PHOENIX GROUP INFORMATIONS SYSTEMS - 2013

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AI�°,-RO� CERTIFICATE OF LIABILITY INSURANCE 9/26/2013q 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, the policy(iss) 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 GLENDALE INSURANCE AGENCY, INC. 601 E GLENOAKS BLVD, SUITE 100 P. 0. BOX 831 GLENDALE CA 91209 -0831 NANEACT Julia Traughber PHONe (818)244 -1144 FAC 1x;(818)242 -5288 .julie @glendalsins.com MLESS,julie@glendalsins.com INSURERS AFFORDING COVERAGE NAIC# _ INSURERA:Ganeral Ins. Co. of America 4732 INSURED Phoenix Group Information Systems 2677 N. Main Street, Suite 400 .Santa Ana CA 92705 _ INSURERe;American States Ins, Co. 19704 INSURER C:CH ital SPSUCialtY InS. C2EP. 10"328 INSURERD:TWin City Fire Ins. Co. 29459 INSURER E : EACH OCCURRENCE INSURER F: _ COVERAGES CERTIFICATE NUMBER :CL1392603002 REVISION NUMBER: 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 1'0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR LTR TYPE OF INSURANCE A R POLICY NUMBER POLICY EFF M IO POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE If 1,000,000 X COMMERCIAL GENERAL LIABILITY RENTED Ewalzl Ea occurrence $ 1,000,000 A CLAIMS -MADE ®OCCUR X 24CC29837830 0/1/2013 0/1/2014 MEDEXP (Any one person $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENE AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO $ 2,000,000 X POLICY M PRO LOC IEQI 1 1 $ AUTOMOBILE LIABILITY COMBINED eDt SINGLE LIMIT 1 000 000 BODILY INJURY (Per person) $ A ANY AUTO BODILY IN IURy(Peracdden) $ ALL OWNED r7 SCHEDULED 4CC29837830 10/1/2013 10/1/2014 AUTOS AUTOS �{ X AOT08MED PeOraccltlent AMAGC $ V HIRED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4 AGGREGATE $ EXCESS LIAR EXCESS CLAIMS -MADE RETENTION$ IS B WORKERS COMP NATION COMPENSATION X WC STATU- ER A AND EMPLOYERS' YIN E.L. EACH ACCIDENT $ 1 000 000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mendelary in NN) NIA IWC10616000 10/1/2013 10/1/2014 E.L. DISEASE - EA EMPLOYE $L 11000,000 I( describe under _ -- m DC-SCRIPTIONOFOPERATIONSbelow_ E.L DISEASE - POLICY LIMIT $ 1,000,000 C Errors 6 Omissions Liab. _ GCO174704 0/1/2013 _ 10/1/2014 $2,500.00 deductible $1,000,000 D Commercial Crime Coverage B028107013 10/9./2013 10/1/2014 $25,000 detlucible $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A1lach ACORO 101, Additional Remarks Schedule, If mom space is required) It is agreed that the City of Santa Ana, its officers, employees, agents, volunteers and representatives are named Additional Insureds per form CG2026 (07/04) attached. It is also agreed that this insurance is primary and non-contributory. L ppgp9�$Jy�`� ♦ T FORM ,,?PROVED Y ED A8 1 O 1` ORM 64vaj .risigtmnt City Attorney City of Santa Ana Attention: Yolanda Bautista 60 Civic Center Plaza Santa Ana, CA 92702 ACORD 25 (2090105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE r Julia Traughber /0134.la ="r INS025 (201005),Cl The ACORD name and logo are reclistered marks of ACORD