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ALCOKO CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIODIYwv)
<br />94125120,3
<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
<br />ADD Risk Services Central, Inc.
<br />Chicago IL Office
<br />CONTACT
<br />NAME.
<br />PHONE (8667 283 -7122 FAX 800 -363 -0105
<br />(A/O. No. Exq: AIC. NO.:
<br />EMAIL
<br />ADDRESS:
<br />200 East Randolph
<br />Chicago IL 60601 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIL N
<br />XSLG
<br />INSURED
<br />INSURER A ACE American Insurance company
<br />22667
<br />Central Parking corporation
<br />Central Parking System Inc.
<br />2401 215t Ave. South, Ste 200
<br />INSURER B: National Union Fire Ins CO of Pittsburgh
<br />19445
<br />INSURER C: Commerce & Industry Ins Co
<br />19410
<br />Nashville IN 37212 USA
<br />INSURER O: XL Insu Dance America Inc
<br />24554
<br />A
<br />PREMISES Ea poca,incel
<br />INSuRER E: Federal Insurance Company
<br />20281
<br />CLAIMSMADE X❑ OCCUR
<br />INSURER F. Lexington Insurance Company
<br />19437
<br />COVERAGES CERTIFICATE NUMBER: 570049727592 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. Limits shown are as requested
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />INSR
<br />WVD
<br />POLICY NUMBER
<br />MMIDD
<br />MMI00
<br />LIMITS
<br />GENERAL LIABILITY
<br />XSLG
<br />EACH OCCURRENCE
<br />$2,000,000
<br />X cOMMERCwL GENERAL UAewTY
<br />SIR applies per policy ter
<br />s & condi
<br />ions
<br />A
<br />PREMISES Ea poca,incel
<br />82,000,000
<br />CLAIMSMADE X❑ OCCUR
<br />MED E %P (Any one person)
<br />Excluded
<br />PERSONAL AOV INJURY
<br />$2,000,000
<br />GENERAL AGGREGATE
<br />S2,000,000
<br />G EN'IAGGREGATELIMIT
<br />APPLIES
<br />PER
<br />PRODUCTS COMPOPAGG
<br />52,000,000
<br />POLICV
<br />PRO -
<br />%
<br />LOC
<br />A
<br />AUTOMOBILE UVAILITY
<br />ISA HO 71 741
<br />011011201
<br />01,101/2014
<br />COMBINED SINGLE LIMIT Ea ccitlenl
<br />a
<br />$2,000,000
<br />BODILY INJURY (Per person)
<br />X ANY AUTO
<br />BODILY INJURY(ParaccidenO
<br />ALL OWNED SCHECULED
<br />AUTOS AUTOS
<br />% HIREOAUTOS NON OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Per accNenp
<br />Garagekeapers Limit
<br />52,000,000
<br />C
<br />x
<br />UMBRELLAUA1
<br />EXCESS 4AB
<br />x
<br />I OCCUR
<br />CLAIMSMACE
<br />BE060468745
<br />SIR applies per policy terns
<br />01/01/2013
<br />& condi
<br />01/01/2014
<br />ions
<br />EACH OCCURRENCE
<br />$25,000,000
<br />AGGREGATE
<br />$25,000,000
<br />DED %
<br />RETENTION i10. LOO
<br />A
<br />A
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LABILITY
<br />ANY PROMIETORIPARTNER E %ECUTP /E YIN
<br />CPFICERMEMBER Itxcco'c' 7
<br />(Mandatory in NH)
<br />NIA
<br />WLRC47130505
<br />A03
<br />5CIC47130517
<br />WI
<br />01/01/2013
<br />01/01/2013
<br />01/01/2014
<br />01/01/2014
<br />WC STATU- CTH-
<br />X TORY LIMITS R
<br />E.L EACH gCCIOENT
<br />S1,000,DDH
<br />EL DISEASE EA EMPLOYEE
<br />$1,000,000
<br />d es. tlemnbeunder
<br />DESCRIPTION OF OPERATIONS Oeipw
<br />E. L. DISEASE POLICY LIMIT
<br />$1,000,000
<br />e
<br />Misc Liab Cvg
<br />015715912
<br />01/01/2013
<br />01/01/2014
<br />Occurrence
<br />$1,000,000
<br />Crime
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ARaoh ACORD 101, Additional Remarks Schedule, if mare apace is raquimd)
<br />HE' Location No. 072 -0480 to 072 -0484. insurance charges will include all applicable premiums and costs, as well as retained
<br />exposure charges established by the Named Insured. The City of Santa Ana and its officers, agents and employees are included
<br />as Additional Insured in accordance with the policy provisions of the General Liability polity.
<br />A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General
<br />Liability policy.
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<br />CERTIFICATE HOLDER CANCELLATION i2
<br />City of Santa Ana
<br />Community Developmenr Agency
<br />Attn: Contract Administrator
<br />PO Box 1988, M -25
<br />Santa Ana CA 92702 USA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />©1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORjj P R VED AS TO FORM
<br />I Ic0 G QTr prw / 7 /
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