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AE"Ra CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDO YYYYI
<br />4/16/2013
<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 />Woodruff-Sawyer & CO.
<br />2 Park Plaza, Suite 500
<br />Irvine CA 92614
<br />TA T
<br />NAME:
<br />PHONE FAX
<br />c Nu Exl: 949-435-7361 ac No :949- - 18
<br />A DRIESS:C o adiuk ws n
<br />INSURER (S) AFFORDING COVERAGE
<br />NAIC k
<br />INSURER A:Federal Insurance QQmpaoy
<br />20281
<br />/16/2014
<br />INSURED ACTINET -01
<br />INSURER s7ravelers Property
<br />INSURER c:National Un on Fire Ins Co Pittsbur
<br />19445
<br />Active Network, Inc.
<br />10182 Telesis Ct., Suite 300
<br />San Diego CA 92121 -4777
<br />INSURER D:
<br />DAMAGE TO RENT D
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />INSURER E
<br />$10,000
<br />NSURERF:
<br />$1,000,000
<br />COVERAGES CERTIFICATE NUMBER: 1581238143 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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />INSR
<br />MD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD/YYYY
<br />POLICY EXP
<br />MMIDOIVYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />35877916
<br />/16/2013
<br />/16/2014
<br />EACH OCCURRENCE
<br />$1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE K OCCUR
<br />DAMAGE TO RENT D
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />MED EXP(Any one person)
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GENERALAGGREGATE
<br />$2,000,000
<br />GEN'LAGGREGATE
<br />LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGO
<br />$2,000,000
<br />S
<br />X-1 POLICY
<br />L PRO LOC
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />73546685
<br />/16/2013
<br />/16/2014
<br />Ea accident
<br />Al 000 000
<br />BODILY INJURY (Par person)
<br />$
<br />X
<br />ANVAUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY( Peraccident
<br />$
<br />HIRED AUTOS AUTOSWNED
<br />PROPERTY acciden DAMAGE
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />79865288
<br />/16/2013
<br />/16/2014
<br />EACH OCCURRENCE
<br />$12,000,000
<br />AGGREGATE
<br />$12,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION$
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />"'�
<br />ANYP OFFICERIMEM ER EXCLUDED?
<br />L-
<br />NIA
<br />NIA
<br />UB3881N74613
<br />/16/2013
<br />/16/2014
<br />X WC STATU- OTH-
<br />T RV LI ER
<br />E. L. EACH ACCIDEIJT
<br />$1,000000
<br />E.L. DISEASE EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />C
<br />Errors & Omissions
<br />Retroactive Date: 07 /10/03
<br />019330471
<br />/16/2013
<br />/16/2014
<br />Limit $10,000,000
<br />SIR $100,000
<br />DESCRIPTION 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 included as additional insured as respects General Liability as required by written
<br />contract or agreement. Coverage is primary and rlon- contributory. See attached separation of insured's clause - form #80 -02 -2000.
<br />APPROVED AS TO FORM
<br />City Attorney
<br />City of Santa Ana, its officers, agents and employees
<br />Attention: Silvia Cuevas
<br />26 Civic Center Plaza
<br />Santa Ana CA 92701
<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 />iPf :I:bL1iDLNIal:7rIHa7:71�7 :L \�i fe7.WiTynra Tl7
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
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