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ACORPB CERTIFICATE OF LIABILITY INSURANCE09/05/2013)
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<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 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
<br />Leavitt Group #OF13098
<br />PrideMark-Everest Ins Sery Inc
<br />1820 E. First Street, Ste 500
<br />Santa Ana, CA 92705
<br />CONTACT
<br />NAME:
<br />PHEn"c°NNeExt:714.569.2700 NC, Ne:714.569.3099
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE NAICft
<br />INSURER A: Sentinel Ins Co. Ltd 11000
<br />INSURED LEXIPOL, LLC LEXIGUARD, LLC
<br />6 B LIBERTY STE 200
<br />ALISO VIEJO, CA 92656
<br />INSURER B: AXIS Insurance Company 37273
<br />INSURER C:
<br />_
<br />INSURER D:
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 13-14 GL, Auto & E&A 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 />/LTR
<br />TYPE OF INSURANCE
<br />INSR
<br />WVD
<br />POLICY NUMBER
<br />POLTCPEFF
<br />(MMIDC7EFY)
<br />P LIC EXP
<br />(M MIDOIYVYY)
<br />LIMITS
<br />Sa to Ana, CA 92702
<br />GENERAL LIABILITY
<br />72SBAAD094208/2012013
<br />08/20/2014
<br />EACHOCCURRENCE $ 1,000,00
<br />X COMMERCIAL GENERAL LIABILITY
<br />PREMISES (Ea occurrence $ 300,000
<br />CLAIMS-MADEOCCUR
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL&ADV INJURY $ 1,000,00
<br />A
<br />GENERAL AGGREGATE $ 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS-COMPIOPAGG $
<br />POLICY PRO- LOC
<br />ECT
<br />_2,000,00
<br />$
<br />AUTOMOBILE
<br />LABILITY
<br />72SBAAD094
<br />08120/2013
<br />08/20/2014
<br />(Ea accident) $ 1,000,000
<br />BODILY INJURY (Per person) $
<br />ANY AUTO
<br />A
<br />X
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />—'-
<br />BODILY INJURY (Per accitlenQ $
<br />ROPERT $ ---- —
<br />(Per aoaldenp
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE $
<br />AGGREGATE S
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION$
<br />_
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERSLIABILITY �YINI
<br />ANY PROPRIETORIPARTNERUEXECUTIVB[
<br />OFFICERIMEMBER EXCLUDED?
<br />NIA
<br />T
<br />LIMrrS ER
<br />7772_27
<br />_
<br />E. L. EACH ACCIDENT S
<br />---
<br />EL. DISEASE - EA EMPLOYEE $
<br />(MandatoryinNH)
<br />f yes, desarlbe under
<br />DESCRIPTION OF OPERATIONS below
<br />—'--
<br />EL.DISEASE - POLICY LIMIT $
<br />Professional Liability
<br />MCN00019929130
<br />08/20/2013
<br />08120/2014
<br />$2,000,000 Aggregate
<br />B
<br />$1,000,000 Each Claim
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Add Mena] Re rna rke Schede le, if more space N ro,, red)
<br />Re: Operations of the Named insured performed for the certificate holder. City of Santa Ana, its
<br />Officers, employees, agents and volunteers are included as add'! insured as per the attached Business
<br />iaiblity Coverage form #SS00080405 as required by written contract.
<br />**replaces certificate issued 8/28/2013***
<br />CERTIFICATE HOLDER CANCELLATION
<br />© 1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />vyt) V o
<br />t
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana, its officers, employees,
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />agents and volunteers
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana Police Department
<br />20 Civic Center Plaza
<br />Sa to Ana, CA 92702
<br />Gary Wells/DANAO
<br />© 1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />vyt) V o
<br />t
<br />
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