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/#CORD'
<br />COMMU -5 OP ID: AD
<br />�.. CERTIFICATE OF LIABILITY INSURANCE DATE (MM DDYYYV)
<br />03131/14
<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 pollcy(les) 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 endorseman s .
<br />PRODUCER 909 -435 -0230
<br />Sa er COOklnsurence
<br />1200TCalifomia St., Ste 260 909. 798.7971
<br />Redlands, Gi 92374
<br />Robbin Mc Ginnie
<br />NAMFpCT Robbin McGinnis
<br />PNONE
<br />AIC :909- 435 -0237 A NO 909.795.7971
<br />nooRess: rmC innis sa ercook.com
<br />INSURERS AFFORDING COVERAGE
<br />NA(D $
<br />INSURED Westbound Communications, Inc.
<br />Scott Smith
<br />625 The City Dr., Ste 360
<br />INSURER A:Sentinel insurance CO. Ltd
<br />INSURERS: Hartford Insurance Comp an
<br />11000
<br />22357
<br />INSURER C:Atlantie Specialty Ins Co
<br />27154
<br />INSURER o
<br />06/06/16
<br />Orange, CA 92868
<br />INSURER E:
<br />PREMISES Ea�noCUrrence
<br />$ 300,00
<br />INSURER F
<br />$ 10,00
<br />PERSONAL &ADV INJURY
<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 SEEN REDUCED BY PAID CLAIMS.
<br />ILm
<br />TYPE OF INSURANCE
<br />ADDL
<br />POLICY NUMBER
<br />MMMROEFF
<br />mmmorrml
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />12$BAAE3737
<br />05106114
<br />06/06/16
<br />EACH OCCURRENCE
<br />$ 2,000,0
<br />PREMISES Ea�noCUrrence
<br />$ 300,00
<br />MED EXP (Any one on)
<br />$ 10,00
<br />PERSONAL &ADV INJURY
<br />$ 2,000,00
<br />GENERAL AGGREGATE
<br />$ 4,000,00
<br />GEN'L AGGREGATE
<br />POLICY
<br />LIMIT APPLIES PER
<br />PRO- LOC
<br />PRODUCTS - COMPIOP AGO
<br />$ 4,000,00
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />ALLOWNED SCHEDULED
<br />AUTOS AUTOS
<br />72SBAAE3737
<br />05/06114
<br />06/06/15
<br />COMBINED SIN LE LIMIT
<br />(Ea a.1dert)
<br />2,000,00
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (P&'adcitleni)
<br />$
<br />X
<br />HIREDAUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />$
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />EXCESS UAB
<br />CLAIM$ -MAPS
<br />AGGREGATE
<br />$
<br />LIED RETENTION
<br />$
<br />g
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOMPARTNEWEXECUTIVE YIN
<br />OFFICERIME ABER EXCLUDED?
<br />(Mandatory In NH)
<br />"Kos dexribe under
<br />DES RIPTION OF OPERATIONS below
<br />NIA
<br />72WECLR3783
<br />09128/13
<br />09/28114
<br />WC STATU- OTH-
<br />IMIT
<br />E.L. EACH ACCIDENT
<br />$ 1,000,00
<br />E. L. DISEASE - EA EMPLOYEE
<br />$ 1,000,00
<br />E, L. DISEASE - POLICY LIMIT
<br />$ 1,000,00
<br />C
<br />Professional Llab
<br />MEP1221613
<br />09/26/13
<br />09/26114
<br />Aggregate 2,000,00
<br />Ded 10,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANACh ACORD 1D1, AtldlSored Rsmerle Schedule, If mare spade In mqulmd)
<br />City of Santa Ana, it's officers, employees, agents, volunteers and
<br />representative are named as additional insured per attached form IH1200118.5 PP �O VED AS!/f,I,J/®�FOR�M�J.�r
<br />Lours A. Rossini
<br />CERTIFICATE HOLDER r:ANrCI r ATION n�tsalf;S aTaaeu u_aaJ ''pO•"Y °1'J
<br />®1958 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plata
<br />Santa. Ana, CA 92701
<br />AUTHORMED REPRESENTATIVE
<br />Robb'n Me Ginnis
<br />P
<br />®1958 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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