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Client#; 458246 <br />MASTELECS <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />4/2412014 <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, subj act 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 endorsemont(a). <br />PRODUCER <br />Hub international <br />License # 0757776 <br />4371 Latham St, Ste 9101 <br />Riverside, CA 92501 <br />TA <br />NAME: Krlstle Koahrer <br />PHONE 877825.2681 95 <br />AI ANo Ext : ac No : 1 231 -2572 <br />Doasss CBLCPU @hubintornational.com <br />INSURER(S) AFFORDING COVERAGE <br />NAICR <br />INSURER A: The Ohio Casualty Ins Co. <br />24074 <br />INSURED Masters Electric le Communications, Inc. <br />TSJ <br />dba Masters <br />B: West American Insurance Co <br />44$93 <br />Comp <br />INSURER C: State Cop Insurance Fund of CA <br />35076 <br />$500,000 <br />-- <br />7490JurupaAvenue <br />Riverside, CA 92504 <br />INSURER O: _ <br />$1,000000 <br />NSURERE: <br />INSURER F <br />$2,600 000 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVESEEN ISSUED TDTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD <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 />IPR <br />TYPE OF INSURANCE <br />ADDLSUSR <br />POUCY NUMBER <br />Pp��C <br />MMIOO <br />0I�IC P <br />MNllOD <br />LIMITS <br />IOA <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />BKW66073610 <br />•r�A <br />TYips �'v',Sa <br />A" <br />h $1T <br />JUS& y,G <br />�t{O: <br />, <br />Pfau^ <br />ar <br />ka F <br />0 412 012 01 E <br />— <br />J <br />EACH OCCURRENCE <br />$1000000 <br />ENTER <br />iAuEEST ao[ci,rtOnfa <br />$500,000 <br />MEO UP (Any one rson ) <br />$15,000 <br />PERSONAL &ADV INJURY <br />$1,000000 <br />GENERAL AGGREGATE <br />$2,600 000 <br />pEN'L AGGREGATE <br />PGLICV <br />LIMIT APPLIES PER : <br />P - LOG <br />PRQDUC73- COMP <br />2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />IX <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS J( NON -C NED <br />AUTOS S <br />AW56 3610 <br />4120/2014 <br />04/2012019 <br />COMBINED SINOLE LIMIT <br />1,000,000 <br />_ <br />BODILY INJURY(Par penam) <br />.._ <br />$ <br />er ecc BODILY INJURY Pldenl <br />( ) <br />pOPERTV DAMAGE <br />per accieoni <br />-- <br />$ <br />B <br />X <br />UMBRELLA LIAR <br />EXCESS LIAR <br />X <br />IOCCUR <br />I CLAIMS -MAOE <br />ESA560736910 <br />4/20/2014 <br />04/201201 <br />EACH OCCURRENCE <br />$5000000 <br />AGGREGATE <br />$5,000,000 <br />DER I I RETENTION $ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOWPARTNER /EXECUTNE YIN <br />OFFICER/ EMBER EXCWDE07 <br />(Mandatary In NHi <br />DESCRIPTION CF OPERATIONS hob. <br />N/A <br />90761452013 .10/181201310/181201 <br />_ <br />X WCSTATU- OTW <br />DRY <br />E. L. CACHACC gENT <br />$1000,000 <br />E.L. DISEASE -EAEMFLOYEE <br />$11000,000 <br />EL. DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atinch ACORD 101, Additional Remarks Schedule, it more Waco Is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional <br />Insured in regards to the General Liability policy per attached ondorsoment form CG8810 04113; Primary/Non <br />Contributory Wording included. Separation of insureds applies per Standard CG0001 10101, <br />"Should the policies be cancelled before the expiration date, Hub <br />(See Attached Descriptions) <br />City of Santa Ana <br />20 Civic Center Plaza, M21 <br />Santa Ana, CA 92702 <br />ACORD 25 (2010105) 1 Of 2 <br />#S2825412/M2821117 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1888.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />JM43 <br />