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HONCOM-001 HIJE
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE/
<br />1/22/2011201YYYY)
<br />4
<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(les) 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 (888) 825.4322
<br />Bowermaster &Associates
<br />P.O. BOX 6026
<br />10805 Holder Street - Suite 350,ry ;j
<br />Cypress, CA 90630 l�g�_;vp^},d�.. �� .—� 4i
<br />l/�Y lT vY
<br />CONTACT
<br />PH
<br />aCNNo Extl,714-733-6200 ac No),714-252-8253
<br />EMAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE NAIC#
<br />INSURER A: Landmark American Insurance Co.
<br />INSURED Hondo Company, Inc.
<br />2121 South Lyon Street
<br />Santa Ana, CA 92705-
<br />13 J2
<br />INSURERB:Traveler5 19046
<br />INSURERC:RSUI Indemnity Company
<br />INSURER D:Preserver Insurance Company15586
<br />INSURER E :
<br />INSURER F:
<br />COVERAGES CERTIF1Ci(1E-NLYMt%R: / 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 />CTR
<br />TYPE OF INSURANCE
<br />20 Civic Center Plaza - Ross Annex (M-22)
<br />AUTHORIZED REPRESENTATIVE
<br />POLICY NUMBER
<br />POLICY
<br />XP
<br />MMLDD/YYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE 1XI OCCUR
<br />X
<br />LHA136898
<br />6/1/2013
<br />6/1/2014
<br />DAMAGE TRE TED
<br />PREMISES Ea occurrence $ 50,00
<br />MED EXP (Any one person) $ 5,00
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />X BI/PD Ded./OCC $5,000
<br />GENERALAGGREGATE $ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG $ 2,000,000
<br />POUCV X PEO LOC
<br />$
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT 1,000,000
<br />Es accident
<br />BODILY INJURY (Per person) $
<br />B
<br />X ANY AUTO
<br />BA2AO92685
<br />6/112013
<br />6/1/2014
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Par accident) $
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />PROPERTY DAMAGE $
<br />Per accident
<br />$
<br />UMBRELLA LIAR
<br />N
<br />OCCUR
<br />EACH OCCURRENCE $ 2,000,000
<br />AGGREGATE $ 2,000,000
<br />C
<br />X EXCESS LIAB
<br />CLAIMS -MADE
<br />NHA233041
<br />6/1/2013
<br />6/1/2014
<br />DED RETENTION $
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICEWMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />WCCO017519
<br />1/1/2014
<br />1/1/2015
<br />XTOCV LATT OER
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />F.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />If YYes describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana CA, its officers, employees, agents, volunteers and representatives are Additional Insured
<br />as respects General Liability gtyr fi ,l3'91L8q)71�PITy P(1i11pry!(gJContributory wording applies per same form.
<br />q'�P_
<br />cig�l OYtGG
<br />I aura. S _tt Sheedy
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2010105)
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />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 />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Purchasing Dept
<br />20 Civic Center Plaza - Ross Annex (M-22)
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701-4010
<br />ACORD 25 (2010105)
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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