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•ACCOR/JP CERTIFICATE OF LIABILITY INSURANCE ??. DATE (MM/DD/YYYY) 1 113/2013 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, tunelpctlcyp!t ) 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 Spectrum Risk Management - CONTACT NAME: Account Manag r 74 Discovery PHONE 949-756-5730 A/C No): 949-756-5740 Irvine, CA 92618 E-MAIL ADDRESS: I r mri k m INSURERS AFFORDING COVERAGE NAIC # www.spectrumrisk.com OC77485 INSURER A: Mt. Hawley Insurance 37974 INSURED INSURER B : American Economy Ins Co 19690 TSCM Corporation 17791 Jamestown Lane INSURERC: St. Paul Fire & Marine Ins Co - 24767_ Huntington Beach CA 92647 INSURER D: Everest Natin I Insurance 10120 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1R1R9sa7 REVISION NLIMRFR: 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDfYYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY MGLOO177777 1/1/2013 1/1/2014 EACH OCCURRENCE $ 2,000,000 / COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 50,000 CLAIMS-MADE 7 OCCUR MED EXP (Any one person) $ 5,000 ? $1,000 deductible PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY ? PRO- LOC $ B AUT OMOBILE LIABILITY 24-CC-298386-21 1/1/2013 1/1/2014 (Ea accident) LIMIT $ 1,000,000 ,/ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS PPERTY DAMAGE ROPer accident $ $ $ C ? UMBRELLA LIAB ? OCCUR ZUP-12P38996-12-NF 1/1/2013 1/1/2014 EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4 000 000 , , DED ? RETENTION $10,000 $ D WORKERS COMPENSATION CA10000979121 7/1/2012 7/1/2013 WCSTATU- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE ? OFFICER/MEMBER EXCLUDED? N/A E.L. EACH ACCIDENT _ $ 1,000,000 (Mandatory in NH) f E.L. DISEASE - EA EMPLOYEE $ 1,000,000 I yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 AS To -- DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is requj?em S r} _? ?GK Re: Parking lot sweeping services. (l? The City its officers, agents, employees are named additional insureds with resepect to the general liability and yi er life t y blanket carrier form . ta Ass?s CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza M-25 Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE l Jim Waterhouse ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD