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ar CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MWDDIYYYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />9/23/2018
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: —file .."alume holder is an ADDITIONAL INSURED, the polley(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may racists an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In liou of such endorsement a).
<br />PRODUCER
<br />NAME T Julia Traughber
<br />GLZINI INSURANCE AGENCY, INC.
<br />None ' p
<br />�EMt,,(018)244 -1144 '1ac N21.(e1e1242
<br />601 E GLSNOAKS BLVD, SUITS 100
<br />.._.
<br />�s ulie
<br />MINK. @glsndal ®ins. cam
<br />P. O. SOX 831
<br />INSURERISI AFFORDINe COVERAGE
<br />—_ .. _...__._. .,......__.__. —.. ..._._._..__ __.._..._... ..
<br />GSURE, S CA 91209 -0831
<br />......
<br />-"
<br />INBDRPRA Gan ®rat Ins. Co of America
<br />INSURED
<br />..
<br />INSURERBAmeriOan States IRS CO_ 19704
<br />... _. ___..
<br />Phoenix Group information 3ystsms
<br />._
<br />INSUN,Elia Capital _-§p It Ina. CorE.._
<br />_.� _e�_jn_ _�
<br />_. —...
<br />10328_
<br />N. Main Stxaat, Suite 400
<br />}29459 _._...
<br />msuREpLITyin Cit Fire Ina. Co.
<br />Y,
<br />Santa Ana C1) 9270$
<br />EX
<br />ALL OWNED SCNEOULED (
<br />AUTOS ._. AUT09
<br />IN RF:
<br />I24CC28e3785p
<br />vcrwvaa VCYVIYNAIE NUM5ER:OL15383U317S 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR SRI TYPE OF INSURANCE TAE$Crs lAR' ...— ...... ..— _.._....._..EFF T'F C P -..._....._..._ .... ",...., .. ._._...._._,......_
<br />.�___1 LICY NUMB MI Y LIMITS
<br />X COMMERCIAL GENERAL LUABILIIY EACH OCCURRENCE $ 1,000,000
<br />000
<br />� __..
<br />A CfAIM9 -MADE OCCUR
<br />x l PREMISES feI299NIMncal $ 1,000,000
<br />IX 24CC29e37910 10/1/2015 1011/2016 MEp EKP (Any one pafren .- $ 5,000
<br />�$
<br />PERSONAL &ADV INJURY 11000,000
<br />GENL AGGREGATE LIMIT APPLIES PER GENERALAGORECATE $ 2,000,000
<br />____ -.
<br />X JECT F
<br />F I
<br />POLICY LOC PRODUCTS AGO $ 2,000,000
<br />......
<br />_.._.._..__.�._,.
<br />OTHER g
<br />AUTOMOBILE
<br />LIABILITY
<br />I
<br />i
<br />COMBINED L LMn
<br />TE 1,00 0,000
<br />A
<br />ANY AU'n) _
<br />BODILY INJURY(Porpesan)
<br />1$
<br />EX
<br />ALL OWNED SCNEOULED (
<br />AUTOS ._. AUT09
<br />I24CC28e3785p
<br />30/1!2015
<br />10/1/2016
<br />- -.
<br />BODILY INJURY (Per aWdMV)
<br />..__...
<br />S
<br />HIRED AUT09 ,X AUTOSEO I
<br />S
<br />UMBRELLA LIAR OCCUR
<br />EACH OCCURRENCE
<br />$
<br />..
<br />EXCESS LIAR CLAIMS -MADE
<br />--- -' _...... .._.. .�.�..
<br />AGGREGATE
<br />S_
<br />DED R TENTIO $
<br />.�
<br />$
<br />WORKERSCOMPEMIATION
<br />AND EMPLOYERS'
<br />X I OTH
<br />LIABIUW
<br />Y /,I
<br />PERTUTE ER
<br />_
<br />ANY PROPRIETOFJPARTNERtEXECUTIVE
<br />OPFICERlMEMBER EXCLUDED'
<br />INIA
<br />El. EACH ACCIDENT
<br />$ 1 BOLD 000
<br />8
<br />IMandAMry In NH)
<br />Uyyewe, deaalbeunda
<br />DESCRIPTIONOFOPERATIONSbebw
<br />IDINC1D616DOa
<br />1
<br />10/1/20151
<br />1011/2016
<br />E.L. DISEASE -EA EMPLOY
<br />—1
<br />$ 1000000
<br />—. y-
<br />E.L. DISEASE• POLICY LIMIT
<br />I S 0 0 090
<br />C i
<br />ErrOre A Omissions List.
<br />S000174706
<br />10/1/2015
<br />10/3./2016
<br />$2, MA Deductible 1,000,000
<br />D I
<br />Commercial Crime Coverage I
<br />M028107015
<br />10 /1/20151
<br />AO/1/2016
<br />$t6,DC0. OetluaibB 1,000,000
<br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Addulonal Remarks Schedule, may be aaachad 0 Moro Space Is ragUeed)
<br />It is agreed that the City of Santa Ana, its offioera, employees, agents, voluntbore and representatives
<br />are named Additional Insureds per form CG2026 (07 /04) attached. It is also agreed that this insurance is
<br />primary and non - contributory. All coverages are subject to the terms and conditions of the policies,
<br />' A
<br />wewe� old ' __ g� -
<br />City of Santa Ana
<br />Attention: Yolanda Bautista
<br />60 Civic Center plaza
<br />Santa Ana, CA 92702
<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 />REPRESENTATIVE
<br />Traughber /0134 ✓"` `:'.'° .'"'... """; �"'�'�:`'.
<br />I no AUUKU name and logo are registered marks of ACCORD,
<br />INS028 (201401)
<br />
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