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AC-OP0, CERTIFICATE OF LIABILITY INSURANCE
<br />DATE IMMIUMMY I
<br />12/30/2013
<br />P8001LcER 213. 553. $400 FAX 213.5533466
<br />il-iis CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION
<br />TWilShire Insurance Agency
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />835 Wilshire Blvd., 4th Floor
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXPEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Los Angeles, CA 90017-2603
<br />. .....
<br />INSURERS AFFORDING COVERAGE I NAIC #
<br />Service, Inc,
<br />71
<br />_r.* _ RA —St a-_ 'Indemnity — — nit- y-.... - - "_
<br />NSLI r r Ei abi 11 L) cc
<br />United Storm Water, Inc.
<br />-- - ----- - - -
<br />s ITERE Federal Insurance Company 20281
<br />4 Lease, Inc.
<br />. .... ....
<br />14000 East Valley Blvd.
<br />11 SI';4.R II
<br />City of Industry, CA 91746
<br />!HF r-OLI ;IFS OF INSILIPAN,-F Lis rED HAVE
<br />BEEN ISSUED TO NIS INSURED NAIVE jASOVE I'OR THE POLICY PERIODINDICAlf-O N()Tv_vmjFrTN_D7W_
<br />ANY REQUIREMENT. TERNIORC01,10ITIONC)i ANYCONTrW,:I OR OTHER DOCUMS.141 VvH'H Rc8PF,,cr TOWHIMI THIS CERTIFICATE MAYBE ISSUED OR
<br />6
<br />W
<br />LIAY PERTAIN THr INS ICE AFFORDED BY THE
<br />POLICIES DESCRIBED HEREIN 15 SlUeJEC-, TO ALL THE TERMS EXCLUSIONS AND CONDI I ONS OF Su'FI
<br />1, 'ES AGGREGAFF c,ILIITS HOV,NJ'AAY HAVE BEEN
<br />REDUCED BY PAID CI,AII'Is
<br />i'M !411Q Y Pe Of INSURANCE
<br />POLICY NUMBER I POCCY EFFECTIVE POLICY EXPIRAITON
<br />VAMAIh IM001"I LIMITS
<br />aEHE11AL UABILM
<br />SLSLEIL720235141 12/31/201. 12/31/2014 EACHr ,LURREN',' 1,000 }Q00
<br />X
<br />so 000
<br />CLAIM, W,0 X
<br />ME 5 000
<br />A
<br />PEPCONA, NOV lNjTr,; 1, Go, 000
<br />1,000,000
<br />GY N'I, A
<br />21000.000
<br />AUTOPVIOEELELIABI Ci
<br />SISIPCA09223614
<br />12/31/2013 1 12/31/2014
<br />X I ANY A fr�
<br />ICA 'w 001)
<br />000, 000
<br />HOO4 y 141IR f
<br />AUTOS
<br />X
<br />HOW, V IA WRY
<br />X NCI; OL.'%-C ',,'Trs
<br />MCS-90
<br />CARAGE LIABILITY I
<br />AITTI'INLY FACF'E!1W
<br />ANY AL -0
<br />OrTLY" TK ; f A AC 11 C
<br />z
<br />AL;",
<br />EXCES8M&mF1EL1_AL1AM1_n7Y I
<br />SLSLXNV73017414
<br />12/31/2013 1 12/31/2014
<br />FACH-!C(_),-REHCE
<br />91000,000
<br />_j �LA Y�NIA��
<br />AGGRFA�A, F
<br />i 9,000, poo
<br />A
<br />0044727244
<br />12/31/2013 12/3__
<br />W)RKLI15 COMPENSATION AND
<br />IT, 0YERS'LlAiW ITY
<br />F L EACL,,CCI0FH1
<br />1,00o'000
<br />N, I OF I' TL,qPAR TN.RF. ,X-M
<br />I
<br />L c rA.
<br />E, 11000,000
<br />"I' "q' P I"JIIIS �L's
<br />i' L 00�_EASE' _VrLICY71,11T
<br />I
<br />I'D ulion Liability
<br />12/31/2013 12/31/2014
<br />Pollution Limit: $1,000,000
<br />`;Professional Liability
<br />Professional Limit: S1,000,000
<br />1i(laims Made
<br />r __ _L______L_LGGREGAl-E
<br />Limit: $1,000,000
<br />(ICSCIOPTIC.P. OF OPERABONS 1 LOCA'IONS I VENICLE? I EXCLOWNS ADDED IV EXOqSEImNT -SP-CAL PHOViSOLS
<br />H City of Santa Ana, icers, agents, Volunteers and employees are included as Additional
<br />Insured, with this insurance Primary
<br />and Non-contributory, as per the attached CL endorsement forms
<br />CG20370413 and #OG-023 (06/11).
<br />LxcLpt 10-Days Notice9
<br />wwoffllatiroit,i[In
<br />Tilie; event of non- payment of premium.
<br />1OLDER
<br />_ );ILLATION
<br />SHOULD A11A OF THE ABOVE DESCRIBED POLICIES BE CAN CEUr-M 69FOnE THE
<br />EXPIRAFMN OATS THEREOF THE ISSUING NSURER WILL E',DEAVOR TO MAIL
<br />City of Santa Ana
<br />.30—DIIYS',',F(ITTEtl! IOTICF.TOI'IIECI.rTIFICArERC�LDERN�,KILI)TOTI'CLEFl.
<br />Pulul ic Works Department
<br />allT FAILURE TO MAIL SUCH NaT�. tPOSE NO OBUrATLOH OR._[t,
<br />LL "PO"' Ho
<br />21) Civic Center Plaza M-36
<br />___aFANY UND OPUN THE IN56IIRIT� ITS Gm'I1SO1.!EPPESENTAHnb
<br />Santa Ana, CA 92701
<br />R iZE D A E P ZRI F CFnAm'. -7T
<br />71
<br />ACORD 2512001/08) 'ACORD CORPORATION 1988
<br />
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