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Client #: 1514175 <br />306ALLCITYM <br />ACORD, CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MWDD/YYYY) <br />TYPE OF INSURANCE <br />04/25/2014 <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 <br />CONTACT Nysa Gallegos <br />BB &T- Knight Insurance Services <br />PHONE No Ext: 818 662.4234 FA1 877- 297 -9262 <br />A/C (A/C No: <br />535 N. Brand Blvd. 10th Floor <br />nooaless: NGallegos @bbandt.com <br />Glendale, CA 91203 <br />pEpAApCC�HHpCCO�EECTCTURRENCE <br />PREMISES EaaccurrDance <br />$109000 <br />818 662 -4200 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC If <br />INSURER A: TONG Marine Specialty Insuranc <br />23850 <br />INSURED <br />INSURER e: National Union Fire Ins Co of P <br />19445 <br />All City Management Services Inc <br />INSURER C: Nationwide Mutual Insurance Com <br />23787 <br />70440 Pioneer Blvd # 5 <br />C <br />AUTOMOBILE <br />X <br />X <br />Santa Fe Springs, CA 90670 <br />INSURER D: <br />ACP7815954504 <br />12/21/201312/21 <br />/201 <br />INSURER E: <br />$1,000,000 <br />INSURER F: <br />$ <br />BODILY INJURY (Per accident) <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 />LTp <br />TYPE OF INSURANCE <br />ADDLSUBR <br />WVO <br />POLICY NUMBER <br />MM/LDD/)WYF <br />POLICY DNYYV <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE aX OCCUR <br />X <br />X <br />PPK1153080 <br />4/01/2014 <br />04/01/201 E <br />$2 000,000 <br />pEpAApCC�HHpCCO�EECTCTURRENCE <br />PREMISES EaaccurrDance <br />$109000 <br />MED EXP (Any one person) <br />$Excluded <br />PERSONAL &ADV INJURY <br />$1 000,000 <br />GENERALAGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY X '_ I <br />PRODUCTS - COMP /OP AGG <br />$2,000,000 <br />$ <br />C <br />AUTOMOBILE <br />X <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />X <br />ACP7815954504 <br />12/21/201312/21 <br />/201 <br />COMBINEDBINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />BODI LY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />B <br />1C <br />UMBRELLA LAG <br />EXCESS LIAR <br />X <br />OCCUR <br />CLAIMS -MADE <br />BE064763294 <br />4/01/2014 <br />04/01/2015 <br />EACH OCCURRENCE <br />$8,000,000 <br />AGGREGATE <br />$8,000,000 <br />DED X RETENTION $0 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETOR /PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />Not Applicable <br />W RSTATU- OTH- <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DI SEASE-EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />Not Applicable <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />As respects General Liability and required by written contract; The City of Santa Ana, it's officers, <br />employees, agents, volunteers and respresentatives are named as additional insured. Insurance is Primary & <br />Non - Contributory. Waiver of Subrogation a lic <br />AS TO FORM <br />City of Santa Ana <br />20 Civic Center Plaza, M29 <br />Santa Ana, CA 92702 <br />ACORD 25 (2010/05) 1 off <br />#S12248134/M12248127 <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 />©1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />NNGON <br />