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Client#: 1514175 <br />306ALLCITYM <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MWODNYYY) <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 />NAME, Nysa Gallegos <br />BB &T- Knight insurance Services <br />PA"�c°NNCE,e,818662 -4234 ac,Ne:877- 297 -9262 <br />535 N. Brand Blvd. 10th Floor <br />E-MAIL ss: NGallegosfdbbandt.com <br />Glendale, CA 91203 <br />pEAA�C.�HHOECTCURRENCE <br />PREMISESEaEONCCUrrenca <br />$100000 <br />818662 -4200 <br />INSURER(S) AFFORDING COVERAGE <br />NAICO <br />INSURER A: Toldo Marine Specialty Insuranc <br />23$50 <br />INSURED <br />INSURER B: National Union Fire Ins Co Of P <br />19445 <br />All City Management Services Inc <br />INSURER C: Nationwide Mutual Insurance Com <br />23787 <br />10440 Pioneer Blvd k 5 <br />INSURER D: <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />, ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X HIRED AUTOS X NON -OWNED <br />AUTOS <br />Santa Fe Springs, CA 90670 <br />2121/2013 <br />12/21/201 <br />COMBINED SINGLE LIMIT <br />Ea adocent <br />INSURER E: <br />BODILY INJURY (Per person) <br />NSURER FF <br />BODILY INJURY accident ) <br />$ <br />COVEHAGE5 CERTIFICATE NUMBER: REVISION NIIMRER- <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 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADOLSUBRi <br />INSR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/D <br />POLICY UP <br />MMIDO/YYYY1 <br />LIMITS <br />A <br />GENERALLIABILITY <br />X COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE 4 OCCUR <br />X <br />X <br />PPK1153080 <br />/01/2014 <br />04/01/2015 <br />$2G00000 <br />pEAA�C.�HHOECTCURRENCE <br />PREMISESEaEONCCUrrenca <br />$100000 <br />MED UP (Any one person) <br />. $ Excluded <br />PERSONAL & ADV INJURY <br />_ <br />$1,000,000 <br />GENERALAGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER'. <br />PRO­ <br />POLICY X LOC <br />PRODUCTS - COMP /OP AGG <br />52,000,000 <br />$ <br />O <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />, ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X HIRED AUTOS X NON -OWNED <br />AUTOS <br />X ACP7815954504 <br />2121/2013 <br />12/21/201 <br />COMBINED SINGLE LIMIT <br />Ea adocent <br />1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY accident ) <br />$ <br />PROPERTY DAMAGE <br />Per accnd rn <br />$ <br />B <br />X <br />UMBRELLA UAB <br />EXCESS LIAR <br />X <br />OCCUR <br />CLAIMS -MADE <br />BE064763294 <br />4/0112014 <br />041011201 EACH OCCURRENCE__ <br />AGGREGATE <br />$8,000,000 <br />$8,000,000 <br />DIED X RETENTION$O <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY v/ N <br />ANY PROPRIETORJPARTNEIllEXECUTIVE <br />OFFICEWMEMBER EXCWDED4 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />Not Ilcable <br />pP <br />WC STATU- OTH- <br />E. L. EACH ACCIDENT <br />E.L. DISEASE- EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />S <br />S <br />Not Applicable <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R mom apace 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 applicable. <br />NO <br />City of Santa Ana <br />20 Civic Center Plaza, M29 <br />Santa Ana, CA 92702 <br />ACORD 25 (2010105) 1 Ott <br />BS12248134/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. 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