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Aa F LIABILITY INSURANCE
<br />DADIY Y)�E
<br />THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
<br />10/6/2014
<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 pollcy(ies) 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 />certlflcate holder In lieu of such endorsement(s).
<br />PRODUCER Phone: (70T996-2912
<br />Fax: (707)996-7912
<br />Apollo General Insurance Agency, Inc. (1)
<br />P, 0. Box 1508aooalEss:
<br />Sonoma, California 95476
<br />CONTACT )CCIICB Le\V19
<br />NAMe:
<br />PHONE PAX
<br />c o EaINC, No),
<br />lerilecica apgea.conL
<br />INSURERIS AFFORDING COVERAGE NAIC#
<br />INSURER A: Interstate Fire& Casualty Company 22829
<br />INSURED
<br />J&G Industries, Inc, A
<br />18627 Brookhurst Street �}, 2-D ILh 1 K3
<br />PI 302 13,
<br />Fountain Valley, CA 92708
<br />INSURER 8: American Automobile Insurance Com an 21849
<br />INSURER C: Toms Speciality Insurance Company 44776
<br />INSURER D: State Compensation Insurance Fund Of California 35076
<br />INSURER E: AGCS Marine Insurance Company 22837
<br />INSURER F:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
<br />PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH
<br />THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR
<br />TYPE OF INSURANCE
<br />OL
<br />POLICY F
<br />I am IDDIYV
<br />POLICY EXP
<br />0
<br />LIMITS
<br />✓ COMMERCIAL GENERAL LIABILITY
<br />DAN1000302
<br />ll/l/2013
<br />tl/1/2014
<br />EACH OCCURRENCE $ 1,000,000
<br />`�
<br />PREMISES Es occurs ce 3 300,000
<br />CLAIMSMADE❑ OCCUR
<br />�q N�y Z'y +. t
<br />Ritll��p, �{{,j(�I!(Ii'!P6cll
<br />y ,�.yy
<br />IEI,SYi rg*,LJ
<br />MED EXF(Anyoneperson) $ 5,00
<br />��
<br />g
<br />l uu GftlY ld.4 1f t��a'f�gt.�
<br />r, �/
<br />b
<br />PERSONAL$AOV INJURY $ 1,000,000
<br />VT7,
<br />s�tll
<br />"in9ert C,{p7''+ntract exect9it
<br />rr�C`ryd
<br />d priori
<br />GENT AGGREGATE LIMIT APPLIES
<br />PER:
<br />GENERALAGGREGATE $ 2,000,000
<br />POLICY jECT LOC
<br />114
<br />NQ�'�`. 0....CS'e,ttep IS ii
<br />Coverage
<br />1QCr t�
<br />1P1
<br />2,000,000
<br />OTHER:
<br />k O Ou in
<br />itli(Ia
<br />PRODUCTS COMP/OP AGO S
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />MXA80301321
<br />11/1/2013
<br />11/1/201!(
<br />COMBINED SINGLE LIMIT
<br />Eaecddent $ 1,000,000
<br />✓
<br />ANY AUTO
<br />BODILY INJURY (so, person) $
<br />A1/ SCHEDULED
<br />BODILY INJURY (Per acccenG 5
<br />AUTOS AUTOS
<br />✓
<br />HIRED AUTOS ✓ 111 -OWNED
<br />AUTOS✓l
<br />PROPERTY DAMAGE
<br />e $
<br />accltlent
<br />atnc SPcclncd
<br />C
<br />LIAS
<br />✓
<br />OCCUR
<br />37639CI31ALI
<br />It/l/2013
<br />11/l/2014
<br />EACH OCCURRENCE
<br />✓UMBRELLA
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />AGGREGATE $ 7,000,000
<br />OED RETENTION IS
<br />Per accident g 7,000,000
<br />D
<br />WORKERS
<br />AND EMPLOY RB COMPENSATION
<br />802847.2014
<br />10/1/2014
<br />10/l/2015
<br />Y(STATUE ERH
<br />VIN
<br />ANY PROPRIETOWPARTNEWEXECUTIVE
<br />OPPICEWMEMBER EXCLUDES?
<br />NIA
<br />NIA
<br />EL EACH ACCIDENT § 1,000,0,00
<br />(Mandatoryc NH)
<br />f
<br />Iyme, deecdhe antler
<br />-
<br />E.L. DISEASE - EA EMPLOYE $ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT I S 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />E
<br />Equipment Floater
<br />MLY193045908
<br />11/1/2013
<br />11/1/2014
<br />aemedd-rasd;Ndmm 750,000
<br />RemeaL�ased: Por Oce. 750,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORO 101, Add Incest Remarks Schedule, may be attached If more space Is req base)
<br />Re; All operations of the Named Insured. The City of Santa Ana, its officers, agents, & employees are named as
<br />additional insureds and additional insured coverage is if
<br />provided required by written contract per endorsements
<br />hereto attached.
<br />�errgh �>�gr'hee�ing div Mas - gage r o f 3
<br />Nature of Interest: Certificate Holder
<br />City of Santa Ana
<br />20 Civic Center Plaza M36
<br />Santa Ana, CA 92701
<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 />988.2014 ACORD
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