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HONCOM -001 OLVI
<br />`� °r• ' CERTIFICATE OF-LIABILITY INSURANCE
<br />p 6EI1012o1 YYJ
<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 endorsements .
<br />PRODUCER (888) 825.4322
<br />Bowermaster 8, Associates
<br />RCA BOX 6026
<br />10805 Holder Street • Suite 350
<br />Cypress, CA 90630
<br />TYPE OF INSURANCE
<br />PNCC °N o E 1714 - 733.6200 Aic Not 714252.8253
<br />Aooa ss:
<br />�„w
<br />INSURERDh AFFORDING COVERAGE
<br />NAICN
<br />INSURERA:James RIVer InsUranco E:DliTpdny
<br />12203
<br />INSURED Honda Company, Inc.
<br />2121 South Lyon Street
<br />Santa Ana, CA 92705-
<br />INSURERS :Travelers
<br />19046
<br />INSURER c; National Unlon Fire Ins. Co. of Pittsbar
<br />19445
<br />INSURER D RIaleryer Insurance Company
<br />15586
<br />INSURERS;
<br />G 1,000,00
<br />S 100,00
<br />INSURER F;
<br />CLAIMSMAUE OOCCUR
<br />X Deductible - $2_,500
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />I 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 />CER71FICATE 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 IiAVE BEEN REDUCED BY PAID CLAIMS.
<br />IN'�uR
<br />TYPE OF INSURANCE
<br />T'�
<br />POLICY NUMBER
<br />PO YF
<br />MM OI=
<br />PO IC E P
<br />LIMITS
<br />A
<br />eaNERA4 LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />X
<br />0006266 .. -bb
<br />�j� g,+('y
<br />190'Y
<br />M12015
<br />EACH OCCURRENCE
<br />ARAGITTTO -R occurrence
<br />G 1,000,00
<br />S 100,00
<br />CLAIMSMAUE OOCCUR
<br />X Deductible - $2_,500
<br />�n
<br />SSA PA &'v
<br />91
<br />"
<br />MED EXP(AnYO:epviced
<br />s. EXCLUDE
<br />PERSONAL a.ADV INJURY—
<br />5— 1,000,000
<br />GENERAL AGGREGATE
<br />PRODUOTS- COMPIOP AGG
<br />s 2,000,000
<br />$ 2,000,00
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<br />TS
<br />OPJJ'L AGOREGA'R LIMIT APPLIES PAR.
<br />5
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<br />X1 POLICY PR¢ LOC
<br />7
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<br />Li
<br />AUTOMOBILE LIAa1LrrY
<br />I X ANY AUTO
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<br />2A0926$5
<br />6/112014
<br />6/1/2015
<br />CU S 1- SINGLE L IT
<br />LES + + ±I a lem ,_x,,,,,,_1.,000,000
<br />FUNNY INJURY (Per person)
<br />S
<br />ALLOWNED SCHEDULED
<br />AUTOS AUTOS
<br />NON- G4YN£G
<br />kIREDAU70S AUTOS
<br />000LLY INJURY (Per a.^.aidenQ
<br />P TY 6AhiAGE
<br />Par ac�daM
<br />S
<br />_
<br />_
<br />S
<br />UMBRELLALIAB
<br />X
<br />I OCCUR
<br />EACH OCCURRENCE
<br />S 2,000,00
<br />C
<br />X
<br />EXCESS HAD
<br />CIAIMS -MAGE
<br />BED31234654
<br />6!112014
<br />61112015
<br />AGGREGATE__ T
<br />$ 2,000,000'
<br />OED X RETENTION $0
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' I UAUUTY
<br />ANY PROPMETOSUPARTNEREXECUTE' YIN
<br />OrPICIM'UMEMSE-REXCLUD W
<br />(Mandatory is NHl Y
<br />NIA
<br />WCCDO17519
<br />11112014
<br />11112015
<br />X WHSLATT -, OTH
<br />'r'
<br />_
<br />El. EACH ACCIDENT
<br />EL_DISEnSE -ER EbtPLO.
<br />$ 1,060,000
<br />S 1,000,00
<br />_
<br />If Es Rortbo under
<br />0CtlaOO OPERATORS Wov,
<br />Ed., DISEASE - POLICY LIMIT
<br />$ 1,000,00ii
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atach ACORD 101, Additlannl Remarks Schedule, li more spAce Is required)
<br />The City of Santa Ana, 20 Civic Conter Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are
<br />named as additional insureds with respects to General Liability per form MC201OUS0912. Primary and Non Contributory wording applies por
<br />farm AP5031 USO410.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION LATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />C/O Public Works Agency- The Depot
<br />20 CIVIC Center Plaza, M -21 AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701-
<br />..
<br />(1988 -2010 ACORD CORPORATION. All
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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