ORANGE COUNTY CONTRACTORS SERVICES DBA ORANGE COUNTY MAILBOXES AND CONSTRUCTION 4 - 2014

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f►- o vv CERTIFICATE OF LIABILITY INSURANCE DATE(MWOOIYYYY) THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 6/4/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED, the policy(in) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this Certificate does not confer rights to the Certificate holder in lieu of such endomement(s). PRODUCER Insurance Partners, Inc. - Santa Ana 2107 N. Broadway Suite 108 ME• Christ x% yo PXONB ppX (714) 285 -4800 Fg1yp CFF L Santa Ann G 927D6 A INSURER(S) AFFORDING COVERAGE NAICs INSURERA; security National Insurance Cc 33120 INJURED 714) 878 -3 93 Edward eahaee nEAr Orange County Mailboxes and Orange County Contractor Services 18100 Kovacs Lane INSURER e: E 11000,000 INSURER C: CLAIMS -MADE T OCCUR INSURER O: Huntington Beach G 92648 INSURER E: SURER F: PDMOz To Lr S 3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE E -R MIr P5 FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER Fg1yp CFF Y LIMITS $ A K COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE - E 11000,000 CLAIMS -MADE T OCCUR Y PDMOz To Lr S 3 NAIOS900101 5/27/2014 5/27/2015 E 1001000 MID EXPAN one roman S 51000 PERSONAL d ADV INJURY S 11000,000 ,F0, LIMIT APPLIES PER: GENERAL AGGREGATE E 2,000,000 GEN'LAGGRE� E IT b ��,,, PRODUCTS- COMP/OPAGO S 21000,000 POLICY dECT LOO A 1A E OTHER: O AUfOMO &LE DABILITY - - - CCMBINEDSINGLEUIAT E MYAUTO ALL OWNED SCHEDULED t �• RCK {torn EDGILY INJURY (P., peracn) s AUTOS AUTOS ��gp C y BODILY INJURY (Per aoddem) S HIRED AUTOS AUTO ED nt MSIS WW RT DAMAGE E $ UMBIMELLA me OCCUR EACH OCCURRENCE E EXCESS LAD CLAIMS-MADE AGGREGATE E OED RETENRON $ WORKERS COMPENSATION A AND EMPLOYERS' LIABILITY YIN SWC1045474 - 6/1/2014 6/1/2015 K T E.L. EACH ACCIDENT $ 11000,000 ANY PERIMEM OR/ PARLUDED%ECUTIVE OFFlCEPoMIn NIA NFI)EXCLUDED? (Mandatory ln Nnd dI"ON under E.L. DISEASE• EA EMPLOYE E 11000,000 E.L. DISEASE - POLICY LIMIT E 11000/000 Dy., DESCRIPTION OF OPERATIONS babW DESCRIPTION OF OPERATIONS ILOCATIONS /VEMCLES (ACORD 101, Addmonai Remarks ScAaduN, may ne ACaehad V more spa. le required) Certificate Holder is naaad Additional Insured The City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Public Norke Agancy 220 B Deiay Ave M -85 Santa Ana CA 92702 AUTHORIZED REPRESENTN�TAE TBBB -mit ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Page 2 of 3