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ACC> " CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMlDDM YY,
<br />6/24/2014
<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 Venbreok insurance Services CA LID OD80832
<br />6320 Canoga Avenue, 12th Floor
<br />Woodland Hills, CA 91367
<br />CONTACT
<br />__ __ ____
<br />PHONE FAX
<br />EMZ'_exN� 816-596-a9Do tarp_ 01;..___Bts;598_691q
<br />._—
<br />INSURER(S) AFFORDING COVERAGE NAIC0
<br />__ _
<br />INSURERq_Hartford Agcyient and Irlem11 Company___,.__.___ 22357 _
<br />• ,Ym. .venbrook.com _
<br />INSURED
<br />Overland Pacific & Cutler Inc.
<br />3750 Schaufele Avenue,
<br />Suite 150 A-201 q, btro
<br />Long Beach CA 90808
<br />— os-cs—oli
<br />INSURER B Hartford Fire Insurance Company 19682_
<br />INSURER c Hartford Casualty Insurance Co>�any 29424__,_
<br />----
<br />INSURER D:.Sentinel lnsuranc_a,Companv. Limited _L.. 11Ug0,___._.._
<br />INSURER,E:, Twin Cif Fire Insu_mnce
<br />I NsurteR F: Western World Insurance Company 13196
<br />COVERAGES CERTIFICATE NUMBER' 9nr9n79a 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 />ILTR
<br />LTRi
<br />.. _..._..._.._____
<br />P
<br />TYPE OF INSURANCE
<br />ADDCISlIeR�
<br />_ --.___ —.._ _....._. _ .__....__r_.___.—_._.._
<br />POLICY EFF POLICYEXP
<br />POLICY NUMBER MMIODIYYYY i MMNpIYVYY
<br />.._.._.._.._......_.,_--.._._
<br />LIMITS
<br />A
<br />! ✓ COMMERCIAL GENERAL LIABILITY
<br />r1
<br />17 CLAIMS MADE L ✓ OCCUR
<br />✓ $IQ_000BI&PDOed
<br />i ,j j
<br />!
<br />72UUNTR7859 6f1I2014 6/112015
<br />EACH OCCURRENCE
<br />! $_ 1,000.000
<br />TAlA3'ETb"RENTiO
<br />R M1IiBS Me a rarmoe^
<br />MED EXP(My on. person)
<br />$ $00,000
<br />$ 10,000
<br />Per Gidlm _
<br />PERSONAL& ADV NJURY
<br />S 1000,000
<br />GENERAL AGGREGATE
<br />r$ 2000, 000
<br />rBEPIL AGGREGAT�EI LIMIT APPLIES PER.
<br />1 POLICY LYr j JPEft4 I� LOG
<br />I OTHER,
<br />PRODUCTS ACG
<br />^= 2,000,000
<br />Em .Ban. Liab. Coo.
<br />$ 1,000.000
<br />B
<br />AUTOMOBILE LIABILITY
<br />72UUNTR7859 6/112014 61112015
<br />�ONial dn—j INGLE IhilT
<br />$ 1,000,000
<br />BODILY INJURY (For peso l
<br />$
<br />l ✓ ANY AUTO
<br />I
<br />'ALL OWNED f—SCHEDULED
<br />AVIDS l AUTOS
<br />NON OWNED
<br />✓ HIRED AlIT05 y/ AUTOS
<br />BODILY INJURY (Par accdoe)'14
<br />PROPERTY (3AMAGE "''
<br />acGy4a 11 _
<br />✓ �Com 51.000 J Coll $1 000
<br />! !
<br />C
<br />,/'UMBRELLA LIAR
<br />✓ orcuR
<br />72RIAUTR7849 6f1/2014 6/112015
<br />EACH OCCURRENCE
<br />--
<br />.$_ 2,000y0,00
<br />—_---
<br />AGGREGATE
<br />S 2,000,000
<br />BXCESS LIAa
<br />CLAIhiS-MADE
<br />!
<br />! OED RETENTIONS
<br />!
<br />I
<br />,
<br />5
<br />D
<br />E
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY YIN
<br />ANYPROPRIETOR,PARTNEMEXFCUTIVE
<br />OFFICERiMEMBER EXCLUDED? ❑
<br />(Mandatory Ill NH)
<br />DyySdIPcRoe weer
<br />ECRIPTIOPI OF OPERAt10N5 below
<br />i
<br />NIA
<br />'72WEDQ4300 )611I2014 61112015
<br />L� STA'num
<br />- —.
<br />�E-i. EACH ACCIDENT'
<br />'--
<br />GE_L. DISEASE r;A EMPIOYEE1$_
<br />EL—SEASE-POL-1hiIT
<br />$ 1,000.O00
<br />1.000,000
<br />IS 1,000,000
<br />F
<br />Usti.
<br />,BRL0004324 6!t/2014 6/1f20'15
<br />i$2,000.000 Each claim
<br />IProfessional
<br />Claims Made
<br />I
<br />! $2,000,tl40 Aggregate
<br />Retro Date: 6130103
<br />$50.000 Deductible
<br />����
<br />DESCRIPTION OF OPERAPIONS f LOCATIONS; VEHICLES (AGORA 101, A@Ilnnnal Remarks Schedule, maybe aztacbed i/ more space Is raqulrod)
<br />RE: Property Acquisition, Relocation & Management Services Agreement City of Santa Ana, its officers, employees, agents. volunteers and
<br />ontributory basis where
<br />required by contract. Subject to policy terms, conditions, and exclusions. `10 Days notice o, II >�,M Days
<br />notice of cancellation for anyother reason.
<br />representatives are are named as additional insured per attached endorsement #CG2026 (=Sandoval
<br />'30 Days Notice of Cancellation. except'10 days for non-payment of premium.
<br />l _
<br />r FRTIEirATE Hni OFR r'ANr:p'I I A/flrbSU m..;i.r Aecicfnnt t 'IYV ALLOTne.V
<br />CiftO. Of Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />P.Box 1988
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza ( M-36 )
<br />Santa Ana CA 92702
<br />AUTHORIZED REPRESENTATIVE �
<br />Wendy Filice
<br />O 1988.2014 ACORD CORPORATION. All rights reserved,
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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