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<br />ACa►rziX CERTIFICATE OF LIABILITY INSURANCE
<br />111 3/1912017
<br />aATE,MMraa,YYYY,
<br />3P1l2016
<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 p limes may require an endorsement. A statement an this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsements
<br />PRODUCER Lockton Insurance Brokers, LLC
<br />License #OF15767
<br />4275 Executive Square, Suite 600
<br />La Jolla CA 92037J/
<br />CT
<br />).AME:
<br />AX
<br />AIC No, Ext): arc, Na
<br />E-MAIL
<br />ADD SS:
<br />INSURERS) AFFORDING COVERAGE NAIC #
<br />(858) 587-3100
<br />INSURER A; The Continental hISUr4 nce Company 35289
<br />Y
<br />INSURED IPS Group, Inc.
<br />1377909 5601 Oberlin Drive, Ste, 100
<br />San Diego CA 92121
<br />INSURER B: National Fire InSUrance Coof Ilarilord 20478
<br />INSURER C: Continental Casuals CoFpL),,jny 20443
<br />-INSURER D: Aml'UT'tGan Casualty Company of Reading, 1',A 20427
<br />-INSURER E.: Indian l harbor insurance Com any �36940
<br />INSURER F
<br />'"°^�
<br />rHGIVA21 7«TiNri-1r1l7:JII11 -�r�r r�T.ri3�rrrFTiri:"#tilx� r . d , . . �i+F�R`arvi4r�
<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 SUBJECTTO AILL THE TERMS,
<br />EXCLUSIONS AND CONDIT'IQNS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADPL
<br />INSa
<br />SUER
<br />4WD
<br />POLICY NUMBER
<br />POLICY EFF
<br />M AarryYYI
<br />POLICY EXP
<br />(MMIDDIYYYYI
<br />LIMITS
<br />A
<br />COMMEttCIALGENERALLIABIB.ITY
<br />Y
<br />N
<br />4034952942,
<br />3f 9/2016
<br />3/1912017
<br />EACH. OCCURRENCE. 1,000,000
<br />CLAIMS -MADE ❑ OCCUR
<br />�.
<br />'"°^�
<br />DAMAGE TO RENTED
<br />SIO,
<br />PI2EMtSr=.S Ea occurrence 00
<br />MED EXP (Any one arson) s 15.000 ,
<br />PERSONAL & ADV INJURY ''...., $ 1,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER:.
<br />POLICY I JE O LOC
<br />GENERAL. AGGREGATE $ 2,000,000
<br />PRODUCTS - COMPIOP AGG $ 2,00() 000
<br />$
<br />OTHER
<br />H
<br />AUTOMOBILE
<br />LIABILITY
<br />]tij...
<br />N
<br />601.3847872
<br />3/19/2016
<br />3/19/2017
<br />side $, 1,0��,�01,000,000..
<br />COMBINED IS'INGLELIMIT
<br />BODILY INJURY (Per person) $ XXXXXXX
<br />ANY AUTO
<br />Ix
<br />ALL OWNED SCHEGULED
<br />AUTOS, AUTOS
<br />BODILY INJURY jeer accident $ XXXXXX.X
<br />NIIN OWI�IED
<br />HIRED AUTOS X AUTOS
<br />PRC)PERTY DAMAGE
<br />Par aoeidenl $ XXXXXXX
<br />$ XXXXXXX
<br />Coli. $500 X1Collip. Sp00
<br />C
<br />X
<br />UMBRELLA Li
<br />X
<br />IOCCUR
<br />N
<br />N
<br />4034952990
<br />3/19,'2016
<br />3019/2017
<br />EACH OCCURRENCE $ 15,000,000
<br />.AGGREGATE $ 15,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED I X I RETENTION $ 10,000
<br />$ XXXXXX.X
<br />A
<br />D
<br />AMO EMPLC'YERS' I.IaBILITY
<br />WORKERS aER S ' L ABI L�cuTovE ®NIA
<br />PRO NH
<br />It Dyes IPrION OF .O,
<br />6E.,, d rib. crdi3PEftATIQ�M1kS betnw
<br />�(
<br />50933084,51 (CA)
<br />50,93308496 AOS
<br />3119/20l6
<br />3/19/2011
<br />3/19/20 17
<br />aft)/21117
<br />PER aTH-
<br />ST
<br />r`X EACH Ac TE
<br />oar T $ 1,000,000
<br />11
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />E_L DISEASE - POLICY LIMIT 1,000,000
<br />E
<br />Tvdi F&O / Netwo ,r
<br />Privacy/ Mediu
<br />N
<br />1,,1
<br />NIT119032003
<br />3/1912016
<br />3/19/2017
<br />Each Oce. 5,000,0011;
<br />AgLa.r 5,6I76,000:
<br />Ded.'. 100,0W
<br />DESCRIPTION Of OPERATIONS I LOCATIONS J VEHICLES (Attach. ACORD sol„ Additional Remarks Schedule, may be—aTtached if more space is required)
<br />R tt tnccrzn � ca8� Parking litters The Ci[ nl Salata Arta its ollictrs agents, wolul7tttr employees ee• e .,,c 'v°...,
<br />Re: E � �, g y , r L , s, . � oy a and r plcs n1<tlt �s are n<untd as additional insured,
<br />on a pruaaary/non-cotatrib� itoa -y basis, as respects Central Liability per attached. Separalion o'i' Insureds applies per paolicy ftatYza, 30 day cancellation notice
<br />applies per attached,
<br />12813936
<br />The City of Santa Ana, its officers, agents,
<br />vaiunleers, employees and representatives
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<br />ACORD 2.5 (201 X4101)-lk[M40 14
<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 />.ems
<br />The ACORD name and logo are registered marks of ACOR43
<br />All rights reserved
<br />
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