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�►c °R ®® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDYY) <br />6/1 /Y <br />3/2014 <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 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 />NAMEACT Bf kl <br />United Agencies, Inc <br />100 N. 1 st St., Ste. 301 <br />Burbank CA 91502 <br />PAHONE AIC No: <br />E -mna <br />ADDRESS: - <br />INSURER (S) AFFORDING COVERAGE <br />NAIC # <br />CPA1023043 -18 <br />INSURER A:Great Divide <br />2 <br />EACH OCCURRENCE <br />INSURED CHPEN -1 <br />INSURER BdChubb Group of Ins, CompaoiQa <br />10052 <br />INSURER C: <br />C.H.P. Enterprises, Inc. <br />Cinema Vehicle Services, Ken Porter Auctions <br />12580 Saticoy Street <br />N. Hollywood CA 91605 <br />INSURER D: <br />PREMISES 7TN7Irrence <br />INSURER E <br />INSURER F <br />CLAIMS -MADE 1XI OCCUR <br />COVERAGES CERTIFICATE NUMBER: 628836608 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 />ILTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />MD <br />POLICYNUMBER <br />POLICY EFF <br />MMIDOfYYVV <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />• <br />GENERAL LIABILITY <br />Y <br />Y <br />CPA1023043 -18 <br />/16/2014 <br />/16/2015 <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />PREMISES 7TN7Irrence <br />$100,000 <br />CLAIMS -MADE 1XI OCCUR <br />MED EXP(Any one person ) <br />$Excluded <br />PERSONAL B ADV INJURY <br />$1,000,000 <br />X Contractual <br />X <br />XCU <br />GENERALAGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO <br />$1,000,000 <br />$ <br />POUCYFI PRO- LOG <br />• <br />AUTOMOBILE <br />LIABILITY <br />Y <br />CGA1023044 -18 <br />6/16/2014 <br />/16/2015 <br />Ea accident ) <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />X <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />PROPERTY DAMAGE <br />Per a. dent <br />$ <br />$ <br />• <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />CUA1023045 -17 <br />/16/2014 <br />/16/2015 <br />EACH OCCURRENCE <br />$5,000,000 <br />AGGREGATE <br />$5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED IX I RETENTION$10,000 <br />I $ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />y <br />WCA 2007167 -11 <br />1211/2013 <br />2/1/2014 <br />X WC STATIJ- OTH- <br />T RV L IT <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />ANY PROPRIETOWPARTNER/EXECUTIVE ❑ <br />W <br />OFFICEMEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYE <br />$1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />EL .DISEASE - POLICY LIMIT <br />1 $1,000,000 <br />B <br />B <br />Crime <br />Professional <br />8170 -4256 <br />6804 -7741 <br />/16/2014 <br />15/2013 <br />/16/2015 <br />/5/2014 <br />Crime 11000,000 <br />Auctioneer 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />The City of Santa Ana,and its officials, employees and agents are named additional insured as their interest warrants per written coOft. <br />Waiver of Subrogation applies.. Primary and Non Contributory endorsement applies. 30 day notice of cancellation appe.® '® <br />LISA, iS ORGK <br />ttorneY <br />CFRTIFICATE HOLDER CANCFI I ATInN AMAISILatr` — - <br />© 1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <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, Facilities, Fleet & Stores Mgr, Rick <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />D.Longobart <br />215 S Center St, Bldg J M -83 <br />Santa Ana CA 92703 <br />AUTHORIZED REPRESENTATIVE <br />&, <br />© 1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />