INSURE PROTECTIVE SECURITY 1A - 2014

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Policy Number: Date Entered: 8 /2 8 /2 014 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 8/28/2014 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(les) 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 endorsement(s). PRODUCER ASL Insurance Services 3533 North Verdugo Road Glendale, CA 91208 N-2014-122-001 CONTACT NAME: PAICHONE .(818)957-3366 ac No: 1818)957-3369 EMAIL instogo4@sbcglobal.net ADDRESS: INSURERS AFFORDING COVERAGE NAIC4 INSURER A, Scottsdale Insurance Company X INSURED INSURER B: State Compeneation Insurance Fund Insure Protective Security Inc. INSURER C: 18022 Cowan Street Suite # 270 Irvine, CA 92614 INSURER O: INSURER E: INSURER F: ERRORS & OMISSIONS COVHRAGF_S CFRTIFICATF NIIMFRFR• polli41r1N NIIMnco. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 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. INSR LTR TYPE OF INSURANCE ADDL INSO SUBR MID POLICY NUMBER POLICYEFF (MMIDDIYYYYI I POLICYEXP MMIDDIYYYY1 LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7 OCCUR X CPS1872209 9/23/2013 /23/2014 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED 100, 000 PREMISES Eaocourence $ MED EXP (Anyone person) $5,000 ERRORS & OMISSIONS PERSONAL$ ADV INJURY $1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER POLICY❑jECOT 0LOC OTHER: GENERAL AGGREGATE $2,000,000 (� R`+ ?D ryrp'� S yW + Rq, rp J,YA PRODUCTS - COMPIOP AGO $2,000,000 $ AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS UTOS / 4./ �nn/, S. OqA G• pper�sistant ru r+ 5'��VK ity pttQYn Y COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ -PROPERTYDAM-AGE Per accidentnt)$ a $ � UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAG CLAIMS -MADE DED RETENTION $ - _Fs B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN G FFICERIMEMBOER EXCLUDED?ECUTIVE ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 9100826-14 5/28/2014 /28/2015 PEROTH- STATUTE ER E.L. EACH ACCID ENTANY $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) The City of Santa Ana, it'a officers, employees, agents, and representative are included as additional insured on the General Liability policy with respects to the operation of the named insured only. * Except 10 day notice of cancellation for non-payment of premium. City of Santa Ana Parks, Recreation and Community Services Agency 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /J TAIME LUGO All rinhte reeervad ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus safNmre. www.FormsBos9.ccm; Impressive Publishing 800-208-1977