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<br />^lk !�ar CERTIFICATE OF LIABILITY INSURANCE
<br />s/12/2014
<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(les) 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 />New Century Insurance Services
<br />16 N. 2nd Street
<br />Alhambra, CA 91801
<br />NAMT" New Century Ins Srv, Inc.
<br />NONE Pvtl (626)300-9000 FAIX). Nat; I626I 570-0905
<br />-
<br />ADmoA,'LSS,inPo@usnci.com / License No. OB07085
<br />INSURERS AFFORDING COVERAGE
<br />NAIC N
<br />_
<br />Ins RERA American Fire and Casualty
<br />4066
<br />INSURED
<br />AVT, Inc.
<br />341 Bonnie Circle Ste 102
<br />Corona CA 92880
<br />INSURERB:PeerlEI Insurance Company
<br />24198
<br />INSURER C;National Union Fire Ins Cc Pa
<br />19445
<br />INSURER D:Foremost Si nature Insurance Cc
<br />41513
<br />INSURER E :
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBERALL 14-15 REVISION NUMBER:
<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 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 />IN7R
<br />R
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUER
<br />POLICYNUMBER
<br />POLICY EFF
<br />M DIYYYYI
<br />POLICY EXP
<br />(MMIDWYYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACHOCCURRENCE
<br />$ 1,000,000
<br />A
<br />X COMMERCIAL. GENERAL LIABILITY
<br />CLAIMS -MADE OOCCUR
<br />SkUL55963427
<br />/31/2019
<br />/31/2015
<br />DA AGET RENTED
<br />PR i me
<br />$ 5D0,000
<br />MED EXP(My one person)
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />8 11000,000
<br />GENERAL AGGREGATE
<br />5 2,000,000
<br />GEN'L AGGREGATE LIMITAPPLIES PER:
<br />PRODUC rS- COMPIOP AGO
<br />$ 2,000,000
<br />X POLICY JFGPROLOC
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE GLE LIMIT
<br />Ea acc,denb
<br />1,000,000
<br />BODILY INJURY(P_w person)
<br />$
<br />B
<br />X I
<br />q
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />NON OWNED
<br />HIRED AUTOS AUTOS
<br />2442759
<br />/22/2019
<br />/2212015
<br />BODILY INJURY(PxaccidenU
<br />$
<br />PROPERTY DAMAGE
<br />Perawident
<br />$
<br />3
<br />X
<br />UMBRELLAUAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />AGGREGATE.
<br />$ 4,000,000
<br />C
<br />EXCESS LIAR
<br />CLAIM&MADE
<br />LO63717909
<br />DED I
<br />$
<br />11/4/2013
<br />1/412014
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERTUABILITY YINFIR
<br />V PROPRIETORiPARTNERIEXECUTIVE
<br />OFFCERIMEMBER EXCLUDED?
<br />(Mantlarory In NH)
<br />NIA
<br />04007748
<br />/6/2014
<br />76/2D15
<br />X WC 6TATU- OTH-
<br />'ERATAN
<br />E.L. EACH ACCIDENT
<br />$ 11000,000
<br />E.L. DISEASE -EA EMPLOYE
<br />$ 1,000,000
<br />If yes, desortbe under
<br />DESCRIPTION OF OPERATIONS beta.
<br />EL DISEASE -POLICY LIMIT
<br />$ 1 00Q 000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD101,Additianal Remark.BahWule,0mweapacelsregWred)
<br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS
<br />ADDITIONAL INSURED PER POLICY FORM NUMBER: CG70020101. THIS CERTIFICATE IS VALID ONLY IF THE CERTIFICATE
<br />HOLDER REQUIRES IN A WRITTEN CONTRACT TO BE NAMED AS ADDITIONAL INSURED. THIS POLICY IS PRIMARY 6
<br />NON-CONTRIBUTORY. 10 DAYS NOTICE OF CANCELLATION FOR NQN PAYMENT OF PREMIUM, 30 DAYS OTHERWISE.
<br />x® FO
<br />-Atva
<br />(714)571-4211
<br />The City of Santa Ana
<br />Parks, Recreation and
<br />20 Civic Center Plaza
<br />P.O. Box 1988
<br />Santa Ana, CA 92702
<br />ACORD 25 (2010t05)
<br />fvklj,u 4�'
<br />P5S`Stant
<br />Community Services
<br />M-23
<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
<br />Shen/BIH
<br />(NS025om'ms,nl The nrnRn amo ar m _, ,k.. f Arnwn
<br />
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