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GRAFF -2 CIP ID: BP
<br />K" CERTIFICATE OF LIABILITY INSURANCE
<br />nnr06fi 3113 l
<br />06/13/13
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED, the polley(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, pertain policies may require an endorsement. A statement on this Certificate does not confer rights to the
<br />certificate holder In lieu of such endgrsomant s .
<br />PRODUCER 916. 630.8643
<br />Brown & Brown Insurance
<br />Brokers of Sacramento Inc, 800. 783.0083
<br />P. 0. Box 619043 Lic WOHSBO04
<br />Roseville, CA 06661.9043
<br />CONT Cr
<br />NAME;
<br />PHONE
<br />�"A "- -'-" -----
<br />,.E4AI
<br />E.MAiL. - - - --
<br />ADDRLa- �_— ______,_,______
<br />INSURERj FFORDING COVERAGE__
<br />A__ Evanston Insuran Re .
<br />INSURER Company
<br />INSURED Graffiti Protective!
<br />Coatings Inc
<br />419 N. Larchmont Blvd #264
<br />^. .35378
<br />INGO B:CompanlGn PYeperi)' OasLlalt V
<br />—
<br />12157
<br />INSURER C
<br />- - - -- - -_-
<br />Los Angeles, CA 90004
<br />13PKGWE00090
<br />INSURER E ;
<br />06/15/14
<br />❑ "RMAgEiO'RENYES...___._
<br />U- 'j3�-MJI- &gs)Ep gcairrence
<br />_._..._�__....T.,,._.
<br />S 50,000
<br />INSURER P
<br />CLAIM &MADE FRI OCCUR
<br />COVERAGES 4CFt IIFIGAtE NIIMRFR•. oelnetnaa a.0 remcn.
<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
<br />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 />¢NTI, TYPE OF INSURANCE BITE In POLICY NUMBER MMl IO/Y1'YY MOlp Ya %P TT — LINITa
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />GENERAL LIABILITY
<br />AUTHORIZED REPRESEN'T'ATIVES
<br />/
<br />EACH OCCURRENCE
<br />S� 1,800,000
<br />A
<br />X COMMERCIAL GENERAL LIABILI1Y
<br />X
<br />13PKGWE00090
<br />06/15113
<br />06/15/14
<br />❑ "RMAgEiO'RENYES...___._
<br />U- 'j3�-MJI- &gs)Ep gcairrence
<br />_._..._�__....T.,,._.
<br />S 50,000
<br />CLAIM &MADE FRI OCCUR
<br />_MEa EXp (Any ane Porsonl
<br />$ 5,000
<br />PERSONAL &ACV INJOR
<br />1,000,800
<br />GENERAL AGGREGATE
<br />S 2,000,000
<br />SENT AGGREOONI'G LIMIT APPLIES PER
<br />)t (
<br />POLICY 2 m _- LOC.
<br />_..
<br />PROOUCT3- COMP/)PAGG
<br />_._ .... _ ..... ___ . ........ _ ..... .... ..
<br />$ 2,ggp,q00
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBI [OS IN 0LELIM I' I'
<br />BODILY INJURY (Per po,son)
<br />$
<br />ANYAUTO
<br />ALL OS aCHEDULEO
<br />_,...__...___._�_._.......__
<br />__ ......__...._
<br />I—
<br />t1T0a AUTOS
<br />NON-O
<br />NON-OWNLOrA0.
<br />yyyyTTyy
<br />BODILY INJURY (P., ACCide,a
<br />$
<br />- _- �,. -__
<br />$
<br />HIRED AUTOS
<br />qq CC��
<br />/'0.:r
<br />T`�dS
<br />p p�
<br />UMBRELLA LIAa
<br />OCCUR
<br />•.,s.0
<br />.•-•
<br />ACH OC(:URRMENCE
<br />'�----- �-- _____�..,
<br />EXCESS LIAR
<br />CLAIMS-MADE
<br />�
<br />,,,,, -_
<br />"°
<br />ftL-TENTION$
<br />I
<br />I
<br />'''DWG
<br />B
<br />AND EMPLOYERSELWBILOTV YlN0Tr
<br />ANY PROPRIETOWPARTNERIEXECUTIVE j"' °`j
<br />CPCA'i 6611
<br />01101/13
<br />Ofi01114
<br />ETATU- OTH
<br />LI4RYMIIS •E_.__�..__�_
<br />EL EACHACCIDF.NT $ 1,OQq,ggO
<br />OFFICERIIdEMaER EXCLUDED? u
<br />In Nal
<br />N I A
<br />IMandetory
<br />describe wWer
<br />E.t.. DISEASE • • EA EMPLOYEE $ 1,000,000
<br />—_ _- .....,___.__.._.— .__________.
<br />My,es,
<br />OC:aCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMB $ 1,000,pgq
<br />DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES (Altacb AOORD 101, Additional RmnAft Schoduln, If a am BPaco Is ratr.Uedl
<br />The City of Santa Ana, its officers, agents, employees and representatives
<br />are included as an Additional Insured under Commercial General Liability
<br />policy per endorsement MEGL 1543 04 11 and CG 20 37 07 04, subject to a
<br />written contract between the Named Insured and the Additional Insured.
<br />Endorsements attached. "Subject to company approval. (see attached notepad)
<br />CERTIFICATE HOLDER CANCEI_I..A-nnN
<br />THECITY
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEPORE
<br />The City of Santa Ana
<br />y
<br />20 Civic Center Plaza
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, GA 92701
<br />AUTHORIZED REPRESEN'T'ATIVES
<br />/
<br />©1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2818105) The ACORD name and logo are registered marks of ACORD
<br />
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