ORANGE COUNTY CONTRACTORS SERVICES DBA ORANGE COUNTY MAILBOXES AND CONSTRUCTION 3 - 2014

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Aac Dr CERTIFICATE OF LIABILITY INSURANCE DATE(MMDD /YYYY) TYPE OF INSURANCE fi/4/2014 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(les) 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 Insurance Partners, Inc. - Santa Ana 2107 M. Broadway Suite 108 OONT M Christ Ma o PHONE (714) 285 -4800 nAic No: AM Santa Ana CA 92706 INSURE F98) AFFORDING COVERAGE NAIC# INSURER A: SBCULit National Insurance Cc 33120 5/27/2015 INSURED 71 4) 878 -3093 Ndward Schade DBAI Orange County Mailboxes INSURER B: INSURERC: _ $ 100,000 and Orange County Contractor Services 18100 Kovacs Lane INSURER 0: _ INSURER E: Huntington Beach CA 92648 INSU nF: a,vv orwaca CERIIrRVAfE NUmtltK: Cert ID 1457 RE111AH M All I"GCo. 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. RISE In TYPE OF INSURANCE I= wIIC POLICY M POL DWI LIMITS A E COMMERCIAL GENERAL LIABILITY CLAIMSMADE [i] OCCUR y NAIO5900101 5/27/2014 5/27/2015 EACH OCCURRENCE $ 1,000,000 -IDWAGE TO RENTED PREMISES fffamnummcm $ 100,000 MED EXP IAn y one pemmn $ 51000 PERSONAL a ADV INJURY $ 11000,000 GENIAGGREGATE A YT(L T jN '�ty�jY TO TO h' 7 M � - LIMITAPPLIES PER: POLICY ❑ JECOT 7 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGO $ 2,000,000 $ OTHER: O " ` .�. AUTOMOBILE LABILITY - - '~ ,( QG" C 1 S GL En e.WAII $ BODILY INJURY (Per pawn) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OMED AUTOS 4 `1Sp` S. ��ee,s� \Sfan t G' As S y jAttOrn BODILY INJURY (PerevdtleM) $ OPERTV DPMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCBSSUMS CLAIMSMADE AGGREGATE $ DEC I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILNY YIN ANYPROPRIETORIPARTNDED? CUTIVE OFFICER /MEMBER EXCLUDED? ❑ (Mandatory In NH) Ir Yea, deacdbs under DESCRIPTION OF OPERATIONS below N/A SWC1045474 6/1/2014 6/1/2015 $ ST TU O H leg E.L. EACH ACCIDENT $ 1 000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE - POLICY OMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LCCAMONS / VEHICLES (ACORD 101, AWRlonal Remarks Schedule, may be xuached If more apace is required) Certificate Bolder is named Additional insured The City of Santa Ana Public Works Agency 220 S Daisy Ave M -85 Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. reserved. AGUKU ZO (ZU141U7) The ACORD name and logo are registered marks of ACORD Page 2 of 3