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<br />%C CERTIFICATE OF LIABILITY INSURANCE
<br />��
<br />DATE (MMIDD013
<br />12/24/2013
<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(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 />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Tolman & Wiker Insurance Services LLC #OE52073
<br />196 S. Fir Street
<br />PO Box 1388
<br />Ventura CA 93002 -1388
<br />CONTE: ACT Araceli Flores, AIS, AINS
<br />_
<br />PHONE xt1. ($OS) 565 -6113 FAX Net (805)585 -6213
<br />ry
<br />EMAIL aflores @to Imanandwiker.com
<br />ADDRESS:
<br />INSURER (S) AFFORDING COVERAGE
<br />NAIC N
<br />INSURER A:Hartford Fire Ins Cc
<br />19682
<br />INSURED
<br />Pacific Coast Cabling, Inc.
<br />DBA: PCC Network Solutions
<br />20717 Prairie Street
<br />Chatsworth CA 91311
<br />INSURERS Hartford Casualty
<br />29424
<br />INSURER C:Hartford Accident & Indemnity
<br />22357
<br />INSURER D:
<br />R Toohey, CISC /ARACEF
<br />INSURER E:
<br />$ 1,000,000
<br />INSURER F:
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />COVERAGES CERTIFICATE NUMBER:14 /15 GL /AL /UMB /WC 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 />INSR
<br />LTR
<br />rypE OF INSURANCE
<br />ADDLSUBR
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM /DD
<br />POLICY EXP
<br />M DDNYYY
<br />LIMITS
<br />20 Civic Center Plaza
<br />GENERAL LIABILITY
<br />92701
<br />R Toohey, CISC /ARACEF
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />72UUNJH0752
<br />11
<br />1/1/201141
<br />d��"
<br />1/,1ry1�ry /2015
<br />DAMA E TO RENTED
<br />PREMISES fEa occurrence)
<br />$ 300,000
<br />VIED ESP (Any one person)
<br />$ 10,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GENT AGGREGATE LI MIT APP LIES PER:
<br />PRODUCTS AGO
<br />$ 2,000,000
<br />�
<br />JE" POLICY X PRO- X LED
<br />/t
<br />$
<br />A
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />USI
<br />gSE,j5lalTt C.11,
<br />72UUNJE0752
<br />PA01"V
<br />1/1/2014
<br />1/1/2015
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per present)
<br />$
<br />NON-OWNED
<br />HIRED AUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Peraccldent
<br />$
<br />Underinsured motorist
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />B
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />OED X RETENTION 10, 00C
<br />$
<br />I
<br />72MUJH1103
<br />1/1/2014
<br />1/1/2015
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMEER EXCLUDED? ❑
<br />(Mandatory in NH)
<br />If yes, describe under
<br />NIA
<br />72wEEQ8250
<br />1/1/2014
<br />1/1/2015
<br />X WC STATU- OTH-
<br />E.L. EACH ACCIDENT
<br />$ 1 00O 000
<br />E. L. DISEASE - EA EMPLOYE
<br />$ 1 Opp 000
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1.000,000
<br />DESCRIPTION OFOPERATIONS below
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
<br />GL: The City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional
<br />Insured as respects to operations of the Named Insured per attached HG0001 0605. This insurance is
<br />primary and non - contributory to any other insurance held by Additional Insured per attached HG0001 0605.
<br />A Waiver of Subrogation is added per attached HG0001 0605. Attached enorsements apply only as required by
<br />written contract during the policy term.
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2010/05)
<br />IN 5025 onimF1 m
<br />© 1988 -2010 ACORD CORPORATION. All rights reserved.
<br />Th. Arnpn „ar,,o anH Ir.nn aro rarri.fererl marts, of Arnpn
<br />cmarek@santa-ana.org
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Insurance
<br />Services Division M -12
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Plaza
<br />Santa Ana, CA
<br />92701
<br />R Toohey, CISC /ARACEF
<br />ACORD 25 (2010/05)
<br />IN 5025 onimF1 m
<br />© 1988 -2010 ACORD CORPORATION. All rights reserved.
<br />Th. Arnpn „ar,,o anH Ir.nn aro rarri.fererl marts, of Arnpn
<br />
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