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® A� �' CERTIFICATE OF LIABILITY INSURANCE DA70'W292013 IMNJDOMYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTiFTE DOES NOT BELOWCATHIS CERTFIICATEPOF INSURANCE DOES NOT IRMATIVELY OR LCONSTTUTEY AMEND, XAECONTRACT BETWEEN N13 OR ALTER THE OTHESSUINGGE FNSURER(S),ORDED BY fPOLICIES REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the pollcy(las) 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 does not confer rights to the certificate holder In lieu of such endorsament(s). PRODUCER SC Associates Insurances Services, Inc 2659 TOWNSGATE RD co NAME, PPNONE MAIL INSURER [$) AFFORDING COVERAGE NAN: P STE 102 WESTLAKE VILLAGE CA 91361 INSURERA: DEPOSITORS INSURANCE COMPANY 42587 INSURER 9: INSURED INSURER C: WauNER o : ..... - CHAMBERS GROUP, INC S Ml1TTONCENTRE DRSTE 750 IN URBE l : INs RER F: SANTAANA CA 92707-8720 COVERAGES um— nrlA.r- claim,--- .. ------ INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. N07WHSTANDING ANY REQUIREMENT, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOLICY TYPE OF INSURANCE 20 Civic Center Plaza, M30 P.O. Box 1988 POLICY UMBER WIvvYY UCY EXP MMm UMTS GENERAL LIABILITY CE S--,__,,, MOT= PREMISES Eaoacaneneai S _ CCMMENCIAL GENERA- LABILITY MED EXP (My are person S CLAIMS.MADE E -1I CCCUR � � PERSONAL a AOV INJURY a GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPQPAGG S f M POLICY PRO LOC AUTOMOYILa LIABILITY r (E..cclowlL S t BDD BDB 90gLY tNAIRY tPere..4 SAAViOs ANYAUTOGOWLYINJURY(PorSALLO ED SCHEDULED - oN RULED JX ACP BAPD 2525084678 0610112013 106101/2014 PROPER A ° HIREDAUTOS x AUTOS I i S UMBRELLA LIAe CCCURF�—r EACH OCCURRENCE S AGGREGATE EXCESS LIAR CLAIMS -MADS S OED RETENTIONS OTH- NORRERS COMPENSATION j TORY LI IC EL EACH ACCIDENT 5 ANO EMPLOYERS' UABILUY AHVPENEMB R MUUDERIEXECUTIVE YIN OFFICELrEMaER FJ(CLUDEOT ' EL. DISEASE - EA EMPLOYE S trMaaelaw In Nm It yes, Micnbe unar E.L. DISEASE POLICY LIMIT L I- DESCRIPTIONOFOPERAMMSVACATIONSIVEHICLES OyRecb ACOR0101, Aad11Ma1 Rameme 8aM1e0ule, Ir man spice le mqutr.al The 'Clerk of the City Council" is named as additional insured. However," The City of Santa Ana, its officers, employees, agents and representatives', sho Id be, t the additional insuredTis �avy;r, Certificate holder is listed as designated insured Under form CA2048�..— Waiver of subrogation applies perform CA0444- ORGY` c1:311 lt9cAIC MUL.Urm Clerk Of the City Council SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M30 P.O. Box 1988 AUTHORISED REPRESENTATIVE Santa Ana CA 92702 Nell Churchill Va 1988-ZUIU AGUKU UUKrumm nr/n. xn uynu rexrro... ACORD 26 (2010105} The ACORD name and logo are registered marks of ACORD �'""'