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CWFINCA -01 NCADWALLADE 144c.°,RO„ CERTIFICATE OF LIABILITY INSURANCE DAT 41812 DA'YYY) 4/8/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). PRODUCER Bolton & Company P.O. BOX 6030 Pasadena, CA 91102 -6030 CONTACT NAME: PHONE o 626 799.7000 FAX (626) 441 -3233 AIC N Ezt:( ) (A/C No: EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# li INSURER A: Massachusetts Bay Insurance Co. 22306 INSURED INSURER B: Allmerlca Financial Benefit Insurance Co. 41840 INSURER C: Hanover American Insurance Company ��. CWF, Inc. DBA Al Party Rentals INSURER D: !, 251 E. Front Street Covina, CA 91723 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDI-SUBR WVD POLICY NUMBER MMIODMW MMIDDYl1'YYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000' A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L A_] OCCUR X ZD3901111303 2/1/2014 2/1/2015 PREMISES Ea occurrence $ 500,000 MED EXP(Anyone person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 _I POLICY X SECT X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,D00 BODILY INJURY (Per person) $ B X ANY AUTO AW3900660703 2/112014 2/112015 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIREDAUTOS X NON -OWNED AUTOS _ PROPERTY DAMAGE PER ACCIDENT $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE I$ 5,000,000 C E %CESS LIAB CLAIMS -MADE UH3901111703 2/112014 21112015 DED X RETENTION$ $ —� WORKERS COMPENSATION ANDEMPLOVERS'LIABILITV YIN ANY CER/ME ETC R EXCLUDED? CUTIVE EXCLUDED? N/A v-' sx yt yggpROV -E JJ f.a L S9 p� (` TO WC STATU OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E, L. DISEASE -EA EMPLOYE $ (Mandatory in NFR f y.,c ..nh NH) ` DESCRIPTION OF OPERATIONS below �IORGI E, L. DISEASE - POLICY LIMIT $ Assistant City AttOrnlW DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, if more space Is required) Job: Operations of the Named Insured. The City of Santa Ana, it's officers, employees, agents, and representative are named as additional insured per the 4210778 0909 attached where required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Parks, Recreation & Community Services Agency - M23 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 1988 AU�THOORI'Z�50 REPRESENTATIVE Santa Ana, CA 92702 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD