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A °® CERTIFICATE OF LIABILITY INSURANCE DA'09fti2D14YY' 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: H the certificate holder Is an ADDITIONAL INSURED, the polley(les) 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 do" not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER ACT Risk Insurance Se rvice5 West, Inc. Los Angeles CA Office 707 Wilshire Boulevard Suite 2600 CONTACT PNOH FAX iNC. N. -Ern: (866) 283 -7122 me Ra ): 800- 363 -0105 EEAD RL95: INSUREWS) AFFORDING COVERAGE NAICR Los Angeles CA 90017 -0460 USA INSURED INSURER A: Pacific Indemnity Co 20346 INSURER B: Federal Insurance Company 20281 Tiburon. Inc. 3000 Executive Parkway, Suite 500 San Ramon CA 94583 USA INSURER C: INSURER D: INSURER E: PREMISES Ea oxunence $1'000'000 INSURER F: Arzec LCOTICHEtA F IUIHURFR• 570055111111 REVISION NUMBER: V 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. Limits shown are as requested TR TYPE OF INSURANCE POLICY NUMBER UNITS B X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $1,000,000 CLAIMS -MADE F] OCCUR PREMISES Ea oxunence $1'000'000 MED EXP IAny one person) $10,000 PERSONAL 6 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGO $2,000,000 POLICY X❑PRO FX JECT OTHER. B AUTOMOBILE LIABILITY 09/01/201409/01 /2015 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY (P., pe,aon) BODILY INJURY (Pera¢Itl'anl) ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON-OWNED AUTOS PROPERTY DAMAGE Peram'deol UMBRELLALIAS OCCUR EACH OCCURRENCE AGGREGATE EXCESSLWB CLAIMS-M4DE DED I IRETENTION A WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PROPRIETOR I PARTNER I EXECUDI YIN OFFICEWMEMBER EXCLUDED? (Mandatary In NH) NIA 717 9717 0970-172-01-4 097o- 1 PER OTH- X STATUTE EL EACH ACCIDENT $1,000,000 E.L. DISEASE-EA EMPLOYEE $1,000,000 If ySCRIPcdbe under DESCRIPTION OF OPERATIONS Irelow E.L. DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS) LOCATKINS I VEHICLES (ACORD 101, AddlUanal Ramerks Schedule, may be.M.1wd if more apace Ia required) City of Santa Ana its officers, employees, agents, volunteers and representatives is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability and Automobile Liability policies. pROVEU AS TO FORK, CERTIFICATE HOLDERvllN USn City of Santa Ana 60 Civic Center Plaza Santa Ana CA 92701 USA ACORD 25 (2014101) Assistant City �u✓0 O "` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE mLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVBIONS. ®1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD `m a m 9 9 S :L r N 0 e 4 O e U