PCC NETWORK SOLUTIONS, A PACIFIC COAST CABLING, INC. CO. 5 -2013

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AC Ar N?- - R - 001J - ivY acaaRb® CERTIFICATE OF LIABILITY INSURANCE .�„�- DATE 12/24/2013 2/24I2013) 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. n. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, tha policy(ie u b e rse 18U OGATION 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 Tolman & Wiker Insurance Services LLC #OE52073 196 S. Fir Street PQ BOX 1388 Ventura CA 93002 -1388 NAMEA q 'AINB PHONE B " i _ •1 '3' bVC NO). (9osJ Ses -szi3 E -MAIL ADDRESS, aflorea @tolmanandwiker. com INSURERS AFFORDING COVERAGE NAIC q INSURER A:Hartford Fire Ins Cc 19682 INSURED Pacific Coast Cabling, Inc. DBA: PCC Network Solutions 20717 Prairie Street Chatsworth CA 91311 INSURER B:Hartford Casualty 29424 INSURER C:HartfOrd Accident & Indemnity2357 INSURER D: $ 1,000,000 _ INSURER E: X COMMERCIAL GENERAL LIABILITY INSURER F: rnVFRArFS rFRTiFICATF MIJURF_R14 /15 GL /AL /UIM /WC 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 TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADO R POLICY NUMBER POLICY EFF POLICY EXP LIMITS - GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea Qcoi ronce $ 300,000 MED EXP(Any one person) $ 10,000 A CLAIMS -MADE OCCUR 72U10N,THO752 S /1/2014 T © Y 1/1g/2015 14y PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEHL AGGREGATE LIMIT APPLIES PER: •L�i 7 PRODUCTS - COMPi AGO $ 2,000,000 $ POLICY X PRO X LOC A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS NON4)WNED HIRED AUTOS AUTOS L(S Assistant Cltl 72UONTHO752 AttOYnBy 1/1/2014 1/1/2015 COMBINED SINGLE LIMIT Ea accident) 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par accident $ Underinsured motorist $ X I UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 B EXCESS LIAR CLAIMSWADE DED I X I RETENTION 10,00C $ I 172sRUiTH1103 1/1/2014 1/1/2015 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNEWEXECUTIVE V I N X WC STATU- OTH- E.L. EACH ACCIDENT $ 1 000 000 OFFICEWMEMSER EXCLUDED? (Mandatory in NH) NIA 72wEEQB250 1/1/2014 /1/2015 E1. DISEASE - EA EMPLOYE $ 1 000 000 E.L. DISEASE - POLICY LIMIT $ 1 000 000 If yes, describe untler DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) GL: The City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured as respects to operations of the Named Insured per attached HG0001 0605. This insurance is primary and non - contributory to any other insurance held by Additional Insured per attached HG0001 0605. A Waiver of Subrogation is added per attached HG0001 0605. Attached enorsements apply only as required by written contract during the policy term. emarek @santa - ana.org City of Santa Ana Attn: Insurance Services Division M -12 20 Civic Center Plaza Santa Ana, CA 92701 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 Toohey, CISC /ARACEF AGURU 25 (20101 U1MSS- YU71JAULIKUI:VKF'UKAIIV1N. Allrlgnt$reservea. INS025 mnlnnsl nl Tha arnpn norm and Innn am ranletnro8 mark. of Ar.nRn