CARD METERING SYSTEMS, INC (2).- 2014

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AT CERTIFICATE OF LIABILITY INSURANCE 04izzizors 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 BY THE POLICIES 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 CONTACT Kristin Raider NAME: Ambassador Group Inc. PHONE E ExO (480)776-6950 FAXINC, No7:_(4eo)776 6961 7010 E Chauncey Ln ADDRiess:kreider@ambassadorins.com Ste 230 INSURERS) AFFORDING COVERAGE NAIC p. Phoenix AZ 85054 INSURER ANational Fire Insurance Company of 20478 _. INSURED INSURER B:Transportation Insurance Company 20494 CARD METER SYSTEMS, INC. DBA CMS INC. INSURERC: Employers Compensation Insurance _. 7056 ARCHIBALD AVE STE 102-453 c,tL�} u INSURER "r� `C_�� I .+.. (CORONA CA 92880 (INSURER F: CnVFRAr FC CFRTIFICATFNIIMRFR-15-16 Master (CAI RFVISIr1NINIIMRFR- 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. INSR TYPE OF INSURANCE ADDL SUER LTR POLICY NUMBER POLICY EFF POLICY EXF MMIDOIVYYV IMMUDDIYYVY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $.. 300, 000 X 4025961553 5/1/2015 5/1/2016 MED EXP(Any one person) $ 10,000 PERSONAL &ADV INJURY _$ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 R POLICY PRO JECT LOC PRODUCTS-COMPIOP AGG $ __. 2,000,000 OTHER. EPLI $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea acmdanll_ 1, 000,000 _ _ X ANY AUTO B BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS 4025961505 5/1/2015 5/1/2016 BODILY INJURY (Perewitlenl) $ NON -OWNED R_ PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Perapedent) Uninsured miu nst property $ 3,500 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ _ DED RETENTIONS $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY Y (N STATUTE ER_ ANY PROPRIETORIPARTNERIEXECUTIVE E L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED' NIA - C (Mandatory in NH) -- EIG2097823-01 5/1/2015 5/1/2016 EL. DISEASE - EA EMPLOYEE$ 1,000,000 f yes, describe antler DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Addition at Remarks Schedule, may be attached if more space is required) Coverage subject to policy forms, terms and conditions.City of Santa Ana, its officers, agents and employees and representatives is Named as Additional Insured - Designated Person or Organization. Insurance is primary & non-contributory. e� Al City of Santa Ana Parks, Recreation & Community Services Agency Attn: Silvia Cuevas 26 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANXpP"iHE AE{gJEbE , �t`,O 1LICIES BE CANCELLED BEFORE THE EXPIRATION DAT4r 'I ,, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH TH 1 PROVISIONS. AUTHORIZED REPRESENTATIVE Kristin Raider/KRE -�_- �- ©1988-2014 ACORD CORPORATION. All rights reserve) ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD I NA025 „nf 4nn