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TORRE-2 OP ID: CB <br />�► o�zca„ CERTIFICATE OF LIABILITY INSURANCE <br />0ATE (MM04125'12ol 4 <br />oarzsa <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(les) must he 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 <br />Insurance Incorporated of <br />Southern California 'I <br />6809 Indiana Ave 92020/ /tel 6 �,_ 0 ✓� <br />Riverside, CA 92506 V l�Y/ y./ <br />CONTACT <br />NAMIS <br />PHONE <br />AIC No Ext), A1C No: <br />EMAIL <br />ADDRESS, <br />GENERAL LIABILITY <br />James Henderson <br />INSURERS) AFFORDING COVERAGE NAIC Y <br />INSURERA:State Comp Insurance Fund 35076 <br />INSURED Torres Maintenance <br />DBA: TMC Shooting Range <br />Specialist <br />INSURERS: Everest Indemnity Insuran Ce CO <br />INSURER C <br />COMMERCIAL GENERAL ugewry <br />CLAIMS -MADE OOCCUR <br />27431 Santa Clarita Rd <br />INSURER D: <br />INSURER E <br />Santa Clarita, CA 91350 <br />INSURER F <br />DAMAGE To RENT <br />PREMISES Ee occurrence $ 100,000 <br />COVERAGES CERTIFICATE NUMBER: 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />CTR <br />TYPE OF INSURANCE <br />Attn: Purchasing Dept. <br />POLICY NUMBER <br />MMODIYYYY <br />MM ODIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />B <br />COMMERCIAL GENERAL ugewry <br />CLAIMS -MADE OOCCUR <br />X <br />EF4ML05247141 <br />04/04/2014 <br />04104/2015 <br />DAMAGE To RENT <br />PREMISES Ee occurrence $ 100,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL &ADS INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER <br />PRODUCTS-COMPIOP AGO $ 2,000,000 <br />POLICY F7 PE20 LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />[�,®�i� A.9 <br />{1) <br />I <br />COMBINED SINGLE LIMIT <br />Ea accident $ <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />�y4 j.,neS✓�.�� <br />IAAAYt"�`l-M_^�lY"- I_` <br />L <br />BODILY INJURY (Per accident) $ <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />Laura A. <br />S <br />dssini <br />PROPERTY DAMAGE <br />PER ACCIDENT $ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />CLAIMSMADEAGGREGATE <br />$ <br />DED RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />ANDEMPLOYERS' LIAEILITY <br />ANY PROPRIETC RIPARTN ER/EXECUTIVE YIN <br />OFFIOERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />NIA <br />907014513 <br />08/24/2013 <br />08/24/2014 <br />X WCSTATU- 777 <br />IQEY LINIIITS ER <br />E!_. EACH ACCT DENT $ 1,000,000 <br />EL DISEASEEAEMPLOYEE $ 1,000,000 <br />Ityes describe under <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE - POLICY LIMIT $ 1,000,000 <br />B <br />Pollution <br />EF4ML05247141 <br />04/04/2014 <br />04/04/2015 <br />Ea. Occur 1,000,000 <br />Ded. 1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 151, Additional Remarks Schedule, If more space is required) <br />*Ten-day notice of cancellation provided in the event of cancellation due to <br />nonpayment of premium. <br />Additional Insured: City of Santa Ana, its officers, agents and employees <br />are named as Additional Insured as respects to General Liability per <br />attached policy endorsement, CG 2010, coverage is primary/non-contributory. <br />CERTIFICATE HOLDER CANCELLATION <br />CTYSNAN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cit of Santa Ana <br />Y <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Purchasing Dept. <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 4010 <br />AUTHORIZED REPRESENTATIVE <br />,�I <br />ACORD 25 (2010/05) <br />© 1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />