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<br />,4�c�a►�zca� CERTIFICATE OF LIABILI'T'Y INSURANCE
<br />/' ,r
<br />DATE IMM/DDIYYYY)
<br />7/29/201.5
<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 endorsemeint(s).
<br />PRODUCER
<br />"Tolman & Wiker Insurance Services LLC #OE52073
<br />5001 California Ave.
<br />Suite 150
<br />Bakersfield CA 93309
<br />:A
<br />CONT CT'
<br />NAMEzTeSSi�Ca W:Llk.ison.
<br />PHONE (661) 616-4'700 aC . (661) 616-4500
<br />E-MAIL ADDRESS: jwilkison@tolmanandwiker,com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC>F
<br />INSURER A:Steadfast ins Co
<br />POLICY EXP
<br />MWDDIYYYY
<br />INSURED
<br />JMG Security Systems Ino
<br />171.50 Newhope #109
<br />Fountain Valley CA 92708
<br />INSURER B:American Guarantee and Liabili
<br />GENERAL LIABILITY
<br />INSURERC:Everest National Ins Co
<br />INSURER 0:
<br />INSURER E:
<br />EACH OCCURRENCE $. 3,000,000
<br />iNSURERF:
<br />X COMMERCIAL GENERAL LIABILITY
<br />n1111er 0 f'C'0TPC1(`ATCRII IRlIPMO-1',/IF lvia el`_nr FRr-VI-KIr)N Pil IMIMI^_H.
<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 />.
<br />TYPE OF INSURANCE
<br />ADDL
<br />UBRPOLICYEF'F
<br />POLICY NUMBER
<br />MPMIDDIYYYY
<br />POLICY EXP
<br />MWDDIYYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE $. 3,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTED 100,000
<br />PREM( ES Ea occurrence $
<br />MED EXP (Any one person) $ 5,000
<br />A
<br />CLAIMS -MADE [i] I OCCUR
<br />X
<br />EOL9322546-09.
<br />B/1/2015
<br />8/1/2016
<br />INJURY $ 5,000,000
<br />DC Errors & OmissionsPERSONAL&ADV
<br />3t: $2,500 Deductible
<br />GENERAL AGGREGATE $ 5,000,000
<br />GEN"L AGGREGATE LIMIT APPLIES PER
<br />PRODUCTS - COMPPOPAGG $ 5,000,000
<br />$
<br />X POLICY 71 FRO LOC
<br />AUTOMOBILE LIABILITY
<br />CO.. Ndn.,t Ef)SINGLE LIMIT
<br />Ea aac'f
<br />BODILY INJURY (Per person) $
<br />ANY AUTO
<br />BODILY INJURY (Per accident) $
<br />ALLTOWNED SCHEDULED
<br />AUTNON-OWNEDPer
<br />HIRED AUTOS AUTOS
<br />O RTY DAMAGE $
<br />i
<br />X
<br />UMBRELLA LIAR
<br />IX
<br />OCCUR
<br />EACH OCCURRENCE $ 1,000,000
<br />AGGREGATE $ 1,000,000
<br />B
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />UCO 17670501
<br />8/1/2015
<br />8/1/2016
<br />DED RETENTION$
<br />$
<br />G
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNERIEXECUTIVE Yf N
<br />OFFICERIMEMBEREXCLUDDD? ]
<br />(Mandatary In NH)
<br />NIA
<br />3.00003299--161'
<br />8/1./2015
<br />8/1/2.016
<br />TH-
<br />X WC STATT- I OF.
<br />E.,L EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT $ 1 000 000
<br />If yes, describe under
<br />DESCRfPTION 4F OPERATIONS tae YawI
<br />A
<br />Employee Dishonesty
<br />OL9322546-09
<br />$/1/2015
<br />8/1/2016
<br />$50,000 Limit
<br />$1,000 Deductible
<br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is requiredl
<br />City of Santa Ana, its officers, employees, agentsand representatives are included as additional insured.
<br />for General Liability for the operations performed by the named insured but only as required by written
<br />contract per form UGL1175ECW 0412,
<br />a ffJ k.......
<br />PPRP,
<br />Ww.„wwr
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<br />CERTI
<br />aehavez@Banta-ana.org
<br />City of Santa Ana.
<br />20 Civic Center plaza
<br />Santa Ana, CA 92702
<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 />Shaun Kelly/JESSTW
<br />ACORD 25 (2010/05) rJ 1988-2010 ACORD CORPORATION. All rights reserved.
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