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a DATE (MMIDDIYYYY)
<br />CERTIFICATE OF LIABILITY INSURANCE 7/27/2015
<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 VenbrGo'k Insurance Services CA LGC OD80832
<br />6320 Canogga Avenue, 12th Floor
<br />Woodland Hills, CA 01367
<br />ACT
<br />ME:
<br />NAME:
<br />PHONE 81-598-8900 arc Non: 818-598-8910
<br />E-MAIL
<br />ADDRESS:
<br />A
<br />INSURERS. AFFORDING COVERAGE NAlC#
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ❑✓OCCUR
<br />INSURER : Hartford Accident and Idemnit Com an 22357
<br />www.venbrc)ok.com
<br />.'' INSURED
<br />Overland Pacific & Cutler Inc.
<br />3750 Schaufele Avenue,
<br />INSURER B : Hartford Fire Insurance Company 19582
<br />INSURER c : Hartford Casualty Insurance Company_28424
<br />Stinel insurance Company, Limited 11000
<br />Suite 150
<br />Long Beach CA 90808
<br />n Cit Fire Insurance Com gD 29459
<br />aINSURE
<br />stern World Insurance Company 1319E
<br />COVERAGES CERTIFICATE NUMBER: 25736181 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 />1LTR
<br />TYPE OF INSURANCE
<br />IVSD
<br />WVD
<br />POLICY NUMBER
<br />MM! POLICYIYYYY EFF
<br />POLIO YYYY Y EXP
<br />LIMITS
<br />A
<br />1/
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ❑✓OCCUR
<br />✓
<br />72UUNTR7859
<br />6/1/2015
<br />6/1/2016
<br />EACH OCCURRENCE $ 1,000,000
<br />DAMAGE TO RENTED
<br />PREMkSES Ea nccurcemc® $_ 300,000
<br />M ED EXP (Any one person) $ _ 10,000
<br />$10,000 BI&PD Ded.
<br />Per Claim
<br />PERSONAL & ADV INJURY --. $ 11000,000
<br />GEN'L AGGREGATE (LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 21000,000
<br />POLICY ® JE® ✓� LOC
<br />PRODUCTS - COMPIOP AGG $ 2,000',000
<br />Emp. Ben. Liab, Occ. $ 1,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />72UUNTR7859
<br />611/2015
<br />6/112016
<br />COacBadeDSINGLE LIMIT $ 1,000,000
<br />....$
<br />BODILY INJURY (Peer person)
<br />ANY AUTO
<br />AALILLOS NED ✓ SCHEDULED
<br />AUTSNON.-OWNED
<br />BODILY INJURY (Per accident).. $
<br />HIRED AUTOS ✓ AUTOS
<br />PROPERTY DAMAGE:.
<br />Per accident..
<br />$
<br />✓
<br />om $1,000 V Coll $1,000
<br />C
<br />UMBRELLA LIAR
<br />OCCUR
<br />72RHUTR7849
<br />6/1/2015
<br />6/1/2016
<br />EACH OCCURRENCE $ 2,000,000
<br />AGGREGATE $ 2,000,000'
<br />EXCESS LIAR
<br />CLAIMS -MADE.
<br />DED I I RETENTION $
<br />''....... $
<br />D
<br />E
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORtPARTNER/EXECUTIVE❑
<br />OFFICERIMEMBER EXCLUDED?
<br />NIA
<br />72WEDC14300
<br />6/1/2015
<br />611/2016
<br />,/ SPER
<br />TATUTE nTRH
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />-
<br />E.L. DISEASE - EA EMPLOYE $ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />F
<br />Professional Liab.
<br />BRL0009106
<br />6!1/2015
<br />611/2016
<br />$2,000,000 Each Claim
<br />Claims Made
<br />$2,000,000 Aggregate
<br />Retro Date: 6/30/03
<br />$50,000 Deductible
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Sched'uke, maybe attached If more space Is required)
<br />RE: The insurance is for On avail Appraisal Services with the Housing Authority of the City of Santa Ana
<br />Housing Authority of the City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured per
<br />the attached endorsement #CG2026 (excl work comp) on primary & non-contributory basis where required by contract. Subject to policies" terms,
<br />conditions, and exclusions. *10 Days Notice of Cancellation for Non Payment of Premium, 30 Days All Others.
<br />WT
<br />CERTIFICATE HOLDER CANCELLATION
<br />Housing Authority Of the City Of Santa Ana
<br />HOU
<br />Hou. BOX litho
<br />P.OACCORDANCE
<br />20 Civic Center Plaza ( M-36 )
<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 />WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />(WH) Wendy Filice
<br />@ 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />25'736183, 00000n 19 1 15/15 GL AU WC UM9 PROFi (WH) Linda. Doyenart I 7/27/2015 3:341:3.5 PM IPD'T) I Page 1 of 3
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