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PUBLLAW -01 VRXKUMAR2
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATEIYYYY)
<br />4/118128812014
<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 BYTHE 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 License # 0720293
<br />Arthur J. Gallogher 8 Co. Insurance Brokers of CA., Inc.
<br />505 N Brand 81vd, Suite 800
<br />Glendale, CA 91203
<br />CONTACT
<br />NAME: _
<br />PHONE ^ ^- FAX
<br />ac Na Ext) (818) 539.2300 (A' Na)• (818) 539.2301
<br />E -MAIL --
<br />ADDRESS:
<br />___ INS U RERI) AFFORDINOCOVERAGE
<br />NAICN
<br />MED EXP (Anyone person)
<br />_
<br />INSURERA:NDnprOfits' Insurance Allianc_ a of CA
<br />X ABUSE_
<br />INSURED
<br />INSURERa: _
<br />INSURERC__
<br />Public Law Center
<br />INSURER D ;
<br />X
<br />601 CIVIC Center Drive
<br />Santa Ana, CA 92701
<br />INSURER E:
<br />$ 2,000,00
<br />INSURERF:
<br />COVERAGES CERTIFICATE NUMBER: CFVICInAI Nlnnn Gno.
<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 />ILNSRR TYPE OF INSURANCE A'UDC POLICY NUMBER FOIIG F P?YUd EXF LIMITS r
<br />A
<br />GENERAL LIABILITY
<br />X COMMERQALGENERALLIABIUTY
<br />CLAIMS -MADE I I OCCUR
<br />X
<br />2014220SONPO
<br />02/01/2014
<br />02/01/2015
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />_
<br />(Ed
<br />PREMISES S Ee occurrence )
<br />$ 500,000
<br />MED EXP (Anyone person)
<br />$ 20,000
<br />X ABUSE_
<br />PERSONAL SADVINJURY
<br />$ 11000,000
<br />X
<br />",M/$l MM W
<br />GENERAL AGGREGATE
<br />$ 2,000,00
<br />G EN'L AGGREGATE
<br />POLICY
<br />LIM IT APPLI ES PER:
<br />PRO- LOG
<br />PRODUCTS - COMP /OP AGO
<br />$ 2,000,00
<br />—_
<br />A
<br />AUTOMOBILE
<br />UABILITY
<br />ANY AUTO
<br />20142205ONPO
<br />02101/2014
<br />02/01/2015
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per perecn)
<br />$
<br />___
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY Peraccidont
<br />( )
<br />$
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY OA E
<br />PERACCIDENTI
<br />$
<br />UMBRELLA LIAR
<br />EXCESS LIAB
<br />OCCUR
<br />CLAIMS -MADEs
<br />yy�ki
<br />ypP, `®
<br />,dM'VV''
<br />EACH OCCURRENCE
<br />$
<br />DED RETENTION$
<br />$
<br />T•�
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />NIA
<br />t _ M1
<br />n E.
<br />,,,,Sr`
<br />�t
<br />- rOFjE,
<br />pT1e
<br />t f\
<br />WC STATU- OTH-
<br />0RY JIM aL ER
<br />E.L. EACH ACCIDENT
<br />$
<br />ES. DISEASE - EA EMPLOYE
<br />_
<br />$
<br />(Mandatory In NH)
<br />1! es. describe under
<br />DESCRIPTION OF OPERATIONS below
<br />Pggt9 1BntC
<br />y
<br />E.L. DISEASE- POLICY UNIT
<br />$
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, ABUItlonai Remarks S Chodule, It more space Is required)
<br />The City of Santa Ana, Its officers, employees, agents, volunteers and representatives are named additional insured with respeot tothe operations of the
<br />named insured per the attec had CG 2026 an dorsoment. Such Insurance Is primary and non - contributory.
<br />City of Santa Ana
<br />20 Civic Center Plaza
<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 REPRESENTATIVE
<br />J(Jdla,�i�✓l,A,
<br />ACORD CORPORATION. All rights reserved
<br />ACORD 25 (20101051 The ACORD name and loco are reaistered marks of ACORD
<br />
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