D6II 94TIL•13
<br />L—{ I—
<br />EXCESS LIAR CLAIMfl MADE]
<br />1p/02/13. 10/01/141
<br />I
<br />EACH OCCURRENCE __ '0,000,000
<br />1A 20 -000, 000
<br />= AGGREGATE
<br />I
<br />i
<br />$
<br />1 OED X II RE� 10 000 !
<br />D WORKERS COMPENSATION I IHC2HUB163D0118-13
<br />LIABILITY
<br />I 10f01/l, 10 /01(74
<br />K TATU- OTH-
<br />SQRY LI09LSy_,_.P-jr_� ._.
<br />1,000,000
<br />AND EMPLOYERS' YlN I 1 IHHKUE177D6913-13
<br />fi ANY PROPRIETORIPARTNEWEXECURVc
<br />i 10/Ol/13, 10/01/14
<br />EL EACHACCIOENT $
<br />--
<br />OFFICEWMEMBER EXCLUnEOZ �iNfA
<br />EL DISEASE -EA EMPLOYE S 1 000 000 ...
<br />Hrm
<br />It ol,docrlb NHI l
<br />'
<br />ommid.TION
<br />I
<br />_
<br />EL. DISEASE -POLICY LIMIT � S1,000C
<br />OFOPERNTION96elow
<br />c,, TO
<br />p
<br />�vFdiS r- ._
<br />DESCRIPTION OF OPERATIONSILOCATIONSI Cl, ACORD 101, Additional Remarks Schedule, If more space 11 rainiredl-,,,,�..--��,_``L�(
<br />.VISA �Cty
<br />.-- Attorney
<br />Assistant
<br />project, City of Santa Ana A-2006-255 Maintenance Agraegmant
<br />with respect to General Liability (primary assist Insurance provided by Additional Insured shall be
<br />Additional Insured
<br />non-contributory): City of Santa Ana, its officers, agents and employees
<br />of Santa Ana
<br />26 Civic center Plaza
<br />Santa Ana, CA 92701
<br />175 'GI flV hL t't( blUl
<br />USA
<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 />(01
<br />reserved.
<br />7
<br />ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD
<br />nicholehofer
<br />35906121
<br />
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