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OVERINC-01 TRISTANVAUC <br />CERTIFICATE OF LIABILITY IN 4401R.€ . �19PE °ATE`MM'°°"YY' <br />f!. nn 6/28/2013 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CtR CATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTR THE .COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT WEMEEN THE ISS,IIING I�q0UAER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. t t 1e.;Vn <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBRO G A b •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 />PRODUCER <br />INSURED <br />Insurance Group, Inc. <br />ve SE <br />Id, WA 98040-6014 <br />OverDrive, Inc. <br />One OverDrive Way <br />Cleveland, OH 44125 <br />-Al - 2-013 -ole -oo! <br />I in'Ic'"u�. e„n 1 (206) 232.9870 1iorc .� , 1 (206) 232-9515 1 <br />A: National Fire Ins. Co. of Hart <br />a: Transportation Insurance Co. <br />c : Continental Casualtv Co. <br />COVERAGES CERTIFICATE NUMBER- RFvICInN NIIMRFR. <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 />/LTR <br />TYPE OF INSURANCE <br />Santa Ana, CA 92701 <br />BR <br />POLICY NUMBER <br />POLICY EFF <br />MMIPOLICY <br />O YYVY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE$ 1,000,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE AI OCCUR <br />X <br />4030411637 <br />9/3/2013 <br />9/3/2014 <br />PREMISES Ea occurrence $ 100,00 <br />MED EXP (Any one person) $ 5,00 <br />PERSONAL &ADV INJURY $ 1,000,00 <br />X Stop Gap <br />GENERAL AGGREGATE $ 2,000,00 <br />GENT AGGREGATE LIMIT APPLIES PER <br />PRODUCTS COMP/OP AGO $ 2,000,00 <br />POLICYX PRO- <br />IFLOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident 1,000,00 <br />BODILY INJURY(Par person) $ <br />B <br />X <br />ANY AUTO <br />4030411671 <br />9/3/2013 <br />9/3/2014 <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per accident) $ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />T Per accident <br />$ <br />XUMBRELLA <br />UAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 10,000,000 <br />C <br />EXCESS LAB <br />CLAIMS -MADE <br />4030411587 <br />9/3/2013 <br />9/3/2014 <br />AGGREGATE $ <br />DED X RETENTION$ 10,000 <br />Aggregate $ 10,000,000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />WC STATU- OTH- <br />TORY L TS ER <br />E.L. EACH ACCIDENT $ <br />EL DISEASE EA EMPLOYE $ <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS below <br />0 ESCRIPTION OF OPERATIONS I LOCATIONS I 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 per attached endorsement. <br />ppROVED AS T Ni <br />1ISA Ec <br />t city A1101" ey <br />CIERTIFICATF Hni OPP rAMrGI I ATInM - <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />